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special tests Flashcards

1
Q

anterior drawer test

A

ATFL integrity

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2
Q

talar tilt

A

invert/evert while stabilizing lower leg

inversion: CFL integrity (ATFL and PTFL)
eversion: deltoid

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3
Q

kleiger test

A

passively ER foot

deltoid: neutral and PF, medial joint pain
syndesmosis: DF, anterolateral joint pain

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4
Q

bump test

A

bump calcaneus

pain on calcaneus, talus, fibula or tibia (fracture/stress fracture)

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5
Q

mortise spring

A

passively DF, invert/evert for syndesmotic pain
ant tib-fib ligament
interosseous membrane
post tib-fib ligament

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6
Q

lateral talar glide (cotton)

A

lateral glide of talus and calcaneus for syndesmotic pain, increased lateral translation

ant tib-fib ligament, interosseous membrane, post tib-fib ligament

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7
Q

distal tibiofibular glide

A

translating distal fibula anteriorly and posteriorly on tibia

pain fibular translation - sprain of anterior and posterior tib-fib ligament

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8
Q

subtalar glide

A

STJ in neutral position (sidelying)

hypermobile medial glide for ankle sprain

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9
Q

fibular spring aka squeeze test or Potts compression

A

fibula shaft pain: fibular fracture

syndesmosis pain = sprain

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10
Q

intermetatarsal glide

A

plantar-dorsal glide

deep transverse MT ligament and interosseous ligament, neuroma

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11
Q

tarsometatarsal glide

A

pain or increased glide = ligamentous laxity or joint adhesions.

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12
Q

thompson test

A

squeeze gastroc/soleus complex

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13
Q

homan’s sign

A

pain in calf or tenderness during palpation

deep vein thrombophlebitis (inflammation of blood clot thrombosis)

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14
Q

dorsiflexion-eversion test

A

pain/paresthesia into foot = tarsal tunnel syndrome

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15
Q

long bone compression test

A

fracture

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16
Q

mulder sign

A

grasp foot around distal third of 1st-5th metatarsals and compress arch.

intermetatatsal neuroma

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17
Q

functional tests for ankle

A

heel raises
hop on one foot

walk/run
accelerate/decelerate
change directions
sport specific drills

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18
Q

varus stress at 25

varus stress at 0

A

LCL
lateral joint capsule
IT band
lateral musculature

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19
Q

valgus stress at 25

valgus stress at 0

A

MCL
medial joint capsule
ACL
PCL

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20
Q

gravity drawer or godfrey test

A

posterior instability
hip flexed at 45 degrees

posterior sagging of one tibia - PCL

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21
Q

quadriceps active test

A

knee flexed at 90 degrees

ATT and Grade II or III PCL sprain

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22
Q

posterior drawer for knee

A

posterior instability
increased posterior tibial translation

compared to uninvolved side or lack of firm end feel

PCL

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23
Q

anterior drawer for knee

A

increased anterior tibial translation compared to uninvolved side or lack of firm end feel.

