PCM Special Tests

Question 1

2 tests for glenohumoral instability

Answer 1

Apprehension

Sulcus

Question 2

Yergason test - how

Answer 2

Like handshake

Doc monitor at bicipital groove, grasp pt wrist - have pt supinate and ext rotate

Question 3

Yergason test

+ test and indicates

Answer 3

+ pain or tendon subluxation out of groove

Indicates unstable bicipital tendon

Question 4

Speeds test

Answer 4

Forward flexed, supinated and flex elbow to 15 degrees

Question 5

Speeds test

+ test and indicates

Answer 5

+ pain in bicipital groove

Indicates bicipital tendonitis of long head biceps

Question 6

Neer impingement

Answer 6

Neer your ear - stabilize at shoulder

Indicates subacromial bursa or rotator cuff impingement

Question 7

3 tests for rotator cuff impingement

Answer 7

Neer
Hawkins
Empty can

Question 8

2 tests testing supraspinatous

Answer 8

Empty can

Drop arm test

Question 9

Empty can

Answer 9

Arm out, doc push down, pt resist

Indicates - rotator cuff impingement esp supraspinatous

Question 10

Drop arm test

Answer 10

slowly drop arm or doc tap on arm

+ indicates full tear supraspinatous

Question 11

Golfers elbow

Answer 11

Medial epicondylitis
Elbow flexed 90, supinated
doc resist pt flex wrist

Question 12

Tennis elbow

Answer 12

Lateral epicondylitis
Elbow flexed 90, pronated
doc resist extend wrist by pt.

Question 13

Valgus stress test - elbow

Answer 13

Slightly abducted, ext rotated, supinated and flexed to 30 degrees
Indicates MCL (ulnar CL too) injury
+ pain or laxity

Question 14

Varus stress test - elbow

Answer 14

Slightly abducted, internally rotated, flexed to 15 degrees
+ pain or laxity
Indicates LCL injury

Question 15

Tinel’s sign at wrist

Answer 15

Tap over transverse carpal l
+ pain, numb, tingle to thumb, index, middle = median n
Indicates median n entrapment - carpal tunnel syndrome

Question 16

Phalen’s sign

Answer 16

wrist flexion hold up to 60s
+ reproduction of median n sxs
Indicates carpal tunnel

Question 17

2 tests for carpal tunnel

Answer 17

Tinels

Phalens

Question 18

Finkelsteins

Answer 18

Thumb in fist, ulnar deviate
+ pain in 1st dorsal compartment
Indicates DeQuervain’s tensosynovitis

Question 19

Apley compression grind

Answer 19

Knee flexed push in and int/ext rot
+ pain with rot or compress
Indicates - meniscal injury or collateral ligament injury

Question 20

Apley distraction

Answer 20

Knee flexed pull up and int/ext rot
+ pain with rot or compress
Indicates - collateral ligament damage

Question 21

Anterior drawer test

Answer 21

Doc on foot, contact tibia and pull anterior
+ laxity
Indicates ACL problem

Question 22

Posterior drawer test

Answer 22

Doc on foot, contact tibia and push posterior
+ laxity
Indicates PCL problem

Question 23

Valgus Stress test - knee

Answer 23

Test at 30 (on docs hip) and 0
Assess for pain, quality of end feel and laxity
Indicates MCL problems

Question 24

Varus stress test - knee

Answer 24

Test at 30 and 0

Indicates LCL disruption

Question 25

Ankle Anterior drawer

Answer 25

grasp tib/fib and calcaneous - calcalneous anterior, should spring back + pain, laxity Indicates ATF ligament path/tear

Question 26

Talar tilt test

Answer 26

Contact tib/fib and calcaneous Invert talus to assess ROM + increased ROM, pain Indicates calcaneofibular l path/tear and some ATF

Question 27

Squeeze test

Answer 27

Squeeze distal tib/fib and release rapidly + pain Indicates syndesmosis path - high ankle sprain

Question 28

Thompson test

Answer 28

Pt prone, foot off table, squeeze calf + absence of plantar flexion Indicates Achilles tendon rupture

Question 29

Homan's sign

Answer 29

Pt laying with leg extended, doc dorsiflex foot and squeeze calf + pain Indicates thrombophlemitis or acute venous thrombosis

Question 30

Scour test

Answer 30

Central compartment hip Flex and ext rot hip, load into socket Run through annular ROM Indicates labral pathology

Question 31

Apprehension - FABER 1

Answer 31

Central compartment Doc induces external rotation by pushing at knee + anterior subluxation of hip, pain Indicates anterior labral pathology

Question 32

Central compartment hip tests

Answer 32

CSA Scour Apprehension - Faber 1

Question 33

Peripheral compartment hip tests

Answer 33

PER Ely's Rectus femoris test

Question 34

Ely's test

Answer 34

Peripheral compartment Pt prone, flex knees + - ipsilateral hip raises off the table Indicates rectus femoris contracture

Question 35

Rectus femoris test

Answer 35

Leg off the table Looking at knee angle + less than 90 degrees Indicates rectus femoris contracture

Question 36

Lateral compartment hip tests

Answer 36

LOT P Ober's test Trendelenberg Patrick's - Faber's 2

Question 37

Ober's test

Answer 37

``` Lateral compartment LR, doc behind pt Abduct leg and lower while stabilizing hip + inability to adduct Indicates IT band contracture ```

Question 38

Trendelenburg

Answer 38

Lateral compartment Pt lift one leg + inability to hold hips level Indicates contralateral gluteus medius weakness

Question 39

Patrick's - FABER 2

Answer 39

``` Lateral compartment doc brace contralateral ASIS Pt pushes down against doc hand + pain, weakness Indicates gluteus medius pathology ```

Question 40

Anterior compartment hip tests

Answer 40

APT Patricks - Fabers 3 Thomas test

Question 41

Patricks - Fabers 3

Answer 41

Anterior compartment Push up against docs hand Indicates iliopsoas pathology

Question 42

Thomas test

Answer 42

Leg off table, looking at hip extension + inability to extend at hip Indicates hip flexor contraction