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NPTE > Ortho > Flashcards

Ortho Flashcards

(136 cards)

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1
Q

Open-packed position

A

Pos. Of best Mobilization
Capsular slack

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2
Q

Goniometry Algorithm

A

Joints/P. education/joint Play with end feel/clinical estimate/ record start position/record end position

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3
Q

666 Rule -1st

A

6 weeks max protection
(ROM/ ACTIVATION MINIMAL)

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4
Q

666 Rule -2nd

A

6 weeks moderate protection
Controlled progressive loading

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5
Q

666 Rule -3rd

A

6 months RTS
High velocity & high load

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6
Q

Pancoast Tumor - def + symptoms

A

Apical Segment of lung -> mimics Thoracic outlet
-Lungs Symptoms
-Horner Syndrome

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7
Q

Horner Syndrome

A

Sympathetic trunk symptoms
-Enophthalmus/ eye sunken in
- Anhidrosis/ decr sweating
-Ptosis / hanging eyelid
-Miosis/ contraction pupils

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8
Q

Osteosarkoma

A

> 10-25y boys
Painful lump FX
Sunburst on X-Ray near epiphyseal plate

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9
Q

Ewing Sarcoma

A

Sunburst FC on X-Ray
Long Bones near diaphysis

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10
Q

Scapulohumeral Rhythm upwards rotation

A

SALUT
Serratus ant
Lower graph
Upper trapz

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11
Q

Scapulohumeral Rhythm downwards rotation

A

Love Rhamin
Levator Scap
Rhomboideus
Pec min

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12
Q

Scapula Assistance Test

A

Scapula dyskinesia
–> pain decreases with help

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13
Q

O’Briens Active Compression Test

A

SLAP lesion=
Arm ausgestreckt +IR, dann ER
–> erst pain/click, dann disappeared

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14
Q

Biceps Load Test 1 &2

A

SLAP=
supine + 90°/120° ABD +MAX ER

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15
Q

Yergason’s Test

A

SLAP/ long head biceps tendonitis/ transverse lig tear
90°ELBOW +ER -> Palpate in biceps Grove

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16
Q

Clunk Test

A

Glenoid Labrum tear
Supine 90° ABD +PT moves shoulder anteriorly

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17
Q

Speed Test

A

SLAP + biceps tendonitis
Elbow EXT + ER causes pain in biceps grove
In neutral or 90°anteex

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18
Q

Apprehension Test - Instability posterior

A

90°ABD/Flex+IR + force into IR

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19
Q

Apprehension Test - Instability anterior

A

90° ABD + slow ER

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20
Q

Hawkins-Kenned Test

A

Impingements bony/primary
90 ABD + Moving into IR

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21
Q

Neer Test

A

Impingement Muscles/secondary
Maximal Anteflex

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22
Q

Painful Arc

A

Pain at:
60-120°= subacromiales Impingement
170-180° = AC Joint

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23
Q

Drop Arm Test

A

RTC tear (supraspinatus)
Start 90ABD + slowly lower UE
-> drop or pain

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24
Q

Lag Sign- ER

A

= supraspinatus/infraspinatus
Hold ER!

