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Ortho Lab > Final Lab tests > Flashcards

Final Lab tests Flashcards

1
Q

Dugas

A

Inability to touch the opposite shoulder and or inability of the elbow to touch the test indicating acute dislocation of the glenohumeral joint

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2
Q

Anterior apprehension test

A

Patient will have a noticeable look of apprehension or alarm on their face with possible pain indicating chronic anterior dislocation of the glenohumeral joint

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3
Q

Posterior apprehension test

A

Patient will have a noticeable look of apprehension or alarm on their face with possible pain indicating chronic posterior dislocation of the glenohumeral joint

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4
Q

Dawbarn test

A

Positive is a decrease in pain and tenderness indicating subacromial bursitis

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5
Q

Yergason

A

Localized pain and or tenderness at the bicipital groove indicating bicipital tendinitis or an audible click of the biceps tendon subluxing or dislocating indicating an instability of the biceps tendon possibly associated with a torn transverse humeral ligament

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6
Q

Abbot-Saunders

A

Palpable and or audible click indicating subluxation or dislocation of the biceps tendon due to a rupture of the transverse humeral ligament or tendon subluxation beneath subscapularis muscle belly tendon

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7
Q

Medial collateral ligament test
Abduction stress test
Valgus

A

Excessive gapping and pain indicating medial collateral ligament tear and/or instability

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8
Q

Lateral collateral ligament test
Adduction stress test
Varus

A

Excessive gapping and pain indicating lateral collateral ligament tear and/or instability

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9
Q

Tinel elbow sign

A

Pain and or tenderness at the site being tapped and paresthesia in the ulnar nerve distribution area fingers four and five indicating neuroma of the ulnar nerve

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10
Q

Cozen sign

A

Pain over lateral epicondyle indicating lateral epicondylitis tennis elbow

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11
Q

Mills test

A

Pain over the lateral epicondyle indicating lateral epicondylitis tennis elbow

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12
Q

Golfer elbow test

A

Pain over the medial epicondyle indicating medial epicondylitis

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13
Q

Tinel wrist sign

A

Reproduction of pain tenderness and or paresthesia in the median nerve distribution area first, second, third, and lateral half of the fourth digit indicating median neuritis possibly carpal tunnel syndrome

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14
Q

Phalen

Prayer/reverse

A

Reproduction of pain tenderness and or paresthesia in the median nerve distribution area first, second, third, and lateral half of the fourth digit indicating median neuritis possibly carpal tunnel syndrome

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15
Q

Finkelstein test

A

Pain distal to the radial styloid process, indicates stenosing tenosynovitis is of the abductor pollicis longus and extensor pollicis brevis tendon’s dequervains disease

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16
Q

Bunnel-littler

A

Flexion of the proximal inter phalangeal joint cannot be achieved indicating joint capsule contracture or flexion of the proximal inter phalangeal joint is achieved indicating tight intrinsic muscles

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17
Q

Retinacular

A

Flexion of the distal inter phalangeal joint cannot be achieved indicating joint capsule contracture or flexion of the distal inter phalangeal joint is achieved indicating tight retinacular ligament

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18
Q

Allen test

A

A delay of more than 10 seconds Evan says five in returning a reddish color to the hand indicating radial or ulnar artery insufficiency the artery occluded is not the artery being tested

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19
Q

Foraminal compression test

A

Exacerbation of localized cervical pain indicating foraminal encroachment facet pathology without nerve root compression or exacerbation of cervical pain with a radicular component indicating foraminal encroachment facet pathology with nerve root compression

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20
Q

Cervical distraction test

A

Diminished or absence of local cervical pain indicating foraminal encroachment without nerve root compression or diminished or absence of radiating pain indicating foraminal encroachment with nerve root compression or an increase of cervical pain indicating muscular strain ligamentous sprain myospasm or facet capsulitis

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21
Q

Spinal percussion test

A

Local pain indicating possible fractured vertebra ligamentous involvement is spinous pain and muscular involvement is muscular pain or radiating pain indicating possible disc pathology

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22
Q

Shoulder depression test

A

Localized pain on the side being tested indicating dural sleeve adhesion muscular adhesion contracture spasm or ligamentous injury or radiating pain on the side being tested indicating dural sleeve adhesions neurovascular bundle compression or thoracic outlet syndrome lastly radicular pain on opposite side being tested indicating foraminal encroachment with nerve root compression

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23
Q

Valsalva maneuver

A

Radiating pain from site of lesion usually re-creating the complaint in cervical or lumbar area of the spine indicates space occupying lesion such as disc pathology

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24
Q

Swallowing test

A

Difficulty in swallowing indicating space occupying lesion at anterior portion of cervical spine possibly esophageal or pharyngeal injury anterior disc defect muscle spasm or osteophytes etc.

