Special Tissue Tests Flashcards
Impingement sensitive
Neers
Ham
Empty can/Jobes
Impingement specific
CPR
HK
Painful arc
Infra MMT
Supra
Sensitive empty can
Specific drop arm
Both ER Lag
Subscap
Specific belly press
Both lift off IR lag
Teres Minor
Hornblower
Instability
Specific Apprehension relocation Load and shift Anterior drawer Sulcus
Both
Hyperabd 105
Labrum
Specific speeds Both Kim Jerk Bicep load Active compression if deep pain Crank
AC
Both Active compression with SF pain
Specific O Brian’s
Bicep distal
Specific yergason
Both bicep crease
UCL elbow
Moving valgus both
Wrist instability
Specific shuck, piano key, ulnar fovea
Both
Pisiform boost, DRUj subluxation
TFCC
Piano key specific
Press test neither
Dequervian
Finkelstein
Both
CMC
Specific CMC grind
Scapho lunate
Both Scaphoid shift SL Ballottement Sensitive Finger extension test LT Ball
CTS
Sensitive Phalens Specific CPR > 45yo \+ flick Wrist ratio .67 B+w severity scale > 1.9 Decreased sensation 4/5
PFPS
Sensitive Squat stairs kneel Specific ECc step down Patella tilt Patella grind Patella inferior pole TTP Decreased VMO coordination Neither Waldron P Alta test Glides
Meniscus
Sensitive Apleys Composite score of 1 Specific Mcmurrays Thessaly at 5 and 20 (better for lateral and at 20) Composite 3 Both Joint line tenderness
ACL
Specific Pivot shift Both Anterior drawer ant fibers Lachamns gold standard posterior
PCL
Both
Posterior drawer
Posterior sag
Quad activation
MCL and LCL
More specific at 30 degrees
For MCL if at 0 degrees > 5mm check ACL and PCL if >10 mm at 30 degrees check ACL
If Varus stress at 0- check PCL, ACL
Laxity is more specific than pain
AMRI
Pivot shift
Slocum at 15 degrees ER
ALRI
Slocum at 30 degrees IR Jerk test of highston Losee test Pivot shift Flexion rotation drawer
PLRI
Dial test (prone ER at 30 and 90) PL corner at 30 PCL at 90 \+=10 degree diff Reverse pivot shift PL drawer ER recurvatum Varus thrust or hyper ext in fair
PMRI med tibia shifts PM with valgus stress