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*Part II Supplemental > NMS Orthopedics > Flashcards

NMS Orthopedics Flashcards

1
Q

50% flexion and extension of the neck occurs in

A

Occ and C1

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2
Q

50% rotation of the neck occurs in

A

C1 and C2

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3
Q

Patient seated and place affected palm on top of the head and elbow same level of head

A

Bakody’s

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4
Q

+ Bakodys

A

Relief of pain

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5
Q

Bakody’s indicate

A

IVF encroachment

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6
Q

Patient seated rotates head from side to side, doc put pressure

A

Foraminal compression

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7
Q

+ Foraminal compression

A

Radicular or localized pain

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8
Q

Foraminal compression indicates

A

NR compression

Fact syndrome

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9
Q

+ Jackson, indicates

A

Radicular and localized pain
NR compression
Fact syndrome

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10
Q

Patient seated and actively rotates, laterally flex and hyperextend the neck to right. If no pain, patient asked to maximally laterally flex the neck. NO COMPRESSION APLIED

A

Maximum cervical compression

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11
Q

Maximum cervical compression + and indication

A

Radicular and localized pain
NR compression
Fact syndrome

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12
Q

DIstraction: +, indication

A

Positive= decreased pain, NR compression

Increased pain, Sprain strain

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13
Q

Shoulder depression + and indication

A

Pain,

NR Adhesion

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14
Q

Soto Hall +, indication

A

Localized pain

Fracture (anterior pain), Ligament damage (Posterior pain)

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15
Q

Patient actively maximally rotates and laterally flexed head to the affected side. Doc delivers vertical blow to patient’s head

A

Spurling

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16
Q

+Spurling, Indication

A

Pain in neck, shoulder, arm

Indicates SOL

17
Q

Valsalva +, indication

A

Radicular pain indicates SOL

18
Q

Patient sits erect while doc holds digital pressure bilaterally over jugular veins or put a blood pressure cuff around patients neck and pump to 40 mm/Hg hold for up to 30 seconds. If no pain instruct patient to cough.
COntraindicated with vascular compromised

A

Nefzinger

19
Q

Nefzinger positive, indication

A

Pain

SOL

20
Q

TOS tests

A
  1. Allen
  2. Adson
  3. Modified Adson
  4. Costoclavicular (edens)
  5. Wrights (Hyperabduction)
  6. Reverse Bakody
  7. ROOS
  8. Bikele
21
Q

Patient seated with elbow flexed and FA supinated, ask patient to pump hand and keep closed while doc occludes radial and ulnar arteries until hand is blanched. The patient slowly opens the hand while doctor opens one artery and records filling time

A

ALLENS

22
Q

+ Allens

A

Delay of more than 10 seconds

Indicates occlusion of corresponding arteries

23
Q

Patient seated, doc slightly abduct extend and externally rotate the arm. Patient rotates head towards tested side and extends the head. Patient takes deep breath

A

Adson’s

24
Q

Adsons +, indication

A

Alteration of amplitude of radial pulse

Indicates cervical rib

25
Q

Adsons AKA

A

Scalenus anticus test

26
Q

Adson negative, patient rotates head towards opposide side, extend head and take deep breath

A

Modified adsons

27
Q

Modified adsons AKA

A

Scalenus medius tes

28
Q

Mod. Adson’s + indication

A

Alteration of amplitude of radial pulse

Indicates Subclavian artery, Scalenius medius syndrome

29
Q

Dr palpates radial pulse while drawing patients shoulder downand back. Pt flex chin to chest

A

Costoclavicular / Edens

30
Q

Eden’s + indication

A

Alteration of amplitude or radial pulse

Indicates compression between 1st rib and clavicle

31
Q

Wright’s +, indication

A

+ if pulses are lost with more that 10 degree difference

Indicates Pec MINOR syndrome, Axillary artery

32
Q

Reverse Bakody’s + and indication

A

Increased pain

TOS

33
Q

Patient extends the head back, doc slightly abducts arm and applies downward traction on arm while taking pulse

A

Halstead

34
Q

Halstead + and indication

A

Alteration in amplitude of the radial pulse

Indicates cervical rib

35
Q

Cervical rib ortho

A

Halstead, Adsons (scalenus anticus)

36
Q

Patient actively abducts the shoulder to 90 degrees with elbow flexed to 90 degrees and then extend the shoulder. Now patient extend the elbow

A

Bikele

37
Q

+ Bikele and indication

A

+ is resistance and increase radicular pain

Indicates TOS, brachial plexus neuritis, and meningeal irritation

38
Q

Patient is seated, both arms at 90 degrees and patient abduct and externally rotates the arm. Patient repeatedly opens and closes fist for 3-5 mins

A

Roos

39
Q

+ Roos and indication

A

Reproduction of symptoms and unusual discomfort

Indicates TOS

*Part II Supplemental (28 decks)

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