Orthopedic Tests With Associated Icd 9 Codes

Front 1

Valsava

Back 1

Bear down

Hint 1

Space occupying lesion

disc (722) (Intervertebral disc disorders)

tumor (170, 171) Malignant neoplasm of bone /articular cartilage or connective tissue

osteophyte (721) Spondylosis

Front 2

Dejerines Triad

Back 2

While sitting, cough, sneeze

Hint 2

Space occupying lesion

disc, mass, osteophyte

Front 3

Swallowing Test

Back 3

Swallow

Hint 3

esophageal/pharyngeal injury

anterior injury to c spine

ALL - anterior longitudinal ligament

Front 4

Rusts

Back 4

Lay down supine

If has to support any part of body positive

Hint 4

Injury

Front 5

Compression

Back 5

While sitting, pressure on head

Hint 5

Root or disc injury

Front 6

Distraction

Back 6

Lift head

Hint 6

Relief - disk problem

SS and joint capsulitis

Front 7

Shoulder Depression

Back 7

Pt sitting, dr has both hands on same side of patient pushing on head and shoulder

Hint 7

local pain - muscle ligament

radiating pain - TOS

Front 8

Adsons

Back 8

Pt sitting, take radial pulse, pt turn head toward side, center and other side

Hint 8

Decrease in amplitide TOS or scalene muscle spasm

Front 9

Wrights

Back 9

Pt sitting, take radial pulse, hyperabduct and extend arm, turn head toward side, center and other side

Hint 9

Decrease in amplitude TOS or pectoralis minor muscle spasm

Front 10

Rib Compression

Back 10

Compress body both A-P and Lateral

Hint 10

rib fracture or SS

Front 11

Spinal Percussion

Back 11

Tap Spinus process

Hint 11

Local pain - fracture/sprain
Radiating pain - disc
Pain while tapping, paraspinal muscle SS

Front 12

Soto Hall

Back 12

Patient supine, Dr stabalize sternum and passivly flexes neck

Hint 12

Local pain SS

Radiating pain - disc

Front 13

Linders

Back 13

Patient supine, patient is hungry and wants to eat lender bagle, active flexion

Hint 13

Local pain SS

Radiating pain disc

Front 14

Lhermittes

Back 14

Patient supine and sits up, Dr flexes neck

Hint 14

Local pain SS

Radiating pain disc, cord disease meningitis

Front 15

Kemps

Back 15

Pt sitting twist, dr hand forcing extension with heel of palm

Hint 15

Local pain SS

Radiating pain disc

Front 16

Milgrams

Back 16

Pt supine
Patient raises legs millimeters off table

Hint 16

Radiating pain - disc bone spur
Unable to do w/o pain weak abs/hip flexors iliopsoas

Front 17

Bilateral Leg lowing

Back 17

Pt supine
Pt lowers raised legs

Hint 17

Radiating pain - disc
Local pain SS

Front 18

Adams

Back 18

Patient touches toes

Hint 18

Functional scoliosis goes away

Structural scoliosis remains

Front 19

Vetebral Artery

Back 19

Pt supine, head off table, flexion, rotate, extend

Hint 19

Nystamus, vertigo dizziness

Front 20

Apley Scratch

Back 20

Pt touch opposite superior angle of scapula
Pt touch opposite inferior angle of scapula
Pt touch top of opposite shoulder

Hint 20

Rotator cuff, usually supraspinatus

Front 21

Speeds

Back 21

Pt sitting, arm supine, Dr holds at wrist and palpates bicepital groove pt elevates against resistance

Hint 21

Pain = bicepital tendonitis

Front 22

Lippmans

Back 22

Pt sitting, elbow flexed to 90, Dr feels bicepital groove while swinging arm in and out

Hint 22

Pain = bicepital tendonitis

Front 23

Yergasons
Hitchhikers

Back 23

Pt sitting, Dr. makes arcing hitchhiker motion, patient resists

Hint 23

Pain = bicital tendonitis

Front 24

Caudmans drop arm

Back 24

Pt sitting and abducts arm 180, lowers slowly

Hint 24

Sudden drop - rotator cuff

Front 25

Inpingement

Back 25

Pt thumb down, raise arm

Pt move arm like bird

Roos flex hand repeatedly

Hint 25

Impingement of supraspinatous tendon

Front 26

Apprehension Test

Back 26

Pt sitting, abducts elbow to 90 and flexes elbow to 90. Dr. behind pt, cradles arm elbow to elbow, rotate back, push forward

