Orthopedic Tests (License Test)

Front 1

Dejerine's Sign

Back 1

(Cough, sneeze, bear down)
Pain= esophageal or pharyngeal injury, dysfunction or pathology. Has orthopedic significance due to proximity of the esophagus to the ALL in the c-spine

Front 2

Max Foraminal Compression

Back 2

Pain on side of rotation w radicular component= nerve root compression.
Local pain= apophyseal joint pathology on the side of rotation and extension.
Pain on opposite side= muscular strain or sprain

Front 3

Flexion Compression

Back 3

Decrease in symptoms= apophyseal joint injury
Increase= discal defect

Front 4

Extension Compression

Back 4

Decrease in symptoms= posterolateral discdefect
Increase in radicular symptoms= pathology in the intervertebral foramina

Front 5

Distraction (cervical)

Back 5

increase in local pain= muscle strain, spasm, lig sprain, for facet capsulitis
Relief of local or radicual pain= foraminal encroachment or disc defect
This is non provocative.

Front 6

Jackson's compression

Back 6

Local pain= foraminal encroachment w/o nerve root involvement
Radicular pain= pressure on a verve root by a decrease in the foraminal interval or a disc defect

Front 7

Spurling

Back 7

Local pain= facet joint involvement
Radicular pain= foraminal encroachment, degenerating cervical intervertebral disc, or disc defect; may indicate a lateral disc defect

Front 8

Shoulder Depression

Back 8

Local pain= shortened muscles, muscular adhesions, muscle spasm or lig. injury
Radicular pain= compression of neurovascular bundle, adhesion of the dural sleeve or TOS
Pain on opposite side= pathological decrease in the foraminal interval, facet pathology, or disc defect

Front 9

Wright's

Back 9

TOS
pec minor

Front 10

Adson's

Back 10

TOS
anterior scalene

Front 11

Eden's

Back 11

(costoclavicular test)
TOS
clavicle and 1st rb

Front 12

Dawbarn's

Back 12

Shoulder Bursitis
non provocative
Reduceds pressure on the bursa.
Decrease in tenderness= bursitis

Front 13

Elements of Trespass to Land

Back 13

[1] Physical Invasion of Π’s real property;

[2] Intent;

[3] Causation

Front 14

Yergason's

Back 14

Biceps Tendon Stability
Resisted supination of the forearm stresses the bicepital tendon.
Local Pain= tendonitis
Tendon popping out= lax or ruptured transverse humeral lig

Front 15

Abbot Saunders

Back 15

Biceps Tendon Stability
Palpable or audible click at the bicipital groove= subloxation or dislocation of the biceps tendon caused by a lax or ruptured transverse humeral lig or congenitally shallow bicipital groove.

Front 16

Cozen's

Back 16

Lateral Epicondylitis (Tennis Elbow)
Forcing extended wrist into flexion reproduces irritation to the lateral epicondyle.
Pain= inflammation of the lateral epicondyle

Front 17

Mill's

Back 17

Lateral Epicondylitis (Tennis Elbow)
Supinator is attached to the lateral epicondyle
Pain= inflammation of the lateral epicondyle

Front 18

Golfer's Elbow Test

Back 18

Medial Epicondylitis
Wrist flexor tendons are attached to the medical epicondyle.
Pain= inflammation of the lateral epicondyle.

Front 19

Beevor's sign

Back 19

Nerve Root Lesions
Umbilicus moves:
Up= bilateral T10-T12 lesion
Up & laterally= unilateral T10-T12 lesion on opposite side
Down= Bilateral T7-T10 lesion
Down & laterally= unilateral T7-T10 lesion on the opposite side

Front 20

Nachlas

Back 20

Lumbar vs SI
Radicular pain= compression/irritation to the L2to L4 nerve roots.
Pain in buttock=SI lesion
Pain in lumbosacral jt= lumbosacral lesion

Front 21

Kemp's

Back 21

Lumbar
Nerve root/sciatic nerve
pain on:
Same side= lateral disc protrusion
Opposite side= Medial disc protrusion
Pain w no radicular component= lumbar spasm or facet capsulitis

Front 22

Berchterew's

Back 22

Lumbar
Nerve root/sciatic nerve
Test is positive in disc protrusion cases

Front 23

SLR

Back 23

Pain at:
0 to 35= extradural
35 to 70= disc involvement
70 to 90= lumbar jt pain

Front 24

Braggard

Back 24

Lumbar
Nerve root/sciatic nerve
Pain at:
0 to 35= extradural
35 to 70= disc involvement

Front 25

Siccard

Back 25

Lumbar
Nerve root/sciatic nerve
Pain at:
0 to 35= extradural
35 to 70= disc involvement

Front 26

Turyn's

Back 26

Lumbar
Nerve root/sciatic nerve
Pain in gluteal region/radiating pain= sciatic nerve root irritation

Front 27

Lasegue's Test

Back 27

Lumbar
Nerve root/sicatic nerve
Only tests for disc involvement

Front 28

Bowstring

Back 28

Lumbar
Nerve root/sciatic nerve
Pain in lumbar region= positive for sciatic nerve compression

Front 29

WLR/ Fazjerstein

Back 29

Lumbar
Nerver root/sciatic nerve
Increase in pain= medical disc protrusion
Decrease in pain= Lateral disc protrusion

Front 30

Yeoman's

Back 30

SI Sprain/Strain
Pain on same side= general SI lesion
(ant sacroiliac lig sprain - iliofemoral, ischiofemoral)
Lumbar pain= lumbar involvement

Front 31

SI Stretch

Back 31

SI sprain/ strain
Pain on same side= general SI legion (ant sacroiliac lig sprain - iliofemoral, ischiofemoral)

Front 32

Hibb's

Back 32

SI sprain/ strain
Mainly a hip joint test
Pain in the SI jt= SI jt lesion
Pain in hip= hip jt lesion

Front 33

Gaenslen

Back 33

SI sprain/ strain
Pain on same side= general SI lesion (ant sacroiliac lig sprain - iliofemoral, ischiofemoral)

Front 34

Lewis Gaenslen's

Back 34

SI sprain/ strain
Pain on same side= general SI lesion (ant sacroiliac lig sprain - iliofemoral, ischiofemoral)

Front 35

Pelvic Rock (iliac Compression Test0

Back 35

SI sprain/strain
Pain in either SI jt= SI jt lesion, such as an inflammatory process in the jt surfaces

Front 36

Anvil

Back 36

Hip Fx
Local pain at the hip jt= femoral head fx or joint pathology

Front 37

Ely's

Back 37

Hip contracture/strain
Spontaneous flexion of the hip= positive for tight rectus femoris muscle or hip flexion contracion

Front 38

Laguerre's

Back 38

Hip jt lesion
Pain= inflammatory process in the acetabular jt, such as osteoarthritis