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Lab Final Flashcards

(83 cards)

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1
Q

Locking/grinding of knee, retropatellar pain, catching, snagging sensation w/ patellar pain

A

Synovial Plica test

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2
Q

Synovial Plica test

A

Involved side up, 30* knee flexion, patella med w/ tibia int rot, ext leg and re-flex;
Repeat w/ patella lateral and tib ext rot

P: Pop, snap, clunk
I: Medial pain = Med synovial plica syndrome
I: Lat pain = Lat….

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3
Q

Posterior elbow pain, locking and grinding in elbow

A

Valgus overload test

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4
Q

Valgus overload test

A

Elbow at 90* (looking in mirror) Valgus (arm out) stress, full passive extension

P: Pain in post elbow w/ catching/locking or inability to ext
I: Post impingement syndrome

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5
Q

Deep, sharp, anterior hip pain

A

Hip impingement test

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6
Q

Hip Impingement test

A

Supine, 90/90, slight adduction and forceful int rot

P: Sharp anterior catching pain
I: Anterior hip impingement syndrome

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7
Q

Knee hit from behind, PAINLESS giving way;

posterior knee instability popliteal fossa

A

Godfrey Sag test

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8
Q

Godfrey Sag test

A

Supine, 90/90, pt contracts hamstring moving heal to butt into Dr’s support hand/leg

P: Proximal tibia sags due to lack of posterior static constraint
I: Tear/sprain of PCL

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9
Q

Labrum injury, diff b/w labrum and AC; anterior shoulder pain (deep or superficial); occasional locking

A

O’Brien’s test

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10
Q

O’Brien’s test

A

Arm straight out, thumb down, cross chest 10*, Dr presses down; repeat w/ hand supine

P: Deep anterior pain I: Labrum tear
P: Superficial pain I: AC joint problem

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11
Q

Infraspinatus/teres minor WEAKNESS,; protector muscle responsible for facilitating posterior rotation/shoulder ext rotation

A

Patte/Hornblowers Test

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12
Q

Patte/Hornblowers Test

A

Arm 90/90 and abducted 15* (looking in mirror) Dr supports under elbow and behind forearm, pt ext rotates shoulder

P: Pain or inability to ext rotate against resistance
I: Infraspinatus or teres minor TENDINOPATHY

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13
Q

High ankle injury, difficulty weight bearing, swelling and bruising around tib/fib

A

Distal tib/fib squeeze test

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14
Q

Distal tib/fib squeeze test

A

Squeeze w/ both hands 3-5 secs, quick release

P: Pain reproduced while squeezing or worse upon release
I: High ankle sprain of tibiofibular ligament and/or interosseous syndesmosis

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15
Q

Supraspinatus WEAKNESS

A

Empty can test

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16
Q

Empty can test

A

Abduct arms 90, flex shoulders 40, thumbs down; Dr pushes down and in

P: Resistance to pressure stresses supraspinatus muscle and tendon insertion
I: Tear/rupture to supraspinatus muscle or tendon w/ possible supra scapular neuropathy

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17
Q

Complain of tendinitis in shoulder flexion

A

Speeds test

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18
Q

Speeds test

A

Contact bicipital groove, resisted ext of elbow in upward 45* angle

P: Pain and/or tenderness in bicipital groove
I: Bicipital tendinitis

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19
Q

Anterior shoulder instability; deep anterior shoulder pain w/ occasional locking; positive O’briens; pain only when working overhead

A

Anterior Slide test

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20
Q

Anterior Slide test

A

Hand on hip, thumbs posterior, Dr supports scapula and clavicle while pressing sup and ant on humerus, pt returns shoulder

P: Pop, crack, crepitus and pain at ant/sup shoulder
I: Superior or anterior glenoid labrum tear

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21
Q

Heel pain radiating to big toe

A

Test for plantar fasciitis

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22
Q

Test for plantar fasciitis

A

Pt supine, dorsiflex foot and big toe, palpate med long arch

P: Sharp pain along med long arch
I: Plantar fasciitis

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23
Q

Can’t jog b/c of lateral knee pain

A

Noble test

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24
Q

Noble test

A

Supine, ft on table to 60*, Dr presses lat femoral condyle while ext leg

P: Pain worse through 30-40* flex/ext
I: IT band syndrome or lateral knee impingement syndrome

