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BOC domain 2 > special tests > Flashcards

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
Q

prone lachman’s

A

ACL tear

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26
Q

slocum drawer ER (AMRI)

A

MCL, anteromedial capsule, ACL, posteromedial capsule, and medial meniscus

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27
Q

slocum drawer IR (ALRI)

A

ACL, antero-lateral capsule, LCL, postero-lateral capsule and lateral meniscus

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28
Q

special tests for ALRI or AMRI

A

crossover test
lateral pivot shift

slocum ALRI
Flexion-rotation drawer test
reverse pivot shift

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29
Q

external rotation test (dial test)

A

PCL, posterolateral structures

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30
Q

external recurvatum test

A

knee goes into hyperextension and tibial tuberosity externally rotates

PCL sprain and PLRI

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31
Q

special tests for mensical lesions

A

McMurray
apley’s compression and distraction
thessaly test

32
Q

special test for osteochondral defect

A

wilson test

33
Q

noble compression test

A

it band tightness or friction syndrome

34
Q

ober’s test

A

TFL or IT band tightness/contracture

35
Q

special tests for patella

A

patella apprehension for laxity medially
clark’s sign for condromalacia patella

medial synovial plica
active knee extension

36
Q
  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
A
  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
Q

SI joint dysfunction tests

A

SI compression and distraction
faber

gaenslen's test
sacral thrust
thigh thrust
long sit test
gillet test
SLR
reverse SLR
quadrant test
38
Q

spondylopathy tests

A

spring test

single leg stance test (stork test)

39
Q

facet joint dysfunction tests

A

quadrant test
single leg stance test (stork test)
spring test

40
Q

segmental instability tests

A

spring test

prone instability test

41
Q

disc lesion/nerve root irritation

A 
SLR
slump sit test
well SLR
milgram test
femoral nerve tension test
reverse SLR
bowstring sign
tension test
kernig-brudzinski
valsalva
42
Q

vertebral artery test

s/s

A

dizziness, confusion, nystagmus, nausea.

occlusion of cervical vertebral arteries

43
Q

cervical and thoracic vertebral joint play

A

hypo or hypermobility of cervical spinous process

44
Q

upper limb tension test

A

hyperirritability of peripheral nerve due to entrapment or impinegement

45
Q

brachial plexus traction test

A

pain on same side or pain on opposite side (compression injury) - radiating through arm

46
Q

shoulder abduction test

A

herniated disk or nerve root compression and tension

47
Q

cervical compression test

A

pain - nerve root or facet joint involvement

48
Q

spurling test

A

nerve root impingement

49
Q

jackson test

A

nerve root or facet joint impingement

50
Q

distraction test

A

nerve root involvement - apply traction.

51
Q

tinel’s sign

A

radiating symptoms down arm - nerve injury

52
Q

TOS special tests

A

adson
allen
roo’s
military brace

53
Q

A/P rib compression test

A

pain in ribs

lateral fracture of ribs and costochondral separation

54
Q

lateral rib compression test

A

pain in ribs

anterior or posterior fracture of ribs and costochondral separation

55
Q

beevor’s sign

A

umbilicus

56
Q

upper motor neuron lesions

A

babinski - plantar aspect of foot
oppenheim - anteromedial crest of tibia
clonus - rapidly push foot into DF

57
Q

SC instability special tests

A

SC laxity test

58
Q

AC instability special tests

A

AC compression
AC laxity test
piano key sign
AC traction test

59
Q

Rotator cuff special tests

A

drop arm test
empty can test - supraspinatus
scapular retraction test - scapula
lift-off test (gerber lift off) (subscapularis)

60
Q

biceps special tests

A

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
Q

impingement special tests

A

neer’s test - supraspinatus or long head of biceps

hawkins-kennedy - supraspinatus or LH of biceps

62
Q

GH laxity and instability special tests

A

sulcus sign
GH drawer test

GH apprehension test -anterior instability
posterior apprehension test - posterior instability
jerk test - labrum/cartilage

63
Q

labrum/cartilage special tests (shoulder)

A

clunk test
obrien test
grind test
anterior slide test

64
Q

elbow instability special tests

  1. valgus stress
  2. moving valgus stress
  3. varus stress
  4. hyperextension test
  5. radioulnar stress
  6. PLRI test
A
  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
Q

hook test

A

rupture of distal biceps tendon

66
Q

active lateral epicondylalgia test

passive lateral epicondylalgia test

A

lateral epicondyle

67
Q

active medial epicondylalgia test

passive medial epicondylalgia test

A

medial epicondyle

68
Q

nerve pathology tests

A

tinel’s - tingling or shooting pain
elbow flexion test
pronator teres test

69
Q

wrist fracture special tests

A

long axis percussion - phalanx/metacarpal

long axis compression - phalanx/metacarpal

70
Q

wrist tendon avulsion tests

A

jersey finger - flexor digitorum profundus tendon

mallet finger - extensor digitorum tendon

71
Q

wrist glide test

A

ligament sprain

72
Q

lunotriquetral ballottement test

A

aka reagon test for lunate instability

73
Q

watson test

A

scapholunate dissociation sprain

74
Q

wrist neurovascular tests

A

phalen’s test - carpal tunnel syndrome

allen test - potential artery occlusion

tinel’s sign - nerve pathology

75
Q

tenosynovitis tests

A

finkelstein test - dequervain syndrome

trigger finger test - flexor tenosynovitis

BOC domain 2 (1 decks)

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