0 -Lab exam CATA 337 - Injuries and their special test

Question 1

Ankle fracture

Answer 1

o Ottawa ankle rules – 4 locations
o Squeeze test
o Bump test

Question 2

Lateral ankle sprain

Answer 2

o Anterior drawer
o Talar tilt

Question 3

Medial ankle sprain

Answer 3

o Anterior drawer
o Talar tilt

Question 4

High ankle sprain

Answer 4

o Kleiger
o Squeeze test
o Bump test

Question 5

Anterior tibial nerve entrapment

Answer 5

Tinel tap test

Question 6

Tibialis posterior nerve entrapment

Answer 6

Tinel tap test

Question 7

Deep vein thrombosis

Answer 7

Homan’s sign

Question 8

Achilles tendon disruption

Answer 8

o Thompson test
o Knee flexion test

Question 9

Leg lengt discrepancy

Answer 9

Sit-up test
Measurement

Question 10

Towing in or out at ankle

Answer 10

Tibial torsion

Question 11

Ankle MMTs

Answer 11

o Gastrocnemius/plantaris/soleus = PF
o Tibialis anterior = DF/INV
o Tibialis posterior = PF/INV
o Peroneus tertius, longus, and brevis = EVER
o Flexor hallucis brevis, and longus = Great toe FLEXOR
o Extensor hallucis longus and brevis = Great toe EXTENSOR
o Flexor digitorum longus, and brevis = Toe FLEXOR
o Extensor digitorum longus, and brevis = Toe EXTENSOR

Question 12

Reflexes at the ankle

Answer 12

Tib post
Knee flexor
Achilles tendon

Question 13

Hip test

Answer 13

Trendelenburg sign

Question 14

Impingement of femoral neck or hip flexors m.

Answer 14

Quadrant/scouring test

Question 15

MCL tear at knee

Answer 15

o Valgus stress test (0 or 20d)
o Hughston test (mod.)
o Slocum

Question 16

LCL tear knee

Answer 16

o Varus stress test (0 or 20d)
o Hughston test (mod.)
o Slocum

Question 17

PCL tear at knee

Answer 17

o Posterior drawer
o Godfrey’s test
o Posterior sag

Question 18

ACL tear at knee

Answer 18

o Anterior drawer
o Lachman’s
o Lelli’s test

Question 19

Medial meniscus

Answer 19

o McMurray’s test
o Apley’s test
o Bounce home
o Bragard’s sign
o Thessaly test

Question 20

Lateral meniscus

Answer 20

o McMurray’s test
o Apley’s test
o Bounce home
o Bragard’s sign
o Thessaly test

Question 21

Swelling test at knee

Answer 21

o Figure 8
o Brush, stroke, bulge, or wipe test
o Fluctuation test
o Patellar tap test
o Tape measurement

Question 22

Patellofemoral dysfunction (PFS)

Answer 22

o Clarke’s sign
o McConnel test
o Q-angle

Question 23

IT band friction syndrome

Answer 23

Noble compression

Question 24

Medial plica

Answer 24

Mediopatellar plica test

Question 25

Knee MMTs

Answer 25

o Popliteus o Medial or lateral hamstrings o Quadriceps/sartorius o Hip flexors (psoas, iliacus) o Adductors o Tensor fascia latae o Gluteus maximus, medius, minimus o Medial and lateral rotators

Question 26

Anterior instability at shoulder

Answer 26

o Anterior drawer o Anterior apprehension o Relocation test o Rockwood test o Load and shift

Question 27

Posterior instability at shoulder

Answer 27

o Posterior drawer o Posterior apprehension o Load and shift

Question 28

Inferior instability at shoulder

Answer 28

Sulcus sign

Question 29

Impingements at shoulder

Answer 29

o Supraspinatus  Neer test  Hawkins-kennedy test  Yocum’s test o “Kissing” labral tear lesion posteriorly  Posterior impingement

Question 30

Labral tears at shoulder

Answer 30

o O’Brien o Clunk test o Compression rotation o Provocation test

Question 31

Scapular stability

Answer 31

o Wall push up o Scapular assistance test

Question 32

AC joint lesion

Answer 32

o Horizontal adduction o Shear test

Question 33

Muscle specific pathology at shoulder

Answer 33

o Supraspinatus  Empty can  Drop-arm o Subscapularis  Lift-off o Biceps  Speed’s test  Yergason’s test o Teres minor/infraspinatus  Lateral rotation lag test (“Spring back”)

Question 34

Thoracic outlet at shoulder

Answer 34

o Neural/vascular  Roos – EAST or AER o Pec minor  Wright o Radial artery  Costoclavicular  Wright

Question 35

Shoulder MMTs

Answer 35

o Pec major o Pec minor o Lats o Serratus anterior o Deltoid (anterior, middle, and posterior) o Coracobrachialis o External rotators o Internal rotators o UFT and MFT o Rhomboids

Question 36

UCL sprain/instability

Answer 36

o Empty bowl o Valgus stress test (0 or 20d) o Stand up test

Question 37

LCL elbow sprain/instability

Answer 37

Varus stress

Question 38

Epicondylitis

Answer 38

o Medial test o Lateral method #1,#2, or #3

Question 39

Elbow MMTs

Answer 39

o Biceps o Brachioradialis o Extensor carpi radialis longus and brevis o Extensor carpi ulnaris o Extensor digitorum o Flexor carpi radialis o Flexor carpi ulnaris o Palmaris longus and brevis o Pronator quadratus o Pronator teres o Supinator o Triceps

Question 40

Neurological at elbow

Answer 40

o Brachial plexus tension = ULNT 1,2,3,4 o Ulnar nerve  Tinel’s sign  Elbow flexion test o Median nerve  Pronator teres syndrome o Median nerve/anterior interosseous nerve  Pinch grip test

Question 41

Ligaments at wrist/hand

Answer 41

o Thumb ligament instability (MTP or IP in neutral or 90d) o Finger ligament instability (MTP or IP in neutral or 90d)

Question 42

Carpal instability (3 types)

Answer 42

o Watson-scaphoid shift test o Lunotriquetral ballotement o TFCC  Supinated lift test  Compression test  Ulnar/radial accessory motion

Question 43

Tendon injuries at wrist/hand (3 types)

Answer 43

o ABD poll L = Finkelstein o EXT poll Br = Extensor hood boyes o Para tenosynovitis between flex dig prof of 2nd digit and flex poll = Linburg’s sign

Question 44

Median nerve entrapment at wrist

Answer 44

 Tinel’s sign  Phalen’s test  Carpal compression

Question 45

Ulnar nerve entrapment at wrist

Answer 45

Tinel's sign

Question 46

Vascular occlusion at wrist

Answer 46

 Allen’s test  Digital flow – cap refill

Question 47

Muscle strains at hand/wrist (MMTs)

Answer 47

o Adductor pollicis o Abductor pollicis brevis, longus o Opponens pollicis o Flexor pollicis brevis, longus o Extensor pollicis brevis, longus