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25
Weakness on power grip; anterior arm pain w/ WEAKNESS
Maximum elbow flexion test
26
Maximum elbow flexion test
Shoulders 90* flexed, pt maximally flexes elbows for 3 mins P: Reproduction or paresthesia into ulnar nerve distribution w/ possible weakness on handshake I: Cubital tunnel syndrome
27
Knee pain on prolonged sitting (CINEMA SIGN)
Patella femoral grinding test | Clarke sign
28
Patella femoral grinding test | Clarke sign
Dr uses web of hand to secure supra patellar region, ask pt to contract quads P: Retropatellar pain and inability to hold quad contraction I: Degenerative changes of patellar facets and/or w/in trochlear groove; CHONDROMALACIA PATELLA
29
Instability and slipping out sensation of shoulder; clunking
Sulcus sign w/ load and shift
30
Sulcus sign w/ load and shift
Seated, arm relaxed, elbow 90*, support wrist and press forearm (inf traction) w/ other hand P: Sulcus will appear anterolateral as this motion attempts to dislocate GH I: Inferior shoulder instability and possible dislocation +1 = <1cm +2 = 1-2cm +3 = >3cm
31
Acute anterior knee instability
Lachman test
32
Lachman test
Supine, knee bent 30*, Dr pulls tibia away from femur P: Gapping w/ tibia moving away from femur I: ACL or Post Oblique instability
33
Lateral hip and thigh pain
Modified ober test
34
Modified ober test
Involved side up, flex bottom leg to stabilize, support sacrum, ext top leg and hip, release allowing leg to fall P: Hip and lat thigh remains abducted and pt has thigh pain I: TFL contracture/IT band syndrome
35
Lateral elbow pain
Cozens test
36
Cozens test
Wrist ext, Dr supports forearm and attempts to flex wrist P: Pain over lateral epicondyle I: Lateral epicondylitis
37
Gluteal insufficiency; 3-9yo w/ limp/adductor lurch
Trendelemberg's test
38
Trendelemberg's test
Pt stands on one ft, observe level of iliac crests P: High iliac crest on supported side I: Weak glut med/LCP/SCFE depending on age
39
Medial elbow pain
Reverse mills test
40
Reverse mills test
Begin w/ elbow and wrist flexes, extend elbow, supinate forearm and Dr passively extends wrist P: Reproduction or pain in medial elbow I: Medial epicondylitis/Golfers elbow
41
Clicking sensation in bicipital tendon
Abbott Sanders
42
Abbott Sanders
Full shoulder abduction, ext rotate humerus, and return to side while maintaining bicipital contact P: Palpable or audible click in bicipital groove I: Subluxation or dislocation of biceps tendon; rupture of transverse lig or tendon subluxation beneath subscap muscle belly
43
Instability of biceps tendon
Yergasons test
44
Yergasons test
Inf traction of arm, provide resistance as pt hitch-hikes thumb out and away P: Local pain/tenderness at bicipital groove = tendinitis P: Audible click or biceps tendon subluxes or dislocates = Instability of biceps tendon possible associated w/ torn transverse humeral lig
45
Heel pain when walking
Fat pad squeeze test
46
Fat pad squeeze test
Prone, press heel, squeeze heel and press again P: Pain diminishes or feels less tender I: Fat pad syndrome
47
PAINFUL giving way of knee
Apley compression test
48
Apley compression test
Prone, knee 90*, compress knee straight down, int and ext rot P: Pt points to pain site I: Med/Lat meniscus tear
49
Decreased ROM and stiffness in shoulder
Mazion shoulder maneuver
50
Mazion shoulder maneuver
Affected shoulders hand on unaffected shoulder, pt brings elbow to chest then raises elbow to forehead P: Inability to actively raise the elbow to the forehead due to pain and/or stiffness I: Early stage adhesive capsulitis or non-inflammatory capsular adhesions
51
Hip pain (SI joint) and LBP; differentiate the two
Belt test
52
Belt test
Pt bends forward at waist; Dr supports sacrum and pt bends again P: Pain w/ both = lumbar pathology P: No pain when stabilized = pelvic involvement
53
PAINFUL giving way of knee SUPINE
McMurray sign
54
McMurray sign
Supine, 90/90 of hip/knee, ext rot, flex knee all the way then extended w/ valgus stress; repeat w/ int rotation and varus stress P: Clicking sound of pain by knee joint I: Med meniscus tear w/ ext rot I: Lat meniscus tear w/ int rot
