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Osteopathy > Orthopaedic tests > Flashcards

Orthopaedic tests Flashcards

1
Q

Cervical Compression test

A

Tests for local sprain/strain, joint damage, facet irritation, Cervical sublux

increased radicular pain and or altered sensation in a dermatomal distribution

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2
Q

cervical distraction

A

Muscles, ligament or capsule increased pressure on nerve roots,

increased local pain
decreased radicular pain or altered sensation in a dermatomal distribution
decreased local pain (facet irritation)

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3
Q

thoracic slump test

A

increased pressure on nerve root

Reproduction of symptoms - shooting electrical leg pain

add trunk rotation - test intercostal nerves

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4
Q

Kemps/thoracic quadrant test

A

acute inflammatory lesions, local sprain/strain, facet irritation, spinal fracture

positive is local pain

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5
Q

lumbar kemps test

A

localised pain is positive for acute inflammatory lesion, local sprain or strain, facet irritation, spinal fracture
increased peripheral pain is positive for pressure on nerve root

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6
Q

lumbar slump test

A

reproduction of symptoms - shooting or electrical leg pain, is positive for increased pressure on the nerve root
local lumbar-sacral pain - acute inflammatory lesion, local sprain, strain, facet irritation, spinal fracture

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7
Q

straight leg raise

A

radicular leg pain - shooting or electrical leg pain - increased pressure on nerve root
localised low back pain - SI/Lumbar sprain/strain

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8
Q

femoral nerve traction test

A

pain radiation to anterior thigh - positive for femoral nerve or root compression

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9
Q

SI marching test

A

localised pain - SIJ or pubic joint fracture

excess motion - hyper-mobility or joint dysfunction

Decreased ROM - Ipsilateral SIJ dysfunction

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10
Q

Flamingo Test

A

localised pain - Ipsilateral SIJ dysfunction

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11
Q

Gaenslens test

A

SIJ or anterior thigh pain - SIJ sprain, instability

Elevation of extended hip - Iliopsoas contracture

NO SIJ pain - Lumbar of hip pain origin

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12
Q

thigh thrust

A

Pain in SIJ or Hip - SIJ pathology or hip pathology

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13
Q

SIJ compression

A

Posterior localised pain - SIJ posterior ligaments, fracture, SIJ dysfunction

Decreased posterior pain - SIJ instability

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14
Q

SIJ distraction

A

Anterior localised pain - Anterior SIJ or pubic JT sprain, fracture

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15
Q

Active slr

A

tbd

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16
Q

laslet cluster

A

SIJ distraction
Thigh thrust
FABER
Compression

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17
Q

scours test

A

increased local pain or crepitus is indicative of hip joint pathology, OA, capsuilitis, Labral tear, Acetabular impingement

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18
Q

Fabere test

A

Increased local pain or inability to do test is positive for Hip jt pathology, OA, capsuilitis, sprain or strain, tight adductors

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19
Q

Fadirs

A

pain and symptoms reproduction, positive for ant-sup impingement syndrome, ant labral tear and iliopsoas tendinitis

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20
Q

Fadir (post)

A

decreased local pain, positive for labral tear, ant hip instability, posterior inferior impingement

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21
Q

trendelenburgs sign

A

drop of opposite pelvis indicate weak gluteus medius, or unstable hip

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22
Q

Obers

A

tight ITB or trochanteric bursitis - to test TFL contracture or pain at hip possibly means trochanteric bursitis

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23
Q

clarks

A

retropatella pain indicative of chondromalacia patella, degen patella

24
Q

Bulge sweep

A

increased bulge - internal derangement, lig sprain or rupture, vascular damage

25
Q

appley compression

A

pain on compression and rotation - indicative of meniscal damage

26
Q

appley distraction

A

pain on distraction indicates capsule, ligament lesion, colateral lig sprain, decreased pain indicates meniscal lesion

27
Q

mcmurrays

A

pain or crepitus, indicates meniscal lesion (tibial int rotation is lat meniscus vice versa)

28
Q

ege’s

A

pain or crepitus indicates meniscal lesion - tibial int rotation - lateral meniscus

29
Q

thessalay

A

medial or lateral joint pain indicates meniscal lesion

30
Q

anterior draw test

A

pain or excessive motion indicates anterior cruciate ligament sprain or rupture

31
Q

posterior drawer

A

pain or excessive motion indicate posterior cruciate ligament sprain or rupture

32
Q

lachman

A

considered gold standard for ACL and PCL sprain and rupture

33
Q

ankle anterior drawer

A

excessive mtion, anterior talofibular ligament instability

34
Q

ankle posterior drawer

A

inc motion, post ankle ligament instability

35
Q

talar tilt inversion

A

pain on inversion, lat lig sprain

36
Q

talar tilt eversion

A

pain on eversion, deltoid lig sprain (rare

37
Q

speeds test

A

pain indicative of bicipital tendinitis, impingement syndrome, labral tear or bursitis

38
Q

yergason

A

pain - bicipital groove tendinopahy, tendon slipping out of groove, transverse humeral ligament pathology

39
Q

hawkins kenedy

A

increased local pain anterior lat and GH, indicates supraspinatus impingement

40
Q

neers

A

pain
int rotation - supraspinatus impingament or subacromial bursitis
external rotation - bicipital long head impingement

41
Q

empty can

A

pain - injury or lesion to supraspinatus

42
Q

obriens

A

pain - with int rotation - labral slap lesion - ac pathology
pain with ext rotation - biceps long head tendinopathy

43
Q

clunk

A

clunking or grinding - glenoid labral lesion

44
Q

Kims test

A

posterior shoulder pain - posteriorinferior labral lesion

45
Q

Cranks

A

pain - glenoid labral lesion

46
Q

cozens

A

pain or weakness - lateral epicondylitis

47
Q

mills

A

pain or weakness - lateral epicondylitis

48
Q

reverse cozens

A

pain or weakness - medial epicondylitis

49
Q

reverse mills

A

medial epicondylitis

50
Q

varus and valgus stress test

A

pain - lateral or medial ligament sprain

51
Q

finklesteins test

A

pain on lateral wrist - tenosynovitis abducir policis longus, extensorpollicis brevis

52
Q

phalens

A

pain, numbness - carpal tunnel syndrome

53
Q

reverse phalens

A

pain, numbness - carpal tunnel syndrome

54
Q

TFCC dorsal glide

A

pain or laxity area of tfcc - triangular fibrocartilage damage

55
Q

tinels at median or ulanr N sites

A

pain, numbness, tingle - neuropathy

56
Q

allens

A

skin blanched for more than 5 seconds - artery stenosis or occlusion

Osteopathy (4 decks)

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