Hint 26

shoulder dislocation

Front 27

Cozens

tennis elbow

Back 27

Pt to make fist, dr put patient in extension and try to pull them out

Hint 27

lateral epicondolytis

Front 28

Golfers elbow

Back 28

Pt to make fist, dr put patient in flexion and try to pull them out

Hint 28

medial epicondolytis

Front 29

Tennis elbow, mills test

Back 29

Pt light fist into flexion palm down, dr grasps thumb to thumb dr resistance,and pt tried to supinate

Hint 29

lateral epicondolytis

Front 30

Varus

Back 30

Dr medial force to to wrist, lateral force to elbow

Stand accross body

Hint 30

Lateral collateral ligament sprain

Front 31

Valgus

Back 31

Pt extends arm, Dr. applies lateral force to wrist, medial force to elbow

Hint 31

Stresses medial collateral ligament

Front 32

Tinels Wrist sign

Back 32

Tap ventral wrist

Hint 32

Numbness = carpal tunnel

Front 33

Phalens

Back 33

Flex wrist and press together, like upside down prayer

Hint 33

Numbness = carpal tunnel

Front 34

Finkelsteins

Back 34

Fist with thumb tucked in

Hint 34

Pain = De Quervains

Front 35

Allens

Back 35

Pt opens and closes hand to pump in blood, dr occludes radial and ulnar arteries

Hint 35

No return of blood flow = occluded artery

Front 36

Trendelenburgs

Back 36

Pt stand, flex each hip/leg

Hint 36

Weak gluteus medius or hip lesion

Front 37

Neris

Back 37

Pt stand, forward flex to touch toes

Hint 37

If one knee flexes = sciatica

Front 38

Bechterews

Back 38

Sitting (on bench) extend each leg, then extend together

Hint 38

Leaning back or pain = sciatica or disc

Front 39

Minors sign

Back 39

Pt sitting, ask them to stand

Hint 39

Pt needs support to stand = sciatica

Front 40

Lasegues (straight leg raise)

Back 40

Pt supine, Dr. raises pt leg

Hint 40

Local pain to knee = periformis
Pain to foot = sciatica

Front 41

Braggards

Back 41

Pt supine raise leg, lower to level of relief from pain, dorsiflex foot

Hint 41

Pain comes back = sciatica

Front 42

Kernigs

Back 42

Pt supine, flex thigh to 90, bend knee to 90 then straighten

Hint 42

Radiating pain = sciatica

Front 43

Thomas

Back 43

Pt supine, bend knee and flex into chest

Hint 43

Opposite thigh lifts off table = SS

Front 44

Patrick Fabere

Back 44

Pt makes figure 4, putting ankle on opposite knee, push down on knee

Hint 44

Hip or SI joint pain/problem

Front 45

Hoovers

Back 45

Malingers
Pt supine Dr.lift hold feet off table, pt lifts one leg

Hint 45

If no downward pressure on opposite leg, faking

Front 46

Leg Length - Short leg

Back 46

supine or prone, look at medial malleoli, deternine equality or difference

Hint 46

SI lesion

Front 47

Nachlas

Back 47

Prone, insilateral ankle to buttock (kick same side)

Hint 47

Radiating pain to thigh, disc/nerve root (l2,l4 lesion) or if local pain S/I or L/S SS

Front 48

Elys

Back 48

Prone, ankle to contralateral buttock (kick opposite)

Hint 48

If hip flexes off table, hip flexion contractor, Local pain L/S of S/I SS or lesion

Front 49

Hibbs

Back 49

Prone, flex knee to 90, move leg outward (kick away)

Hint 49

Local pain, Hip or S/I SS or periformis spasm

Front 50

Knee Varus adduction

Back 50

Supine, dr applies medial force to ankle and lateral force to knee

Hint 50

Stresses lateral collateral ligament

Front 51

Knee Valgus Abduction

Back 51

Dr applies a lateral force to the ankle and medial force to knee

Hint 51

Medial collateral ligament

Front 52

Anterior Drawer Knee

Back 52

Flex hip to 45 knee to 90, Dr sit on foot, fingers in knee eyes, grab calf, pull tib forward

Hint 52

Anterior cruciate

Front 53

Posterior Drawer Knee

Back 53

Flex hip to 45 knee knee to 90, dr sits on foot and pushes tib

Hint 53

Posterior cruciate

Front 54

Lachmans

Back 54

Flex knee to 30, dr supports anterior thigh stabilize knee and pull tibia forward

