MSK EXAMS Flashcards
(29 cards)
what is SEADS?
swelling, erythema/echymosis, atrophy/asymmetry, deformity, skin changes/scars
how to test for facet joint disease?
extend back and rotate - pain suggests facet joint pathology
Schobers test
-draw horizontal line 10 cm above and one 5 cm below the dimples of venous. Distance should increase to 20 > during lumbar flexion
Spurling maneuver HOW TO
extend head back and bring ear toward shoulder, give axial pressure
if a patient has pain with spurling maneuver =
diagnosis of radiculopathy
FABER test HOW TO
- patient lies supine
- place foot on opposite knee
- apply pressure on knee and oppositive ASIS
- pain in SI joints - SI problem not back
Lasegues test HOW TO
patient lies supine and with hip flexed, dorsiflexion of anke causes spasm in the posterior thigh if there is lumbar root or sciatic nerve irritation
femoral stretch test HOW TO
- patient prone
- flex knee
- extend hip
- pain in anterior thigh = femoral nerve irritation
Trendelenberg test HOW TO
-patient stands
-ask to balance on one foot
-feel pelvis
IF DROPS –> abducter muscle weakness
Thomas test HOW TO
place one hand under lumbar spine to stop any lumbar movements - fully flex one of the hips. If the other hip moves off the bed = fixed flexion deformity of that hip
Valgus knees =
knock kneed
Varus knee =
bow legged
Positive lachman test =
ACL tear
Lachman test HOW TO
- slightly bend knee
- stabilize thigh
- pull knee forward
- shifts too far - ACL tear
McMurrary test HOW TO
- Patient lays flat
- examiner bends knee
- bring from full flexion to full extension
- ‘click’ = positive test
Postivier mcmurray test =
torn meniscus
Patellar grind test
- push down kneecap and ask patient to flex thigh muslces
- damaged cartilage -> grinding sensation (crepitas)
pateller tenderness test
slightly lift the knee cap and place pressure under the kneecap - look for sensitive regions
which joint does eversion and inversion of the foot?
subtalar
which joint does dorsiflexion and plantar flexion of the ankle?
ankle joint
ankle anterior drawer test HOW TO
-patient sits
-stabilize tibia
-grasp heel and pull forward
More than 1 cm - anterior talofibular ligamnet rupture
Thompsons test HOW TO
- pt prone
- squeeze gastrocnemius and soleus muscles
- observe for movement in ankle/foot
No movement of ankle/foot on thompsons test =
3rd degree strain of achilles tendon
Plantar fascitis test HOW TO
- Pt supine, dorsiflex ankle and extend toes
- press medial border of plantar fascia
- pain?
