Special Tests Flashcards
Ankle Tests for Ligamentous Instability (2)
list + describe: Pt position/Stabilize @ ?/ Position action / Positive sign + indication
Anterior Drawer + Talar Tilt
AD = Pt supine; Stabilize distal LE; hold foot in 20 deg PF + draw talus anteriorly; Positive = excessive motion, indicates TF lig sprain
TT = Pt sidelying, knees flexed @ 90; Stabilize distal LE, foot in neutral; Tilt talus into abduction + adduction; Positive = excessive add, indicates Calcaneofib lig sprain
Describe the Thompson Test - what is it for/how to perform/postive sign?
Thompson = Achilles Tendon Rupture
Pt in prone; sqeeze gastroc; if no movement (PF) test is positive
How to test for leg length discrepancy?
1) neutralize pelvis (bring knees to chest and relax); separate legs by 6 inches
2) measure from ASIS to Medial Malleoli bilaterally
3) positive test = greater than 1 cm difference
How to test for knee joint effusion? (2)
Brush vs Patellar Tap tests
Brush = position pt in supine; Brush hand across + over kneecap starting @ Medial Patella in a circle, watch for fluid “wave” @ medial border of patella (image)
Patellar Tap = Supine, knee extended/flexed to point of discomfort; tap patella; if appears to “float”, test is positive
Apley’s compression and McMurray test are for….. ???
Describe both (which is supine, which is prone?)
Apleys + McMurrays = Meniscal Pathology tests!
Apleys = Pt prone c knees flexed to 90; stabilize femur and place hand @ heel; rotate tibia (M/L) WITH compressive force; Clicking OR pain = positive
McMurray = Pt in supine, knee fully flexed; palpate @ joint line and grasp distal LE; MR tibia while extending the knee + repeat motion @ full fexion with LR; Clicking/creptetation felt at joint line = positive (posterior lesion only)
