Special tests

Question 1

Tinels

Answer 1

Tap nerves either at cubital fossa, guyon’s canal, carpal tunnel

Question 2

Finkelsteins

Answer 2

Make fist and ulnar deviate. To assess for EPB and ABPL tenosynovitis (de Quervains)

Question 3

Reverse Phalens

Answer 3

Push palms together in wrist extended position fingers superior. For median nerve palsy at carpal tunnel.

Question 4

Phalens

Answer 4

Push dorsum of hands together fingers inferior. For median nerve palsy at carpal tunnel.

Question 5

Froments

Answer 5

Paper between thumb and 2nd finger in pinch grip. Assesses ADP weakness due to ulnar nerve.

Question 6

Bennediction

Answer 6

Make fist - only 4th and 5th fingers flex. Medial nerve palsy.

Question 7

Slocums

Answer 7

Ant. drawer with int and ext rotation of knee. Assessed anterolateral and anteromedial instability.

Question 8

Ant drawer

Answer 8

ACL - >3mm , >10mm is severe.

Question 9

Post drawer

Answer 9

PCL

Question 10

Mcmurray

Answer 10

Knee flex to extend with IR and varus for medial meniscus and ER and valgus for lateral meniscus.

Question 11

Pivot shift

Answer 11

Knee extend to flex with axial and valgus force. ACL

Question 12

Bounce home

Answer 12

Rapid knee extension. Medial meniscus.

Question 13

Apleys

Answer 13

Grind - pain, pull - decrease pain. Meniscus.

Question 14

Thomas

Answer 14

Hip flexor range. 10 ext.

Question 15

Patellar apprehension

Answer 15

Move patella and note patient response towards movement towards instability (eg Alta).

Question 16

Patellar grind

Answer 16

Contract quads with patellar compression. Chondromalacia patellae.

Question 17

Lachman

Answer 17

Unweighted Ant drawer.