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G) Ortho Tests and Measures > UE Special Tests > Flashcards

UE Special Tests Flashcards

1
Q

Elbow - valgus stress test

A

Pht

  • Facing pt
  • Proximal hand: on lateral aspect of distal humerus or joint line
  • Distal hand: hold distal F/A (in full supination)
  • Tested at different angle of elbow extension-flexion
  • Pht apply a valgus stress by turning your torso

Findings:

  • Gr I sprain: No gap, normal EF & pain
  • Gr II sprain: Gap, normal EF & pain
  • Gr III sprain: Gap, soft EF with more or less pain

Position:
-Pt supine, Pht facing pt (Hold 5 sec)

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2
Q

Elbow - varus stress test

A

Pht
- Proximal hand: on medial joint line or distal humerus

  • Distal hand: hold distal F/A (in full supination)
  • Tested at different position of elbow extension & flexion
  • Pht apply a varus stress by turning your torso

Findings:

  • Gr I sprain: No gap, normal EF & pain
  • Gr II sprain: Gap, normal EF & pain
  • Gr III sprain: Gap, soft EF with more or less pain

Position:
-Pt supine, Pht facing pt (Hold 5 sec)

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3
Q

Elbow - lateral epicondylitis (passive test)

A
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4
Q

Elbow - lateral epicondylitis (active test)

A
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5
Q

Elbow - lateral epicondylitis (differential tissue test)

A
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6
Q

Elbow - medial epicondylitis (passive and active test)

A
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7
Q

wrist - distal ru ligament stress test

A

Findings:
Gr I sprain: Strong normal EF & pain

Gr II sprain: Solid Firm EF but much further into range & P

Gr III sprain: Sluggish or NO EF with more or less pain

Position:

  • Pt seated
  • Pht facing pt, look for NZ, EF & pain; hold 5sec
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8
Q

wrist - RCL and LCL ligament stress test

A

Wrist collateral ligaments
Pt: wrist in extension (just out of CPP)

Pht:

  • One hand: stabilize distal radius/ulna
  • One hand: grasps proximal & distal rows of carpal bones

Findings:
Gr I sprain: Strong normal EF & pain

Gr II sprain: Solid Firm EF but much further into range & P

Gr III sprain: Sluggish or NO EF with more or less pain

Position:

  • Pt seated
  • Pht facing pt, look for NZ, EF & pain; hold 5sec
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9
Q

wrist MCP collateral ligaments stress tests

A

Findings:
Gr I sprain: Strong normal EF & pain

Gr II sprain: Solid Firm EF but much further into range & P

Gr III sprain: Sluggish or NO EF with more or less pain

Position:

  • Pt seated
  • Pht facing pt, look for NZ, EF & pain; hold 5sec
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10
Q

finger DIP and PIP collateral ligament stress tests

A

Findings:
Gr I sprain: Strong normal EF & pain

Gr II sprain: Solid Firm EF but much further into range & P

Gr III sprain: Sluggish or NO EF with more or less pain

Position:

  • Pt seated
  • Pht facing pt, look for NZ, EF & pain; hold 5sec
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11
Q

wrist - finkelstein test

A
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12
Q

wrist - TFCC supination lift test

A
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13
Q

wrist - TFCC ulnar impaction test

A
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14
Q

wrist - TFCC load test

A
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15
Q

F/A - Phalen test

A

wrist flexion for 60s (+ for CTS)

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16
Q

F/A - Durkan’s median nerve test

A
  • direct compression at CT, hold pressure 30 s, most sensitive test
    • for CTS
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17
Q

F/A tinel’s sign

A
  • tapping at a certain point to see if S&S are reproduced
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18
Q

F/A - pronator teres syndrome test

A
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19
Q

F/A compression tests for PTS

A
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20
Q

F/A pinch grip test for AINs

A
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21
Q

F/A froment’s sign for CUTS

A
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22
Q

F/A - pressure provocation test for CUTS

A
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23
Q

F/A - elbow flexion test for CUTS

A
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24
Q

F/A - Froment’s sign for GUTS

A
26
Q

F/A - provocative tests for RATS

A
33
Q

F/A - Allen’s test for GUTS

A
  • test for vascular flow
    1) pt makes fist (both hands)
    2) compress artery
    3) pt opens fingers
    4) see if blood returns at = rate
34
Q

GH joint ROM/OP - Apley scratch test

A
35
Q

GH joint ROM/OP - HBB test

A
36
Q

GH joint: antero-superior HBB with ER

A
37
Q

GH joint: apprehension test

A
38
Q

GH joint: relocation test

A

* to be done with apprehension test!!