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25
Lag Sign - IR
Subscapularis tear Schützengriff lift off test
26
Empty Can Test / Jobe Test
Supraspinatus 90flex + Hor ABD + IR + cranial pressure Weak or prod of symptoms
27
Hornblowers Sign / Pattes Test
Teres minor tear 1st) resisted ER -> unable 2nd) hand to mouth -> ABD incr/ shoulder elevation
28
Adson Maneuver/Test
1st rib involvement when no radial pulse
29
Roos Test
Neurovascular compromise -Inability to hold 3min -Ischemic pain -Neurovascular symptoms (tingle/numb)
30
Allen Test
1st rib involvement -> no radial pulse
31
Halstead Maneuver/Reverse Adson Test
Reverse Adson -> head rot + ext same side + shoulder ER + 15°ABD positive= no radial pulse --> scale e triangle bias
32
Adhesive Capsulitis
Decr ROM: ER>ABA> IR Painful Arc In: female > 40y/ immobilization/ hypothyroidism
33
34
Special Tests for ANTERIOR GH instability:
Apprehension Test Relocation Test
35
Special Tests for POSTERIOR GH instability:
Jerk Test- comp + hor ADD (clunk) Sulcus Sign - pull arm down Miniaci Test- comp+ from hor ADD+IR to Hor ABD+ ER
36
Special Tests for Subacromial Impingement:
Hawkins Kennedy Neer Painful Arc Empty Can
37
Special Tests for Rotator Cuff (5)
Drop Arm Test Ext Rot. Lag Sign Infraspinatus Test Hornblowers Sign Internal Rot Lag
38
Special Tests for AC Joint
Hor. ADD Test Paxinos Sign
39
Special Tests for SLAP (7)
O'Briens Biceps Load Test II Anterior Slide Test Crank/Compression-Rotation Test Yergasons Speed's Clunk
40
Special Tests for Thoracic Outlet (6)
Adson Test Roos Test Costoclavicular Test 30s protra/retra/elevation Wright test -1. pitcher pos 2. max flex Military Brace Edens test - ER+ distraction + clavicular compression
41
Special Tests for Elbow
Elbow Ext Test Varus/Valgus Stress Moving Valgus Stress Elbow Flex Test (Cubital Tunnel-Ulnar N) Pinch Grip (ant. Interosseous nerve)
42
Special Tests for Wrist/de Quervains
Finkelsteins Eichhoffs Wrist hyperABD
43
Transverse Ligament Test
Supine + sublux C1 on C2 anterior Transverse Lig holds Dena of Axis
44
Alar Ligament Test
Latflex of C1 causes IMMEDIATE movement if C2 Ligament in V position
45
Sharp Purser Test
Fixate C2 and push forehead/C1 posterior --> relocation - causes clunk or reduction of symptoms
46
Spondylosis:
DDD/DJD
47
Spondylisis
Fx of Pars interarticulatis =Scotty Dog Fx
48
Spondylolisthesis
Anterior Slippage of proximal vertebra Classification: 1-5 in 25% increments
49
Symptoms of Vertebral Artery Dissection
5D's + 3 B's Diplopia, Dysarthria, Dizzy, Dysphagia, Drop Attacks Nystagmus, Nausea, Numbness
50
Differential diagnosis Vertebral Artery Dissection
BPPV Vertebral Artery Test supine vs seated
51
Degenerative Disk Disease Follow up issues + treatment direction
Loss of intervertebral disk height -> causes spinal stenosis -> prefer flexion movements (relieves spinal compression)
52
Herniated Nucleus Pulposus, symptoms & preferred mvmt
Nerve root compression: light touch, weakness, decreased reflexes -->Prefer Extension mvmts
53
Radiculopathy =
Nerve root Impingement Causes: HNP, arthritic changes, DDD, ank. Spindylitis
54
Straight Leg Raise Test: Differential Diagnose Sciatic Nerve
Classic Lasegue's Hip flex Knee ext Ankle dflex
55
Straight Leg Raise Test 2 : Differential Diagnose: Tibial Nerve
TED Knee ext Ankle dflex Foot eversion Toes extension
56
Straight Leg Raise Test 3: Differential Diagnose: sural Nerve
SID Knee ext Dflex Inversion
57
Straight Leg Raise Test 4: Differential Diagnose Common Peroneal Nerve
PIP Hip flex+ IR Knee ext PFlex Inversion
