Ortho Exams Week 9 Flashcards
(58 cards)
What is the patient position for apprehension test for patella?
supine
What ortho test is this?
-patient is supine
-doctor displaces patella with both hands medially and laterally while looking at patient’s face
apprehension test for patella
What is a positive sign for apprehension test for patella?
patella feels like it’ll dislocate or pain in facial expression, quads may contract to stop motion
What does a positive sign for apprehension test for patella indicate?
chronic patellar dislocation
Patella most often dislocates in what direction?
laterally
What is the patient position for hughston plica test?
supine
What ortho test is this?
-patient is supine
-doctor flexes hip and knee to 90 degrees, internally rotates the tibia and extends the hip and knee while displacing patella medially
hughston plica test
What is a positive sign for hughston plica test?
popping or snapping or pain usually on medial side indicates catching of the plica (between patella and femur)
What does a positive sign for hughston plica test indicate?
plica syndrome
Snapping or pain on the medial/anterior knee is part of the patient complaint along with pain descending stairs. __________ is a remnant of excessive joint capsule tissue that did not diminish sufficiently during the 2nd trimester of fetal development
Plica
What is the patient position for wilsons test?
seated
What ortho test is this?
-patient is seated at the edge of table with knees bent at 90 degrees
-doctor internally rotates tibia and has patient actively extend their knee
-pain is felt at approx 30 degrees of knee flexion
-tibia is then returned to neutral and pain stops
wilsons test
What is a positive sign for wilsons test?
pain from encroachment of intercondylar eminence on the lesion at 30 degrees with tibia rotated internally
What does a positive sign for wilsons test indicate?
osteochondritis dissecans
Avascular necrosis of the medial femoral condyle is most common. Affects teens and young adults who jump/land frequently
osteochondritis dissecans
What is another name for ballottoment test?
patellar tap test
What is the patient position for ballottoment test/ patellar tap test?
supine
What ortho test is this?
-patient is supine
-doctor pushes patella down into tibia and femur with superior index finger and thumb
ballottoment test/ patellar tap test
What is a positive sign for ballottoment test/ patellar tap test?
patella will float as if there is fluid pushing it, may hear click or tapping sound if a large effusion is present
What does a positive sign for ballottoment test/ patellar tap test indicate?
effusion/joint mice or edema from patellar tendonitis
effusion-colloquially known as “water on the knee”
What are the 5 ankle stability tests?
1) anterior and posterior ankle drawer test
2) medial and lateral stability test
3) klieger’s test
4) cross leg test
5) thompson’s/ simmonds test
What is the patient position for anterior and posterior ankle drawer test?
supine
What ortho test is this?
-patient is supine
-anterior:
»doctor has one hand over distal anterior tibia while other hand has finger and thumb wrapped around achilles
»tibia is pushed posteriorly and then the talus and calcaneus are pulled anteriorly
-posterior:
»doctor has one hand on distal posterior tibia while gripping anterior talus and pushes talus and calcaneus posteriorly
anterior and posterior ankle drawer test
What is a positive sign for anterior and posterior ankle drawer test?
excessive movement
