NMS II OSCE II- problems if positive Flashcards Preview

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Flashcards in NMS II OSCE II- problems if positive Deck (31)
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1

anterior innominate

unilateral forward displacement of ilium, sacrum or SI joint sprain
local pain over SI joint

2

belt

pain in first part, no pain in second part- SI joint
pain in first and second part- lumbar involvement

3

erichsen's

pain in SI joint by stressing anterior SI joint ligament

4

gaenslen's

SI joint instability
SI joint pain on side being tested or radiating pain to thigh or groin

5

goldthwait's

pain before L5, S1 separation- SI joint problem
pain after L5, S1 separation- lumbar problem

6

hibb's

sacroiliac lesion (pain- positive)

7

iliac compression

sprain of posterior SI ligament, SI joint inflammation or subluxation
pain is a positive finding

8

lewin gaenslen

SI joint sprain or arthritis
SI joint pain on affected side or muscle tightness

9

yeoman's

SI joint lesion, specifically of anterior SI ligament
femoral nerve irritation
iliopsoas or rectus femoris muscle contracture
pain in SI joints and muscle tightness

10

actual leg length

difference more than 6mm
hip joint to long bone deficiency

11

apparent leg length

spinal or pelvic subluxation
difference more than 6mm

12

allis sign

one knee is shorter compared to the other
looking for ipsilateral femoral leg descrapancy (protrusion acetabuli, hip dislocation, hip fracture)

13

anvil

heel pain: calcaneous, tibia, fibula fracture
hip pain: arthritis, femoral neck fracture, infection

14

gauvain's

AVN, infection, fracture, gout
ipsilateral contraction of abdominal muscles
pain in hip
referred pain to groing or anterior thigh

15

hip telescoping

hip dislocation or hip displasia
excess joint play or palpable click in joint

16

patrick's

DJD, OA, RA, SCFE, AVN, fracture, strain/sprain
pain in hip or patient is unable to perform the test

17

ober's

painful or may drop with clonus, indicates iliotibial contraction

18

thomas

flexion contracture or shortening of iliopsoas on affected side
lumbar spine maintains lordosis or patient is unable to keep affected thigh flat on table

19

trendelenburg

paralysis or weakness of hip abductors on affected side
high iliac crest on supported leg and low iliac crest on lifted leg

20

ortolani

congenital femoral dislocation or instability in area
palpable click or "clunk"

21

abduction (valgus) stress

MCL strain or rupture
pain or increased motion/gapping

22

adduction (varus) stress

LCL strain or rupture
pain or increased motion/gapping

23

apley's compression

looking for meniscus tears
pain or crepitus with compression
internal rotation: lateral meniscus
external rotation: medial meniscus

24

patella ballottement

retropatellar effusion or intraarticular knee swelling
patela is slow to return to resting position
there is increased patella movement
patella feels spongy

25

bounce home test

meniscal tear
pain in joint or instability to fully extend knee

26

clarke's

chondromalacia patella or degeneration of patellofemoral joint
retropatellar pain

27

mcmurray

lateral meniscus tear while internally rotating and valgus stress
medial meniscus tear while externally rotating and varus stress

28

lateral pivot shift maneuver

ACL tear
patient feels like knee is joint to pop or give out

29

lachman

sprain or rupture of ACL
pain with normal translation (grade I)
pain with increased translation (grade II or III)
pain with or without increased ACL translation

30

drawer test

sprain or rupture of ACL and PCL
pain with normal translation (sprain)
pain with increased translation (rupture)
pain with or without increased ACL or PCL translation