39
Q

GH joint - sulcus sign test

A
40
Q

GH joint - posterior apprehension test

A
41
Q

GH joint - compression rotation test

A

Better diagnostic utility when using specific combination of 3 tests:

1) By selecting 2 highly sensitive tests (true positive)

  • Compression rotation test
  • O’Brien test

2) And 1 highly specific test (true negative)
- Biceps load II

User can be fairly confident in both ruling out & in SLAP lesions

42
Q

GH joint - O’Brien’s test

A

Better diagnostic utility when using specific combination of 3 tests:

1) By selecting 2 highly sensitive tests (true positive)

  • Compression rotation test
  • O’Brien test

2) And 1 highly specific test (true negative)
- Biceps load II

User can be fairly confident in both ruling out & in SLAP lesions

43
Q

GH joint - biceps load 2 test

A

Better diagnostic utility when using specific combination of 3 tests:

1) By selecting 2 highly sensitive tests (true positive)

  • Compression rotation test
  • O’Brien test

2) And 1 highly specific test (true negative)
- Biceps load II

User can be fairly confident in both ruling out & in SLAP lesions

44
Q

GH joint - Hawkin’s-Kennedy test

A

Both Hawkins-Kennedy & Neer tests would be minimally helpful for both ruling in & out subacromial impingement

The presence of a painful arc during elevation may additionally be helpful in identifying impingement

Impingement would not identify which structure is at fault would only identify which movt/mechanism is at fault

45
Q

GH joint - Neer’s impingement test

A

Both Hawkins-Kennedy & Neer tests would be minimally helpful for both ruling in & out subacromial impingement

The presence of a painful arc during elevation may additionally be helpful in identifying impingement

Impingement would not identify which structure is at fault would only identify which movt/mechanism is at fault

46
Q

GH joint - posterior impingement test

A

Both Hawkins-Kennedy & Neer tests would be minimally helpful for both ruling in & out subacromial impingement

The presence of a painful arc during elevation may additionally be helpful in identifying impingement

Impingement would not identify which structure is at fault would only identify which movt/mechanism is at fault

47
Q

GH joint - full can test

A

Remember:

Special tests done

  • To isolate the involved structure
  • Help to confirm the diagnosis
  • But the result of a single test is usually not enough
48
Q

GH joint - empty can test

A

Remember:

Special tests done

  • To isolate the involved structure
  • Help to confirm the diagnosis
  • But the result of a single test is usually not enough
49
Q

GH joint - drop arm test

A

Remember:

Special tests done

  • To isolate the involved structure
  • Help to confirm the diagnosis
  • But the result of a single test is usually not enough
50
Q

GH joint - external rotation lag sign (ERLS)

A

Remember:

Special tests done

  • To isolate the involved structure
  • Help to confirm the diagnosis
  • But the result of a single test is usually not enough
51
Q

GH joint - internal rotation lag sign

A

Remember:

Special tests done

  • To isolate the involved structure
  • Help to confirm the diagnosis
  • But the result of a single test is usually not enough
52
Q

GH sup lig stress test

A

Pt supine

Pht

Medial hand: Stabilizes scapula superiorly by applying a gentle pressure on the coracoid process

Lateral hand: Grasps proximal humerus

53
Q

GH mid lig stress test

A

Pt supine

Pht

Medial hand: Stabilizes scapula superiorly by applying a gentle pressure on the coracoid process

Lateral hand: Grasps proximal humerus

54
Q

GH inf lig stress test (ant segment)

A

Pt supine

Pht

Medial hand: Stabilizes scapula superiorly by applying a gentle pressure on the coracoid process

Lateral hand: Grasps proximal humerus

55
Q

GH inf lig stress test (post segment)

A
56
Q

Posterior GH ligaments stress tests

A
57
Q

stability test trapezoid ligament

A
58
Q

stability test conoid ligament

A
59
Q

AC joint special tests

A
60
Q

SC joint syability test (compression test)

A
61
Q

SC joint syability test (anterior stability)

A
62
Q

ST joint - 4-point palpation

A
63
Q

Dynamic Scapula Test (abd elevation test)

A

To assess when Pt’s symptoms are produced in abduction & Scapula dysfunction is present

Pht corrects scapula position

  • Stand behind your pt on the side of the shoulder being assessed
  • Place one hand anteriorly over the acromion (your arm is between the pt’s arm and their body)
  • The other hand is on the scapula posteriorly
  • Correct the observed dysfunction (Eg: if the pt’s scapula is not upwardly rotating, create the upward rotation of the scapula with your hands)
  • Ask pt to repeat GH abduction as you correct the scapula position & guide the scapula through abduction

*Be aware not to block GH ROM as you are doing the correction q (+)ve test: Improve ROM or reduced pain

64
Q

Dynamic Scapula Test (ER scapula stability test)

A
65
Q

Scapula stability test (Kibler’s lateral slide - lateral scapula slide test)

A
66
Q

GH joint - speeds test

A

PT puts arm at 90 deg flex, full sup (ER) and full elbow ext. manual resistance applied down. + if pain in bicipital tendon/groove. means SLAP or bicipital tendonitis.

G) Ortho Tests and Measures (16 decks)

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