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51 Cards in this Set
- Front
- Back
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whats the most common location of a cervical discopathy |
C5-6, C6-7 |
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what sx come with L5 compression |
foot drop, shin and dorsal foot pasesthesia |
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what sx come with S1 compression |
wek med gastric, impaired plantar flexion, areflexia at the ankle, parenthesia of lateral calf and foot |
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what degree is the arm at for adson test hold for how long |
arm at 45 degrees hold for 30secs |
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describe soto-hall test |
pt supine, examiner puts pressure on sternum and passively flexes neck |
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how long do you hold a VBI for |
30 secs |
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what should your ddx of costochondritis always include |
conditions of |
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what are the vertebral nerve roots for DTRS biceps brachioradialis triceps patellar hamstrings ankle |
biceps - C5 brachioradialis - C6 triceps - C7 patellar - L4 hamstrings - L5 ankle - S1 |
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where is sciatica compressing |
L4-S3 |
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whats the most common condition for rowers |
spondylolithesis |
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spondylolithesis: what vertebra is mc what tests used |
L5 90% L4 5% < with lumbar extension SLR |
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describe how to do Bechterew test |
sitting AROM with flexed neck one leg flexed at hip at a time and then both + sx in back of leg (possible sciatic P) |
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describe how to do Kernigs test |
pt supine, flexion of hip first then flexion of knee |
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describe how to do burns bench test whats a positive mean |
pt kneeling on table, ask pt to bend forward and ak pt to touch floor with fingers + if cant perform test = malingering |
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describe how to do Gaenslins test |
pt supine, one hip and knee flexed |
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describe how to do Braggards test |
SLR, getting sx then decrease hip flexion slightly and dorsiflex foot |
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describe how to do Hoovers test |
pt supine, examiner holds ankles ask pt to flex leg if pt says they can't do it but you feel no pressure on the contralateral side - they are not attempting to do it --> malingering |
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what do you have to make sure you do before you do any ands on with the patient |
Do you mind if I do a hands on assessment? If at any time you feel anything painful or uncomfortable let me know right away and don't do anything that will cause you further injury |
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describe how to do Minors sign |
for lower back pain observed as a pt attempts to raise from a seated potion to standing using their thighs and the chair to help them up - attempting to decompress the spine |
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Describe Lasegue test |
= SLR |
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Describe Lindner test |
pt supine or seated PROM of head and neck similar to brudinskis sign (involuntary hip and knee flexion) soto hall test (with compression of the sternum) |
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Describe Milgrams |
pt supine actively lifts heels 2 inches off table |
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Describe Yeoman test |
Pt prone examiner extends leg at the hip |
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Describe Ober test |
pt side laying examiner passively extends and internally rotates --> Trochanteric bursitis |
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Describe Thomas test |
pt supine flex hip and knee + contralateral leg rises |
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Describe Gaenslen test |
Thomas test plus contralateral leg off table with over pressure |
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Describe Telescoping test |
pt supine hip and knee at 90 deg pull up and down on femur --> hip instability |
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Describe pelvic rock test |
pt side laying compress iliac crests --> pain in SI (SI path) |
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Describe Ortolani click |
baby - middle finger over head of femur bringing hips into external rotation, abduction, hip and knee flexion (don't have to apply force) palpation of clicking/clunk --> instability/dysplasia of the hips |
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what are 4 orthopaedic tests for supraspinatus impingement |
Hawkins kennedy Codmans arm drop Empty can test Painful arc |
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Difference between Lippmans and Yergason test |
Lippmans - PROM "you're out" Yergason test - same but examiner resists patients motions both for bicipital instability |
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Difference between Neer and Speed test |
Neer - PROM of flexion of the shoulder Speed test - same but examiner resists patients motions both for bicipital tendonitis |
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Difference between Cozens and Mills |
Both for lateral epicondylitis tests Cozens - RROM Mills - PROM |
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whats another name for lateral epicondylitis |
Tenis elbow |
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Whats another name for medial epicondylitis |
golfers elbow |
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what condition do you test for with Finkelstein test what is it testing |
de Quervain tenosynovitis testing abductor policis longus and extensor policis brevis |
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Describe Phalen test |
wrist flexion bl for 1 min then affected wrist - examiner passively keeps wrist into flexion for 1 more min |
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Describe Apley Compression test |
pt prone, knee flexed compress down through foot pain --> meniscal |
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Describe Apley Distraction test |
pt prone, knee flexed hold ankle and distract up pain --> capsular, ligamentous |
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Describe apprehension test (for patellar dislocation) |
pt supine examiner gently and slowly pushes patella lateral observing pt for apprehension --> patellar instability, subluxation |
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Describe Lachman test |
pt supine, leg bent 20-30 deg doing anterior and posterior drawer in the air considered the gold standard for ACL and PCL sprain |
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Describe McMurray test |
pt supine testing med and lateral meniscus Valgus force with external rotation of the leg Varus force with internal rotation of the leg + get pain or a reduction click |
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Describe ballotable patella test and bulge test |
ballotable patella test [major effusion] - boggy (intra-articular swelling) - grinding (chondromalacia patella) bulge test[minor effusion]: milk medial side stroking superiorly, stroke lateral inferiorly (see fluid wave medially) |
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Describe Clark test |
= a patella femoral grinding test (included with patella femoral grind) with pt supine examiner compresses quads and superiorly distracts pt flexes quads +pain --> chondromalacia patella |
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what is a bakers cyst |
aka popliteal cyst (synovial effusion in popliteal fossa) m/c in children best w/ pt prone and knee extended: palpable, mobile, nontender |
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what does anterior and posterior drawer test at the ankle test |
Anterior drawer test - Anterior talofibular lig instability Posterior drawer test - Posterior talofibular lig instability |
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Describe dorsiflexion test |
dr dosiflexes ankle when pt's knee is flexed and knee extended + if can't dorsiflex ankle with knee bent - soleus hypertonicity in any position - gastrocnemius hypertonicity |
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Describe forefoot adduction test |
inability to move the Childs foot into neutral from the adducted foot - maybe need to brace |
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talor tilt test |
pain with ankle inversion --> anterior/posterior talofibular, calcaneofibular ligament sprain pain with ankle eversion --> deltoid ligament sprain |
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Describe how to measure pes planus |
measure feiss line: inferior aspect of medial malleolus --> proximal head of 1st MT see if it is in line with navicular tuberosity only out of line when standing = supple flat foot out of line at all times = rigid flat foot |
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tibial torsion test |
indications rotate leg so patella points superior compare line of malleoli with floor angle > 18 degrees indicates tibial torsion |
