Thoracic Orthopedic Tests Flashcards

1
Q

Adson’s Test

A
  • Positive test = loss of pulse or recreation of symptoms

- Indicates compression between anterior and middle scalenes

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2
Q

Hyperabduction Maneuver (Wright’s Test)

A
  • Positive test = recreation of symptoms

- Indicates compression by pec minor

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3
Q

Costoclavicular Maneuver

A
  • Positive test is loss of pulse

- Indicates compression between first rib and clavicle

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4
Q

Roos Test

A
  • Positive test = unable to perform test for 3 minutes

- Indicates TOS on affected side

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5
Q

Spinal Percussion Test

A

-Indicates fracture if localized pain or disc lesion if Px travels

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6
Q

Adam’s Test

A

-Indicates functional vs structural scoliosis

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7
Q

Forrestier’s Test

A

-Indicates ankylosing spondylitis if ipsilateral spinal muscles spasm

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8
Q

Shepelmann’s Sign

A
  • Px on concave side = intercostal neuritis

- Px on convex side = intercostal myofascitis

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9
Q

Costovertebral Stress Test

A
  • Px = costovertebral irritation

- Loss of caliper movement = fixation of caliper movement

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10
Q

Chest Expansion Test

A
  • Decrease of measurement = trauma, ankylosing spondylitis

- Normal = 3 inches in males and 1.5 in females

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11
Q

Posterior Respiratory Excursion

A
  • Asymmetry of thumbs = collapsed lung, pneumonia, rib problems
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12
Q

Rib Motion Test

A
  • Rib doesn’t move inferior during expiration = fixed elevated rib
  • Rib doesn’t move superior during inhalation = fixed inferior rib
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13
Q

Sternal Compression Test

A

-Px (local or spread along the rib) = fracture

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14
Q

Lateral Chest Compression (Rib compression)

A
  • Px at costosternal junction = local inflammation
  • Px at back = costovertebral or costotransverse lesions
  • Px at lateral rib angle = fracture
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