Upper extremity orthos and adjustments

Question 1

Apley’s scratch test
Drop arm/Codman’s
Empty can
Hawkins-Kennedy
Neers
Are all tests to assess for what?

Answer 1

Rotator cuff
(Mostly supraspinatus, minus Neer’s)

Question 2

Load and shift
Crank test
Clunk test
O’Briens
Are all tests to assess what?

Answer 2

Labrum

Question 3

Relocation test
Sulcus sign
Load and shift
Are all tests to assess for what?

Answer 3

Instability

Question 4

What tests are used to assess dislocation?

Answer 4

Dugas
Apprehension

Question 5

What tests are used to assess impingement?

Answer 5

Hawkins-Kennedy and Impingement relief

Question 6

What tests are to assess for bursitis?

Answer 6

Subacromial push button
Subacromial bursa/ Dawbarns

Question 7

Lift off sign is to asses?

Answer 7

Subscapularis

Question 8

What test is used to asses biceps or transverse ligament?

Answer 8

Yergasons

Question 9

What tests are used to assess carpel tunnel?

Answer 9

Phalen’s
Reverse Phalen’s
Tinel’s sign wrist

Question 10

If Tinel’s sign is positive, what nerve is envolved;
In the elbow
In the wrist

Answer 10

Ulnar in the elbow
median/carpal tunnel in the wrist

Question 11

Positive Finkelstein’s would produce what?

Answer 11

Pain in tunnel 1
Indicating DeQervains or stenosing tenosynovitis

Question 12

What test is used to assess for Rheumatoid Arthritis?

Answer 12

Bracelet test

Question 13

What test is used to assess for carpal fracture?

Answer 13

Carpal lift test

Question 14

Increased pain or movement during this test indicates damage to supporting ligaments or problems with the tunnels?

Answer 14

Stress test

Question 15

What are the tests for lateral epicondylitis?

Answer 15

Cozen’s
Mill’s
Kaplan’s

Question 16

When grabbing the patients hand, Supinating and extending the wrist as the patient resists, Pain is produced. What is this test for?

Answer 16

Medial epicondylitis test for medial epicondylitis

Question 17

Pinch grip test assess for what?

Answer 17

Impingement of the anterior interossei branch of median nerve

Question 18

What test is used to assess ulnar nerve palsy?

Answer 18

Froment’s

Question 19

Keinbock’s disease or lunate avascular necrosis is assessed with what test?

Answer 19

Finsterer’s sign

Question 20

What test has you have the patient make a fist grasping their thumb and ulnar deviate.

Answer 20

Finkelsteins

Question 21

Name the test:
Patients elbow flexed 90 degrees, makes a fist, pronates and extends wrist, patient resist as the doctor tries to flex the wrist.

Answer 21

Cozen’s

Question 22

Name the test:
With elbow flexed at 90 degrees, doctor flexes and pronates the wrist and extends the patients wrist in one motion.

Answer 22

Mills

Question 23

When completing Kaplan’s test;
If the patient has pain and weakness when squeezing dynamometer, What would be the next phase of the test and what would a positive sign be?

Answer 23

Grasp the elbow just distal to the lateral epicondyle and squeeze again.
Positive would be if pain decreases or increases in strength.
Positive for lateral epicondylitis

Question 24

Describe Froment’s sign

Answer 24

Patient grasps paper between thumb and proximal 2nd phalange
Inability to hold paper or curling of thumb indicates ulnar nerve palsy

Question 25

Describe Finsterer’s sign

Answer 25

Tapping the dorsal side of the 3td metacarpal
Pain at the center of the wrist indicates Keinbock’s disease/lunate avascular necrosis

Question 26

When adjusting loss of SI glide of Sup Subluxated distal clavicle in seated position, what direction do you move the elbow?

Answer 26

90 degrees abduction

Question 27

When adjusting an superior subluxated glenohumeral in abduction, what is the procedure

Answer 27

Supine
CH thumb/index on humeral head
IH places shoulder in 90 degrees abduction between doctors knees
Distract with knees, thrust SI