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31 Cards in this Set
- Front
- Back
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27. Structure tested with: Hawkins impingement test?
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a. Subacromial impingement.
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28. Result identified with (compared to uninfected side): Hawkins impingement test?
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a. Rotator cuff injury or tear
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29. How is the following performed: drop arm test?
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a. Patients is unable to lower his arm slowly from a raised position.
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30. Structure tested with: drop arm test?
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a. Large rotator cuff tear
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31. How is the following performed: Ankle anterior drawer test?
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a. Examiner pulls forward on patient’s heal while stabilizing lower leg with other hand
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32. Structure tested with: Ankle anterior drawer test?
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a. Anterior talofibular ligament
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33. Result identified with (compared to uninfected side)-Ankle anterior drawer test?
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a. Excessive translation of joint digests ATFL tear
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34. How is the following performed: ankle inversion stress test?
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a. Examiner inverts ankle with one hand while stabilizing lower leg with other hand
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35. Structure tested with: ankle inversion stress test?
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a. Calcaneofibular ligament (CFL).
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36. Result identified with (compared to uninfected side) Ankle inversion stress test?
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a. Excessive translation or palpable “clunk” of talus on tibia suggest ligament tear.
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37. How is the following performed: Ankle squeeze test?
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a. Examiner compresses tibia/fibula at midcalf
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38. Structure tested with: Ankle Squeeze test?
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a. Syndesmosis
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39. Result identified with (compared to uninfected side)- Ankle Squeeze test?
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a. Pain at anterior ankle join (below where examiner is squeezing) suggests syndesmotic injury
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40. How is the following performed: Lachman test?
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a. Knee in 20° flexion, examiner pulls fwrd on upper tibia while stabilizing upper leg.
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41. Structure tested with: Lachman test?
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a. Anterior cruciate ligament
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42. Result identified with (compared to uninfected side) - Lachman test?
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a. Excessive translation w/no solid end point suggests tear.
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43. How is the following performed: anterior drawer of knee test?
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a. Knee in 90° flexion, examiner pulls fwrd on upper tibia while stabilizing upper leg
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44. Structure tested with: anterior drawer of knee test?
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a. ACL
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45. Result identified with (compared to uninfected side) - anterior drawer of knee test?
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a. Excessive translation w/no solid end point suggests tear.
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46. How is the following performed: Knee valgus stress test?
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a. In full extension and at 30° flexion, medial-directed force on knee, lateral-directed force on ankle.
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47. Structure tested with: Knee valgus stress test?
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a. Medial collateral ligament.
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48. Result identified with (compared to uninfected side)-Knee valgus stress test?
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a. Excessive translation suggests tear.
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49. How is the following performed: Knee Varus stress test?
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a. In full extension and at 30° flexion, lateral-directed force on knee and medial-directed force on ankle.
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50. Structure tested with: Knee Varus stress test?
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a. Lateral collateral ligament.
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51. Result identified with (compared to uninfected side) - Knee Varus stress test?
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a. Excessive translation suggests tear.
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52. Ottawa rules for knee x-ray: Recommend performing a knee x-ray on pts w/a knee injury who have any one of the following five criteria:
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1. Age 55 yrs or older
2. Isolated patella tenderness 3. Tenderness of the head of the fibula 4. Inability to flex the knee to 90° 5. Inability to bear weight for four steps immediately and in the examination room (regardless of limping) b. These rules were validated for, and should only be applied to, adults older than 18 yrs of age, although further study suggests that they may be valid in younger ages. |
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53. What X-rays should be ordered for musculoskeletal injuries?
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a. At minimum, an x-ray series should include at least 2 views at 90° angles to each other.
b. In pts w/normal x-rays and continued symptoms, or w/suspected ligament or tendon injuries of the shoulder, ankle, knee, or hip, MRI has largely supplanted other modalities as the imaging method of choice. |
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54. Most common cause of persistently stiff, painful, or unstable joints following sprains?
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a. Inadequate rehabilitation.
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55. Note: If you suspect that a patient’s limited active ROM is primarily the result of pain, you can numb the joint by injecting lidocaine into it and then re-examine the joint.
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55. Note: If you suspect that a patient’s limited active ROM is primarily the result of pain, you can numb the joint by injecting lidocaine into it and then re-examine the joint.
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56. What must an adequate x-ray series include?
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a. At least 2 views at 90° to each other.
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57. Complete
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57. Complete
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