Hint 54

Confirms Anterior Drawer

Front 55

Apleys Distraction

Back 55

Prone, flex knee to 90, dr stabilize thigh with knee pull on foot and and rotate leg

Hint 55

Pain gone = meniscus
Pain = ligament

Front 56

Apleys Compressing, grinding

Back 56

Prone, pt flex knee to 90 push and grind by compressing and forcing heel

Hint 56

meniscus

Front 57

McMurrays Lateral (Varus)

Back 57

push to 90 degree bend in knee medial to lateral, hold onto ankle guides leg to table
Get good stretch

Hint 57

Lateral collateral ligament

Front 58

McMurrays Medial (Valgus)

Back 58

Push to 90 degree bend in knee lateral to medial hold onto ankle and guide leg to table. Get good stretch

Hint 58

Medial collateral ligament

Front 59

Reduction click

Back 59

Supine flex leg and knee to 90 Dr. Stabilize knee back and forth twist of ankle (door knob type) slowely lower leg

Hint 59

unlock knee

Front 60

Bounce home

Back 60

Supine, pt flex knee relax leg, then let go

Hint 60

torn meniscus loose knee joint

Front 61

Patella femoral grind

Back 61

Supine
Dr. treat patella like a hockey puck

Hint 61

pain = chondromalacia patallea

Front 62

Clarks

Back 62

Supine
After grind test, dr push patella distally into trochlear groove (lock patella), pt contracts quad dr resists

Hint 62

pain= chrondomalacia patellea

Front 63

Patella apprehension

Back 63

Dr pushes patella laterally

Hint 63

pain = tendency for lateral dislocation

Front 64

Major effusion

Back 64

Tap knee, bullotment or dr press patella into trochlear groove and quickly release it

Hint 64

lots of fluid

Front 65

Minor effusion

Back 65

milk fluid from suprapatellerar pouch and lateral and medial side

Front 66

Squeeze test, Thompsons test for Achilles tendon

Back 66

squeeze calf, foot should plantar flex

Hint 66

torn achilles tendon

Front 67

Homans Sign

Back 67

Supine, push foot up (dorsiflex)

Hint 67

pain, DVT

Front 68

Anterior Drawer Foot

Back 68

grab ankle, pull toward you, push tibia backwards, calcanus forward

Hint 68

anterior talofibular ligament

Front 69

Posterior Drawer Foot

Back 69

push ankle, pull tibia toward you, calcanus backward

Hint 69

posterior talofibular ligament

Front 70

Talor Tilt, Varus (lateral stability)

Back 70

Invert foot (supinate)

Hint 70

pain = anterior talofibular & calcaneofibular lig

Front 71

Talor tilt Valgus (medial stability)

Back 71

Evert foot (pronates)

Hint 71

Pain = ligament tear

Front 72

Squeeze test, Thompsons test for Achilles tendon

Back 72

squeeze calf, foot should plantar flex

Hint 72

torn achilles tendon

Front 73

Anterior Drawer Foot

Back 73

grab ankle, pull toward you, push tibia backwards, calcanus forward

Hint 73

anterior talofibular ligament

Front 74

Posterior Drawer Foot

Back 74

push ankle, pull tibia toward you, calcanus backward

Hint 74

posterior talofibular ligament

Front 75

Talor Tilt, Varus (lateral stability)

Back 75

Invert foot (supinate)

Hint 75

pain = anterior talofibular & calcaneofibular lig

Front 76

Talor tilt Valgus (medial stability)

Back 76

Evert foot (pronates)

Hint 76

Pain = ligament tear

Front 77

Squeeze test, Thompsons test for Achilles tendon

Back 77

squeeze calf, foot should plantar flex

Hint 77

torn achilles tendon

Front 78

Heel Walking

Back 78

Pt heel walks

Hint 78

Tibialis anterior or L4

Front 79

Toe Walking

Back 79

Pt toe walks

Hint 79

Gastrocnemium or L5

Front 80

Bounce Home

Back 80

Supine
Pt flexes knee
Dr cups heel and allows passive extension of leg, should extend completly and bounce into place

Hint 80

Pain or lack of extension = torn meniscus

Front 81

Yoemans

Back 81

Prone
Flex knee to 90
Extend thigh
Downward pressure on same side SI joint

Hint 81

SI lesion or LS lesion, specific for SI joint