58
Straight Leg Raise Test 5: Differential Diagnose Nerve Root/disc Prolapse
Cross SLR (asymptomatic leg) Hip flex Knee ext Dflex
59
Which Muscles are affected by De Quervain's?
Abd pollicis longus Extensor policies brevis
60
Phalens Test
Carpal tunnel syndrome Median nerve Finger point down/PFlex 1min hold
61
Tinel test
Tapping along median nerve distribution
62
What's normal range for 2point discrimination test
6mm
63
Hip Scour Test
Hip Pathology Max flex + compression + circumduction NO ROTATION
64
Tests for Hip Pathologies general
Scour Test Patrick/FABER Test
65
Special Test for Labral Lesion AND FAI - Hip Joint
FADDIR
66
Special Tests for Muscles of Hip
Over's Test -ITB Thomas Test- iliopsoas Ely's Test- rectus fem 90-90 hamstring test Piriformis Test Trendelenburg
67
Special Tests for Hip Fx
Patellar-pubic percussion test
68
Special Tests ant Instability of the knee
Lachmann Anterior drawer
69
Special Tests post Instability of the knee
Post drawer Post Lag Sign
70
Special Tests for Meniscus
McMurray's -max flex + IR/ER + extend Thessaly Test - standing loaded Rot Apley's Test- prone Rot + tract/compre
71
Wrist special Tests for Ligaments/Capsule/joint instability
-Ulnomeniscaltriquetral dorsal glide -Watson test / scaphoid shift test -Interphalangeal joint varus/Valgus Stress test
72
Special Tests ant-lat Instability of the knee
Pivot shift test
73
Thessaly Test
Standing loaded rot
74
McMurray's Test
Meniscus Max flex + IR/ER + extend
75
Apley's Test
Meniscus Test Prone Rot in compression/ distraction Compression pain= Meniscus Distraction pain= ligaments
76
Special Test patello-femoral instability
Patella Apprehension Test Patella Tilt Test
77
Noble Compression Test
ITB friction Syndrome
78
Special Test knee swelling
Brush/stroke test
79
Ottawa Knee rules
Injury + 55y Isolated patella/fibula head tenderness <90 knee flex Inability to bear weight (immediately)
80
Ankle Sprain Grade I
No loss of function Minimal tearing of ATFL
81
Ankle Sprain Grade II
Some loss of function Partial tear ATFL & CFL
82
Ankle Sprain Grade III
Complete loss of function Complete tear ATFL + CFL + partial tear PCFL
83
Special Test for ATFL (2)
1.) Talar Tilt Test: Max PFlex+ Inversion 2.)Anterior Drawer Test Supine, foot over table, knee flexed, ankle 20°Pflex Pull on heel anteriorly
84
Special Test CFL
Talar Tilt Test: neutral + Inversion
85
Special Test for Deltoid Ligament
Medial ankle Talar Tilt Test: neutral + Eversion
86
Special Test PCFL
Talar Tilt Test: DFlex + Inversion
87
Medial Subtalar Glide Test
Fix Talus+ mob calcaneus medially
88
Special Tests for Syndesmosis (3)
-Kleiger's Test / ER Stress Test (neutral) - DFlex -ER Stress Test (Max Dflex) -Squeeze Test
89
Thompson Test
Achilles Tendon Rupture
90
Special Test for Achilles Tendon Rupture
Thompson test- supine + squeeze calf muscle -> when no PFlex = Rupture
91
Special Test for Plantar Fascitis
Windlass Test: WB/NWB + toe extension
92
Ottawa Ankle Rules
Bone tenderness: - lat./med. malleolus + umm prox OR 5th - inability to walk 4 steps immedia +ER
93
SPECIAL Test for Atlanto-Axial dysfct
Flexion-Rotation Test
94
SPECIAL Test for cervical Nerve Root Path
Spurlings Test/Foraminal Compression -> lat flex + compression
95
Spurlings Test
Lat flex + compression cervical Nerve root
96
SPECIAL Test for cerv intervertebral Foramen & Facet joints
maximal Compression Test
97
Distraction Test
Facet joints/ intervertebr Foramen Decrease symptoms
98
Shoulder ABD Test
Hand placed on head Cervical root Pathology Decrease symptoms