55
Clumziness and weakness when gripping pen to write
Fromet paper alternative
56
Fromet paper alternative
Pt holds a piece of paper b/w tips of thumb and index finger w/ fingers straight; Dr pulls paper P: Pt flexes thumb recruiting median nerve compensating for weakness I: Weakness or palsy of adductor pollicus muscle/ ulnar nerve; will have wasting of dorsal thumb web
57
Stress fracture of the hip
Anvil test
58
Anvil test
Supine, slightly elevate foot, strike calcaneus P: Local pain in long bone or hip joint I: Possible fx of long bone or hip joint pathology
59
Anterior instability of shoulder
Anterior apprehension test w/ relocation
60
Anterior apprehension test w/ relocation
Supine, Dr moves arm further in ext rotation; look of apprehension, back off, pressure to proximal humerus and redo ext P: Pt senses relief upon relocation I: Confirms anterior instability of GH jt; rules out tendinitis
61
Bursitis of the shoulder
Dawbarn test
62
Dawbarn test
Deep palpation of subacromial bursa (tender), hold palpation and abduct arm past 90* P: Decrease in pain/tenderness I: Subacromial bursitis
63
Determine anterior or posterior shoulder impingement
Hawkin Kennedy test
64
Hawkin Kennedy test
Shoulder elbow 90/90 in internal rot; intertwine arm and passively int rotate further P: Anterior pain = anterior impingement (Local pain = supraspinatus tendinitis) P: Post pain = post impingement (Stretch of teres minor and infraspinatus tendons)
65
Swelling and difficulty weight bearing due to recent knee injury
Bounce home test
66
Bounce home test
Flex knee, grab heal, slowly fully ext P: Knee remains in slight flexion I: Diffuse swelling of knee possibly torn meniscus
67
Leg length discrepancy
True: Measure from ASIS to med malleolus bilaterally P: Diff measurements I: Bony abnormality above or below trochanter; anatomical short leg Apparent: measure from umbilicus to med mall. bilateral P: Diff measurement I: Tilted pelvis
68
Juvenile genu valgus
Craig's test for ante version
69
Craig's test for ante version
Prone, knee 90*, int rot hip till trochanter parallel to table P: Internal rotation >30* I: Structural anteversion
70
Transverse patellar fracture
Dryer's test
71
Dryer's test
Supine, SLR = pain, grab thigh above patella and repeat SLR moving w/ thigh P: Decreased or absence of pain I: Patella fracture
72
Rule out osteochondritis dissecans
Wilson's test
73
Wilson's test | Gives validity to x-ray childs knee
Supine, knee 90/90, Dr int rot tibia, flex then ext knee (pain), repeat w/ tibia ext rot (no pain) P: Pain upon int and not upon ext I: Osteochondritis dessicans
74
Subscapularis WEAKNESS; can't tuck shirt in
Lift off test
75
Lift off test
Pt places back of hand in small of back, attempts to lift/remove hand P: Unable to lift/remove hand I: Subscapularis tendinopathy
76
Anterior impingement of Shoulder
Neer test
77
Neer test
Seated, stabilize scapula, w/ thumb down passive forward flexion till end range P: End range pain as greater tube james against anterior-inferior border of acromion I: Impingement w/ overuse injury of supraspinatus muscle or biceps tendon
78
Differentiate b/w SI and hip joint
Hibbs test
79
Hibbs test
Prone, Dr on opposite side of bent leg, heel to butt and push ft away from body; stabalize opposite hip P: Pain in hip joint = hip joint pathology P: Pain in buttock or pelvic region = SI joint lesion
80
Differentiate b/w impingement and AC joint
Painful arc test
81
Painful arc test
Seated, pt actively abducts arm 180* w/ palm facing body P: Pain worse b/w 70-110* of shoulder abduction = Impingement syndrome w/ supraspinatus pathology P: Pain worse at >/= 160* = AC joint involvement
82
Evaluate for functional pronation
Navicular drop test
83
Navicular drop test
Using measuring tape or index card measure dist b/w navicular tubercle and ground in non-weight bearing pt; pt stands and remeasure P: Navicular drops > 5/8" or 1.6cm's I: Functional pronation

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