Thoracic Orthopedics Flashcards

1
Q

procedure for Adam’s position

A

patient bends forward at the waist and Dr observes for scoliosis

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2
Q

purpose of Adam’s position

A

to determine if patient has structural or functional scoliosis

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3
Q

findings of Adam’s position

A

if scoliosis disappears when bending forward then functional scoliosis
if scoliosis remains when bending forward then structural scoliosis

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4
Q

procedure of Amoss sign

A

Dr observes patient as they get up from a side lying position

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5
Q

purpose of Amoss sign

A

Dr is looking for pain, weakness, or to see if patient has to use upper body strength to get off table

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6
Q

findings of Amoss sign

A

positive sign is if there is pain or if patient needs to use upper body strength to get up

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7
Q

procedure for Beevor’s sign

A

Dr observes umbilicus while patient does an abdominal crunch first and then a leg lift second

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8
Q

purpose of Beevor’s sign

A

Dr is looking to see if umbilicus deviates

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9
Q

findings of Beevor’s sign

A

the umbilicus will deviate to the opposite direction if there’s abdominal weakness
ex: deviation superior and left means weakness inferior and right

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10
Q

procedure for chest expansion test

A

Dr uses a tape measurer wrapped around the rib cage to measure movement during inspiration and expiration

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11
Q

purpose of chest expansion test

A

Dr is looking for normal chest expansion which is 1.5-3 inches

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12
Q

findings of chest expansion test

A

if there is expansion less than 1.25 inches then patient may have rib fracture, sprain/strain, AS

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13
Q

procedure for Forestier bowstring sign

A

Dr observes ROM as patient stands up and laterally bends from side to side

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14
Q

purpose of Forestier bowstring sign

A

Dr is looking for unequal ROM from side to side

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15
Q

findings of Forestier bowstring sign

A

AS* (especially if they have bilateral SI joint pain), muscle spasm, stacking

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16
Q

procedure of Rib motion test

A

Dr places hands below “breasts” while patient inhales and exhales, then Dr places hands above “breasts” while patient inhales and exhales

17
Q

purpose of Rib motion test

A

assessing motion of the ribs

18
Q

findings of Rib motion test

A

if a rib doesn’t move during expiration there is an elevated rib
if a rib doesn’t move during inspiration then there is a depressed rib
ribs not moving may indicate rib subluxation, muscle strain, fracture

19
Q

procedure for Schepelmann’s sign

A

patient is seated and raises both arms overhead then laterally bends to the left and right

20
Q

purpose of Schepelmann’s sign

A

positive sign is intercostal pain

21
Q

findings of Schepelmann’s sign

A

if there is pain on the concave side then there is neuralgia (compression of intercostal nerve)
if there is pain on the convex side then there is myalgia (stretching of a muscle or fascia)