Midterm OP assessments Flashcards

Question

Allen Test Assesses For

Answer 1

* Circulation to Hands

Answer 2

* Circulation to Fingers

Answer 3

Body: Seated Examiner: Stands behind body Procedure: 1. Arm by side, passive lateral rotation of the GH 2. Move arm to 45d abduction; passive lateral rotation of the GH 3. Move arm to 90d abduction; passive lateral rotation of the GH 4. Move arm to 120d abduction; passive lateral rotation of the GH

Answer 4

Body: Supine Examiner: Facing head Procedure: 1. Holds patient wrist; passive abduction to 90d; passive flexion to 30d 2. Place other hand over the proximal humerus close to the humeral head 3. Gradually and slowly and carefully apply levering pressure - push down on the humeral head while pulling up at the wrist

Answer 5

Body: Seated Examiner: Stands beside body Procedure: 1. Passively abduct the arm to 90d with an extended elbow 2. Support the arm under the elbow or by placing the wrist on your shoulder 3. Place one hand over the proximal humerus between the middle and upper third (close to humeral head) 4. Apply pressure to push the humeral head down and forward (diagonal)

Answer 6

Body: Seated or standing Examiner: Stands beside body Procedure: 1. Passive forward flexion of arm to 90d 2. Passive maximum medial rotation of arm

Answer 7

Body: Seated or standing Examiner: Stands beside body Procedure: 1. Position tested arm in passive medial rotation 2. Passive maximum elevation of the medially rotated arm in the scapular plane

Answer 8

Body: Standing Examiner: Stands beside body Procedure: 1. Arm forward flexed to 90d with elbow fully extended. Arm then horizontally adducted to 10-15d and medially rotated so the thumb faces downard. In this position, apply an eccentric load, pushing the test arm down towards the hip. 2. Return to the start position and repeat the test, this time with the arm in lateral rotation so that the thumb faces up.

Answer 9

Body: Seated or standing Examiner: Stands beside body Procedure: 1. Tested arm is brought to 90d forward flexion 2. Either active or passive maximum horizontal adduction is then applied

Answer 10

Body: Seated Examiner: Stands beside body Procedure: 1. Patient is fully passive 2. Examiner places one hand on the spine of the scapula and the other hand on the clavicle, then squeezes their hands together providing a shearing force

Answer 11

Body: Standing Examiner: Stands behind body Procedure: 1. Arm is passively abducted to 90d 2. Patient is asked to slowly lower the arm back to the side in a controlled motion as the examiner removes support of the arm.

Answer 12

Body: Standing Examiner: Stands behind body to observe Procedure: 1. Body stands with hand on lumbar spine as shown below 2. Body is instructed to lift the hand away from the back 3. If able to lift the hand from the back, the examiner applies gentle load to the hand to assess the strength of the subscapularis as well as to observe what the scapula does under dynamic load.

Answer 13

Body: Seated or standing Examiner: Stands beside or in front of body Procedure: 1. Test arm is brought to 90d of forward flexion with the elbow fully extended and the forearm supinated. 2. Isometric resistance is placed on the distal forearm in the direction of extension.

Answer 14

Body: Standing Examiner: Stands beside or behind body Procedure: 1. Arm is actively abducted in the frontal plane to 90d abduction. Isometric resistance is applied. 2. Arm is then actively brought forward about 30d to be in the scapular plane and medially rotated so that the thumb points down (empty can). Isometric resistance is applied.

Answer 15

Body: Standing Examiner: Should observe posteriorly as well as anteriorly Procedure: 1. Body is shown the plane of the scapula and the movement of scaption, which is full elevation in the plane of the scapula (about 30d forward of frontal plane (diagonal)) 2. Body actively goes through 8-12 reps of the movement of scaption.

Answer 16

Body: Standing Examiner: Standing Procedure: 1. Tested arm positioned with shoulder laterally rotated and slight elbow flexion (about 30d) 2. Examiner stabilises at the elbow with a gentle palpating finger over the UCL 3. Examiner gently grasps wrist/distal forearm and applies a valgus force by abducting the forearm.

Answer 17

How to perform Body: Standing Examiner: Standing Procedure: 1. Tested arm positioned with slight elbow flexion (about 30d) 2. Examiner stabilises at the elbow with a gentle palpating finger over the RCL 3. Examiner gently grasps wrist/distal forearm and applies a varus force by adducting the forearm.

Answer 18

Body: Seated or standing Examiner: Seated or standing Procedure: 1. Gently grasp elbow to stabilise with a palpating thumb over the lateral epicondyle 2. The patient is then asked to actively make a fist, pronate the forearm, and radially deviate and extend the wrist and is instructed ‘don’t let me move you’. 3. Examiner then applies isometric resistance away from this position (in direction of wrist flexion and ulnar deviation)

Answer 19

Body: Seated or standing Examiner: Seated or standing Procedure: 1. Gently grasp elbow to stabilise with a palpating thumb over the lateral epicondyle 2. The examiner then lengthens the irritated tendon by applying passive full pronation of the patient’s forearm, full wrist flexion and full elbow extension

Answer 20

Body: Seated or standing Examiner: Seated or standing Procedure: 1. Body’s forearm rests on the table in a pronated position with the dorsum of the hand facing up 2. The examiner resists extension of the third digit of the hand distal to the proximal interphalangeal joint, stressing the extensor digitorum muscle and tendon

Answer 21

Body: Seated or standing Examiner: Seated or standing Procedure: 1. Gently grasp elbow to stabilise with a palpating thumb over the medial epicondyle 2. The examiner then lengthens the irritated tendon by applying passive full supination of the patient’s forearm, full wrist extension and full elbow extension

Answer 22

Body: Seated or standing Examiner: Seated or standing Procedure: 1. Person’s elbow flexed to 90d 2. Ask them to maximally pronate 3. Provide resistance so the pronation is isometric 4. Ask the person to maintain the contraction while they let you straighten the arm 5. Passively extend their arm while they continue to resist pronation

Answer 23

Body: Seated Examiner: Seated Procedure: 1. The patient sits with the test elbow at 90d with a neutral forearm rotation and maximum ulnar deviation of the wrist. 2. The examiner applies an axial load while passively supinating and pronating the ulnarly deviated wrist

Answer 24

Body: Seated Examiner: Seated Procedure: 1. The patient is seated with the elbow flexed to 90° and the wrist in ulnar deviation 2. The examiner holds the patient’s forearm with one hand and then applies an axial compression force through the fourth and fifth metacarpals.

Answer 25

Body: Seated or standing Examiner: Seated or standing Procedure: 1. The clinician holds the patient’s hand and creates a valgus (testing the UCL) or varus (testing the RCL) stress to the MCP joint of the thumb

Answer 26

Body: Seated Examiner: Stands behind body Procedure: 1. The patient makes a fist with the thumb inside the fingers 2. Examiner then performs POP of ulnar deviation

Answer 27

Body: Seated Examiner: Seated Procedure: 1. The patient is asked to open and close the hand several times as quickly as possible and then squeeze the hand tightly. 2. The examiner then occludes both the radial and ulnar arteries while the hand remains closed. 3. The patient then opens the hand while pressure is maintained over the arteries. 4. One artery is tested by releasing the pressure over that artery to see if the hand flushes. 5. Repeat on the other artery.

Answer 28

Body: Seated Examiner: Seated Procedure: 1. To test distal blood flow, the examiner compresses the nail bed and notes the time taken for color to return to the nail.

Midterm OP assessments Flashcards

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