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25
Q

Sotto hall

A

Generalized pain in the cervical region which may extend down to the level of T2, this is a nonspecific test for structural integrity of cervical region

26
Q

Kernig sign

A

Inability to fully extend the leg and/or pain usually in the neck region indicating meningeal irritation or meningitis

27
Q

O’Donoghue maneuver

A

Pain during passive range of motion indicates ligamentous sprain passive range of motion stress is the ligaments pain during resisted active range of motion indicates musculotendonos strain active range of motion stresses muscles and tendons

28
Q

Straight leg raiser

A

Radiating pain and/or dull posterior thigh pain indicating sciatic radiculopathy or tight hamstrings positive between 30 to 70° is possible discogenic sciatic radiculopathy greater than 70° is tight hamstrings

29
Q

GoldthWait sign

A

Localized pain low back or radiating pain down the leg, indicating lumbosacral and sacroiliac pathology pain occurring after the lumbar spinous is move is possible lumbosacral problem pain before lumbar’s move is possible sacroiliac problem spinouses move at 35°

30
Q

Braggards sign

A

Radiating pain in the posterior thigh indicate sciatic radiculopathy

31
Q

Bowstring sign

A

Pain in the lumbar region or radiculopathy indicating sciatic nerve root compression helps rule out tight hamstrings

32
Q

Buckling sign

Cipriano

A

Pain in the posterior thigh with sudden knee flexion indicating sciatic radiculopathy

33
Q

Lasegue

A

Reproduction of sciatic pain before 60° indicating sciatica

34
Q

Millgrams test

A

Inability to perform test and/or low back pain indicating week abdominal muscles or space occupying lesion

35
Q

Benchterew

A

Reproduction of radicular pain or inability to perform correctly due to tripod sign indicating sciatic radiculopathy

36
Q

Anterior innominate test
Mazion
Advancement sign

A

Radiating pain along the sciatic nerve either unilateral or bilateral indicating sciatic neuralgia or radiculopathy etc. possibly due to lumbar disc pathology or low back pain in the lumbar or pelvic regions indicating an anterior rotational displacement of the ileum relative to the sacrum

37
Q

Lewins standing test

A

Radiating pain down the leg causing flexion of the patient’s knee or knees indicates gluteal lumbosacral or sacroiliac pathologies

38
Q

Leg length discrepancy

A

Different measurements true is bony abnormality above or below level of the trochanter difference, anatomical short-leg, apparent is pelvic obliquity or tilted pelvis

39
Q

Anvil test

A

Localized pain in long bone or in the hip joint indicating possible fracture of long bones or hip joint pathology

40
Q

Patrick Fabere test

A

Pain in the hip region indicating hip joint pathology

41
Q

Laguerre test

Fabere in air

A

Pain in the hip joint indicating hip joint pathology or pain in the sacroiliac joint indicating mechanical problem of the sacroiliac joint

42
Q

Gaenslen test

A

Pain on the affected S I joint stressed into extension indicating general sacroiliac joint lesion anterior sacral iliac ligament sprain or inflammation of the SI joint

43
Q

Lewin-Gaenslen

A

Pain on the affected S I joint stressed into extension indicating general sacroiliac joint lesion anterior sacral iliac ligament sprain or inflammation of the SI joint

44
Q

Hibb test

A

Pain in the hip region indicating hip joint pathology or pain in the buttock/ pelvic region indicating sacroiliac joint lesion

45
Q

Ober test

A

Affected thigh remains in abduction normal biomechanics the thigh hip will abduct indicating contraction of the iliotibial band or tensor fascia lata usually secondary to synovitis of the hip secondary to trauma of the gluteus medius and maximus

46
Q

Pelvic rock / iliac compression

A

Pain in either sacroiliac joint indicating sacroiliac joint lesion

47
Q

Yeoman

A

Pain deep in the SI joint indicating sprain of the anterior sacroiliac ligaments

48
Q

Trendelenburg test

A

High iliac crest on supported side and low iliac crest on side of elevated leg indicating week gluteus medius muscle on the supported side

49
Q

LCL
Adduction
Varus stress

A

Gapping and/or elicited pain above at or below joint line indicating tear and/or instability of the lateral collateral ligament

50
Q

Bounce home

A

Knee does not go into full extension slight flexion remains indicating diffuse swelling of the knee accumulation of fluid due to possible torn meniscus

51
Q

Drawer test

A

Gapping greater than 6 mm tibia moves posterior when leg is pushed indicating torn posterior cruciate ligament or gapping greater than 6 mm tibia moves anterior when the leg is pulled indicating torn anterior cruciate ligament

52
Q

Lachman

A

Gapping with the tibia moving away from the femur indicating anterior cruciate ligament or posterior oblique ligament instability

53
Q

Apprehension test for the patella

A

Apprehension, distress a facial expression contraction of quadriceps to bring patella back in line indicating chronic patella dislocation or predisposition to dislocation

54
Q

Apley compression test

A

Patient points to the side of pain pain on medial side is medial meniscus tear pain on the lateral side indicates lateral meniscus tear

55
Q

Drawer sign

A

Translation with the talus moving away from from or toward the tibia indicates with tibia pushed foot pulled a tear or instability of the anterior talo fibular ligament or with tibia pulled foot pushed a terror and stability of the posterior talofibular ligament

56
Q

Ankle Dorsi flexion test

Hoppenfeld

A

The foot cannot Dorsiflex with the knee extended but is able to with knee flexed indicating contracture of the gastrocnemius muscle or the foot cannot Dorsiflex in either position indicating contracture of the soleus muscle

57
Q

Rigid or supple flatfeet test

A

Absence of medial longitudinal arch in both positions indicates rigid flatfeet presence of medial longitudinal arch while seated with loss of medial longitudinal arch while standing indicates supple flat feet

58
Q

Homans

A

Deep pain in the calf indicates deep vein thrombophlebitis

59
Q

Thompson test

A

Absence of foot plantar flexion motion indicates Achilles tendon rupture

60
Q

Clarkes patellar femoral grinding test

A

Retro-patellar pain and the patient is unable to hold the quadriceps contraction, indicating degenerative changes of the patellar facets and or within the trochee at groove chondromalacia patella

Ortho Lab (12 decks)

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