99
Lhermittes Sign
UMN lesion/ Multiple Sklerosis Cervical Flex + sharp mid Thoracic pain
100
Alar Lig Test
Cerv latflex -> C1+C2 DON'T move together immediately = positive
101
Sharp Purser Test
Transverse Ligament Test Seated + light cerv flex + fix C2 + Post pressure -> excessive motion, clunk = pos
102
Consideration for C1/C2 instability/laxity
Marfans, Down Syndrome, pregnancy -->Spinal cord compression in ant translation/flexion
103
Femoral Nerve Traction Test
Side Lying + hip ext -> ant pain
104
Special Test for Space Occupying lesion Lumbar spine
Valsalva
105
Quadrant Test
Standing / lumbar spine 1.) lat flex + rot+ ext => intervert. Foramen 2.) latflex+ contralat rot + ext =>Facet joint dysfunction
106
Special Test for Spinal Stenosis or intermittent Claudication
Van Gelderen's Test Biking erect-> claudication Biking slumped -> stenosis/compression
107
Schober's Test
Ankylosing Spondylitis Forward Flexion 2=bad >4= great
108
SiJ Special Tests (7)
Gillet's Test Thigh Thrust Gaenslen Test Long Sitting Test Goldthwait's Test Side Lying Compression Supine Iliac Distracti Test/Gapping Test
109
Gillet's Test
- stand Hip Flex + palp SIPS
110
Thigh Thrust:
SIJ test 90° hip + post thrust
111
Gaenslen Test:
leg max flex + other max ext
112
Goldthwait's Test:
passive SLR + palp lumbar joint spaces Area of movement + pain indicates krigin
113
Craig's Test
Femoral ante version Normal 8-15°
114
Excessive anteversion means:
Increased IR Decreased ER Toe in
115
Isokinetic exercise
Same speed Varying intensity possible Biking
116
Maitland Grade I
Oscillation small amplitude Before beginning tissue resistance
117
Maitland Grade II
Large Amplitude oscillation before beginning tissue resistance
118
Maitland Grade III
Large Amplitude oscillation Into tissue resistance
119
Maitland Grade IV
Small amplitude oscillation Into tissue resistance
120
Maitland Grade V
High velocity Low amplitude thrust At end of joint movement
121
Shoulder separation means
Torn superior and inferior acromioclavicular Ligament
122
Which Ligament is likely torn with anterior shoulder dislocation?
Inferior glenohumeral ligament
123
Which Ligament is likely sprained with forceful external rotation?
Coracohumeral Ligament
124
Which Ligament is likely torn in conjunction with a SLAP tear?
Transverse humeral Ligament --> hold long head of biceps in place
125
When to start gentle mobilization of elbow after Ulnar Fx?
As early as 2 weeks
126
What to avoid with sacroiliac symptoms (deep, stabbing buttock pain)?
Avoid SL weight eating exercise Avoid crossing legs when sitting
127
Small size tear of supraspinatus=
0-1cm
128
Medium size tear of supraspinatus=
1-3cm
129
Large size tear of supraspinatus=
3-5cm
130
Massive size tear of supraspinatus=
>5cm
131
Wartenberg's Syndrome+ test
Entrapment of superficial radial sensory nerve Tapping snuff box
132
Radial tunnel location, nerve affected and symptoms
-Posterior interosseous nerve Prox forearm -Weakness/loss of motorfunction FINGER EXT + Abd poll
133
Early intervention + caution after PCL reconstruction
45° closed chain/squat = okay - NOT >60-70° DUE post translation - NOT STANDING FLEXION 6-12 WEEKS - NOT LEG CURLS 5-6 MONTHS
134
Which test is best to rule IN herniated disc or lumbosacral radiculopathy?
Crossed straight leg raise
135
Which test is best to rule out lumbosacral radiculopathy?
SLR / Lasegue's
136
Tests for Patello-femoral pain syndrome PFPS
Patella Tilt Test -> targeting retinaculum

NPTE (8 decks)

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