FRIDAY LAB - WEEK 7 Flashcards Preview

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Flashcards in FRIDAY LAB - WEEK 7 Deck (39):
1

Hip and Pelvis Soft Tissue Palpation

Femoral Triangle Borders
- inguinal ligament
- adductor longus
- sartorius

Quadriceps Muscles
- vastus lateralis
- rectus femoris
- vastus medialis
- vastus intermedius

cluneal nerves

*(flip)

greater trochanteric bursa

gluteus medius
gluteus maximus

sciatic nerve

Hamstrings
- biceps femoris
- semitendinosus
- semimembranosus

2

Hip and Pelvis Bony Palpation

Anterior:
ASIS
iliac crest
iliac tubercle
greater trochanter

Posterior:
PSIS
ischial tuberosity
coccyx

3

Leg Length Discrepancy

a. ( + ) different measurements in true leg length

a. ( i ) bony abnormality above or below the level of trochanter difference (anatomical short leg)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
b. ( + ) different measurement in apparent leg length

b. ( i ) pelvic obliquity (tilted pelvis)

4

Allis Sign
(Galeazzi Sign, Pediatric Test)

a. ( + ) Difference in knee height with one low knee
a. ( i ) Ipsilateral congenital hip dislocation or tibial discrepancy (anatomical short leg)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
b. ( + ) Difference in knee anteriority with an anterior knee
b. ( i ) Ipsilateral congenital hip dislocation or femoral discrepancy (contralateral anatomical short leg)

5

Thomas Test

( + ) Lumbar spine maintains lordosis and hip or leg flexes
( i ) Contracture of the hip flexors, iliopsoas

6

Anvil Test

( + ) Localized pain in long bone or hip joint
( i ) Possible fracture of long bones, or hip joint pathology

7

Patrick Test
(FABERE Sign)

( + ) Pain in the hip region
( i ) Hip joint pathology

8

Laguerre

a. ( + ) Pain in the hip joint
a. ( i ) Hip joint pathology
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
b. ( + ) Pain in the sacroiliac joint
b. ( i ) Mechanical problem of the sacroiliac joint

9

Gaenslen Test

( + ) Pain on the affected sacroiliac joint when stressed into extension
( i ) General sacroiliac joint lesion, anterior sacroiliac ligament sprain, or inflammation of the sacroiliac joint

10

Lewin-Gaenslen Test

( + ) Pain on the affected sacroiliac joint when stressed into extension
( i ) General sacroiliac joint lesion, anterior sacroiliac ligament sprain, or inflammation of the sacroiliac joint

11

Hibb Test

a. ( + ) Pain in the hip region
a. ( i ) Hip joint pathology
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
b. ( + ) Pain in the buttock/pelvic region
b. ( i ) Sacroiliac joint lesion

12

Ober Test

( + ) Affected thigh remains in ABduction
( i ) Contraction of the iliotibial band, secondary to synovitis of the hip. or, contraction of the tensor fascia lata, secondary to trauma of the gluteus medius and maximus.

13

Nerve Root C5

Disc Level
- C4

Muscle Tests (2)
- shoulder ABduction: deltoid (axillary nerve)
- forearm flexion: biceps (musculocutaneous)

Reflex
- biceps

Sensation
- lateral arm

14

Nerve Root C6

Disc Level
- C5

Muscle Test
- wrist extension: carpi radialis longus and brevis, and extensor carpi ulnaris (radial nerve)

Reflex
- brachioradialis

Sensation
- anterior lateral forearm, palm, thumb and 2nd digit

15

Nerve Root C7

Disc Level
- C6

Muscle Tests (3)
- elbow extension: triceps (radial)
- wrist flexion: flexor carpi radialis (median) and flexor carpi ulnaris (ulnar)
- finger extension: extensor digitorum communis, extensor indicis profundus and extensor digiti minimi (all radial)

Reflex
- triceps

Sensation
- 3rd digit and middle of palm

16

Nerve Root C8

Disc Level
- C7

Muscle Test
- finger flexion: flexor digitorum superficialis, flexor digitorum profundus, lumbricals (all median and ulnar)

Reflex
- none

Sensation
- 4th and 5th digits, anteromedial forearm and hand

17

Nerve Root T1

Disc Level
- T1

Muscle Tests (2)
- finger ABduction: dorsal interossei (ulnar)
- finger adduction: palmar interossei (ulnar)

Reflex
- none

Sensation
- anteromedial arm

18

Nerve Root L4

Disc Level
- L3

Muscle Test
-foot dorsiflexion and inversion: tibialis anterior (deep peroneal/fibular)

