Joint Exam Flashcards Preview

2018 PCM > Joint Exam > Flashcards

Flashcards in Joint Exam Deck (19):
1

Steps to the joint exam

inspection
palpation
ROM
Muscle strength
Reflexes
Pulses
Neurologic/Sensation
Special tests
OSE

2

What kinds of things should be noted within the inspection portion of the joint exam?

What does the joint look like
is the joint in normal anatomical position
Is the patient splinting/protecting the joint?
Scars? Erythema? Ecchymosis? Edema?

3

What are you palpating for when performing the second portion of a joint exam?

is the joint warm compared to the opposite side?
Is there tenderness to palpation?
Is there edema?
Is there an effusion?

4

ROM testing things to remember

Active
passive
at least 4 motions
be careful when checking ROM in pt who have had total joint replacements

5

what complication should stop you from performing a full ROM test on a pt

if in their history they admitted to having a total joint

6

Strength testing what to do

at least 4 motions relevant to the given pt scenario
document as 0-5/5

7

shoulder special tests

neer impingement
hawkins test

8

elbow special test

golfers
tennis

9

wrist hand special tests

tinel
phalen

10

knee special tests

A and P drawer
lachman's

11

hip special tests

labral loading
labral distraction
scour
apprehension

12

ankle/foot special tests

anterior drawer
talar tilt

13

if a pt has an acutely injured joint, what should you avoid doing?

forcing a ROM or specialty test that greatly increases the pts pain

14

where is the joint exam documented

the objective

15

expected scenarios for the shoulder

glenohumeral instability
bicipital tendonitis
rotator cuff path/impingement
subscapularis weakness
AC joint pathology

16

expected scenarios for the elbow

MCL vs LCL
Ulnar nerve entrapment
lateral vs medial epicondylitis

17

wrist expected scenario

carpal tunnel

18

hip expected scenario

labral
central/preipheral/lateral/anterior compartment

19

knee expected scenario

mcl vs lcl
acl vs plc
meniscus injury
patellar injury