ACL

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24
Q

lachman’s

A

ACL

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25
prone lachman's
ACL tear
26
slocum drawer ER (AMRI)
MCL, anteromedial capsule, ACL, posteromedial capsule, and medial meniscus
27
slocum drawer IR (ALRI)
ACL, antero-lateral capsule, LCL, postero-lateral capsule and lateral meniscus
28
special tests for ALRI or AMRI
crossover test lateral pivot shift slocum ALRI Flexion-rotation drawer test reverse pivot shift
29
external rotation test (dial test)
PCL, posterolateral structures
30
external recurvatum test
knee goes into hyperextension and tibial tuberosity externally rotates PCL sprain and PLRI
31
special tests for mensical lesions
McMurray apley's compression and distraction thessaly test
32
special test for osteochondral defect
wilson test
33
noble compression test
it band tightness or friction syndrome
34
ober's test
TFL or IT band tightness/contracture
35
special tests for patella
patella apprehension for laxity medially clark's sign for condromalacia patella medial synovial plica active knee extension
36
1. trendelenburg test 2. hip scouring/quadrant test 3. thomas test (flexion contracture test) 4. ely's test (modified thomas test) 5. faber test (patrick's test) 6. piriformis test 7. fulcrum test 8. anterior impingement test
1. gluteus medius weakness (trendelenburg) 2. deep pain in hip joint (osteochondral defect, labral tear) (hip scouring/quadrant) 3. tightness in iliopsoas, rectus femoris and/or sartorius (thomas) 4. anterior pelvic tilt/lumbar lordosis or hip flexes (tightness of rectus femoris) (ely's) 5. SI region/groin region (faber test) 6. piriformis syndrome, sciatica (piriformis) 7. femoral shaft stress fracture (fulcrum) 8. FAI or labral tear (anterior impingement)
37
SI joint dysfunction tests
SI compression and distraction faber ``` gaenslen's test sacral thrust thigh thrust long sit test gillet test SLR reverse SLR quadrant test ```
38
spondylopathy tests
spring test | single leg stance test (stork test)
39
facet joint dysfunction tests
quadrant test single leg stance test (stork test) spring test
40
segmental instability tests
spring test | prone instability test
41
disc lesion/nerve root irritation
``` SLR slump sit test well SLR milgram test femoral nerve tension test reverse SLR bowstring sign tension test kernig-brudzinski valsalva ```
42
vertebral artery test | s/s
dizziness, confusion, nystagmus, nausea. occlusion of cervical vertebral arteries
43
cervical and thoracic vertebral joint play
hypo or hypermobility of cervical spinous process
44
upper limb tension test
hyperirritability of peripheral nerve due to entrapment or impinegement
45
brachial plexus traction test
pain on same side or pain on opposite side (compression injury) - radiating through arm
46
shoulder abduction test
herniated disk or nerve root compression and tension
47
cervical compression test
pain - nerve root or facet joint involvement
48
spurling test
nerve root impingement
49
jackson test
nerve root or facet joint impingement
50
distraction test
nerve root involvement - apply traction.
51
tinel's sign
radiating symptoms down arm - nerve injury
52
TOS special tests
adson allen roo's military brace
53
A/P rib compression test
pain in ribs | lateral fracture of ribs and costochondral separation
54
lateral rib compression test
pain in ribs | anterior or posterior fracture of ribs and costochondral separation
55
beevor's sign
umbilicus
56
upper motor neuron lesions
babinski - plantar aspect of foot oppenheim - anteromedial crest of tibia clonus - rapidly push foot into DF
57
SC instability special tests
SC laxity test
58
AC instability special tests
AC compression AC laxity test piano key sign AC traction test
59
Rotator cuff special tests
drop arm test empty can test - supraspinatus scapular retraction test - scapula lift-off test (gerber lift off) (subscapularis)
60
biceps special tests
yergason's test - SLAP/bicipital tendonitis speed's test - SLAP/long head of biceps tendinopathy ludington's test - rupture of long head of biceps
61
impingement special tests
neer's test - supraspinatus or long head of biceps hawkins-kennedy - supraspinatus or LH of biceps
62
GH laxity and instability special tests
sulcus sign GH drawer test GH apprehension test -anterior instability posterior apprehension test - posterior instability jerk test - labrum/cartilage
63
labrum/cartilage special tests (shoulder)
clunk test obrien test grind test anterior slide test
64
elbow instability special tests 1. valgus stress 2. moving valgus stress 3. varus stress 4. hyperextension test 5. radioulnar stress 6. PLRI test
1. UCL (valgus stress) 2. UCL (moving valgus) 3. RCL, LUCL (varus stress) 4. osteochondritis dissecans (hyperextension) 5. annular ligament sprain (radioulnar stress) 6. LUCL and RCL (PLRI)
65
hook test
rupture of distal biceps tendon
66
active lateral epicondylalgia test | passive lateral epicondylalgia test
lateral epicondyle
67
active medial epicondylalgia test | passive medial epicondylalgia test
medial epicondyle
68
nerve pathology tests
tinel's - tingling or shooting pain elbow flexion test pronator teres test
69
wrist fracture special tests
long axis percussion - phalanx/metacarpal | long axis compression - phalanx/metacarpal
70
wrist tendon avulsion tests
jersey finger - flexor digitorum profundus tendon mallet finger - extensor digitorum tendon
71
wrist glide test
ligament sprain
72
lunotriquetral ballottement test
aka reagon test for lunate instability
73
watson test
scapholunate dissociation sprain
74
wrist neurovascular tests
phalen's test - carpal tunnel syndrome allen test - potential artery occlusion tinel's sign - nerve pathology
75
tenosynovitis tests
finkelstein test - dequervain syndrome | trigger finger test - flexor tenosynovitis

BOC domain 2 (1 decks)

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