Reflex
- patellar tendon

Sensation
- medial aspect of leg, medial foot, medial aspect of big toe

19

Nerve Root L5

Disc Level
- L4

Muscle Tests (4)
- foot dorsiflexion: tibialis anterior, peroneous tertious, extensor digitorum longus and brevis, extensor hallicus longus (deep peroneal/fibular)
- big toe dorsiflexion: extensor hallicus longus (deep fibular/peroneal)
- toes 2, 3, 4 dorsiflexion: extensor digitorum longus and brevis (deep peroneal/fibular)
- hip and pelvis ABduction: gluteus medius and minimus (superior gluteal nerve)

Reflex
- none

Sensation
- lateral leg, dorsum of foot, and middle three toes

20

Nerve Root S1

Disc Level
- L5

Muscle Tests (3)
- foot plantarflexion and eversion: fibular/peroneous longus and brevis (superficial peroneal/fibular)
- foot plantar flexion: gastrocnemius and soleus (tibial)
- hip extension: gluteus maximus (inferior gluteal nerve)

Reflex
- Achilles

Sensation
- posterior aspect of the leg, lateral aspect of foot, and lateral aspect of little toe

21

Nerve Root S2

Disc Level
- S1

Sensation
- Posterior aspect of thigh over popliteal fossa onto posteromedial calf

22

Lumbar Spine Soft Palpation

anterior abdominal muscles
paraspinal muscles
- iliocostalis
- longissimus
- spinalis

sciatic nerve

gluteus medius
gluteus maximus

hamstrings
-biceps femoris
-semitendinosus
-semimembranosus

23

Lumbar Spine Bony Palpation

iliac crests
lumbar spinous processes

psis
scaral tubercles

24

Straight Leg Raiser (SLR)

( + ) radiating pain and/or dull posterior thigh pain
( i ) sciatic radiculopathy or tight hamstrings
- positive between 35 and 70 = possible discovenic sciatic radiculopathy
- positive over 70 = tight hamstrings

25

Bragard Test

( + ) radiating pain in posterior thigh
( i ) sciatic radiculopathy

26

Buckling Sign (Cipriano)

( + ) pain in posterior thigh with sudden knee flexion or buckle
( i ) sciatic radiculopathy

27

Lasegue Test

( + ) reproduction of pain before 60 degrees
( i ) sciatica

28

Milgram Test

( + ) inability to perform test and/or low back pain
( i ) weak abdominal muscles or space occupying lesion

29

Hoover Sign

( + ) lack of counter pressure on the healthy side
( i ) lack of organic basis for paralysis (malingering/hysteria)
- with organic hemipalegia, patient will still exert downward pressure when attempting to raise the paralyzed leg

30

Goldthwait Sign

( + ) localized pain, low back pain or pain radiating down the leg
( i ) lumbosacral or sacroiliac pathology
- pain occurying after lumbar spinouses move = possible lumbosacral problem
- pain occurring after lumbar spinouses move = possible sacroiliac problem

31

Bowstring Sign

( + ) pain in lumbar region or radiculopathy
( i ) sciatic nerve root compression, this rules out tight hamstrings

32

Valsalva Maneuver

( + ) radiating pain from the site of lesion, usually recreating the complaint in cervical or lumbar spine
( i ) space occupying lesion, possible disc pathology

33

Bechterew

( + ) reproduction of radicular pain or inability to perform correctly due to tripod sign
( i ) sciatic radiculopathy

34

Neri Bowing Test

( + ) pain accompanied by flexion of the knee on the affected side with possible body rotation away from affected side
( i ) positive for a variety of low back pathologies. Hamstring tension on the pelvis may trigger a response

35

Lewin Standing Test

( + ) radiating pain down the leg causing sudden flexion of the knee or knees
( i ) gluteal, lumbosacral or sacroiliac pathologies

36

Heel Walk

( + ) inability to perform test
( i ) L4-L5 disc lesion (L5 nerve root)

37

Toe Walk

( + ) inability to perform test
( i ) L5-S1 disc lesion (S1 nerve root)

38

Anterior Inominate
(Mazion's Pelvic Maneuver/Advancement Sign)

a. ( + ) radiating pain along sciatic nerve, either unilateral or bilateral
a. ( i ) sciatic neuralgia or radiculopathy
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
b. ( + ) low back pain (lumbar or pelvic region)
b. ( i ) anterior (rotational) displacement of ilium relative to the sacrum

39

Ely Heel to Buttock Test

a. ( + ) inability to raise the thigh
a. ( i ) iliopsoas spasm
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
b. ( + ) pain in anterior thigh
b. ( i ) inflammation of lumbar nerve roots
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
c. ( + ) pain in lumbar region
c. ( i ) lumbar nerve rood adhesions