Ortho 3 - Special Tests
Terms
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- special tests for SI joint pain
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1) Patrick's (FABER) test
2) Pelvic compression test
3) Gaenslent's test - special tests for Piriformis syndrome
- 1) Piriformis test
- special tests for leg length discrepancies
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1) visual method
2) true leg length
3) apparent leg length
4) Trendelenburg test
5) Thomas's test
6) Ober's test - special tests for ACL laxity
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1) Lachmann's test
2) Anterior drawer test
3) pivot shift test - special tests for PCL laxity
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1) posterior drawer test
2) quad active drawer test
3) posterior sag sign (Godrey's sign) - special tests for MCL laxity
- 1) valgus stress test
- special tests for LCL laxity
- 1) varus stress test
- special tests for posterolateral corner injury
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1) excessive external rotation
2) posterolateral drawer test
3) reverse pivot shift
4) external rotation (varus) recurvatum test
5) external rotation test - special tests for meniscal injury
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1) joint line tenderness
2) McMurray's test
3) Apley's compression and distraction
4) squat test / duck walk / Childress' test
5) bounce home test - special tests for patellofemoral injury
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1) patellar tilt
2) patellar grind
3) patellar glide
4) patellar apprehension
5) J-sign - special tests for lateral ankle instability
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1) anterior draw test
2) talar tilt test - special tests for syndesmotic injury
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1) squeeze test
2) abduction ER stress test - special tests for achilles tendon injury
- 1) Thompson's test
- special test for tarsal tunnel syndrome
- (+) Tinel's sign
- special test for tibial nerve entrapment
- Electromyelogram (EMG)
- (+) Trendelenburg test indicates
- weak gluteus medius muscle (unsupported hemihip will drop)
- (+) Thomas's test indicates
- hip flexion contracture (if present, pts straight leg will lift off of table)
- (+) Ober's test indicates
- ITB contracture (inability to adduct the hip past midline)
- (+) Lachman's test indicates
- ACL laxity (#1 test)
- (+) anterior draw test indicates
- ACL laxity
- (+) pivot shift test indicates
- ACL laxity (reduction of the knee w/ a clunk at 20-30 deg of flexion)
- (+) posterior draw test indicates
- PCL laxity (tibia displaces past the neutral medial jt line of femur)
- (+) quad active drawer test indicates
- PCL laxity (knee pain against resistance)
- (+) posterior sag sign (Godfrey's sign) indicates
- PCL laxity (posterior dubluxation of the tibia in relation to the femur)
- (+) valgus stress test indicaes
- MCL laxity (>5mm opening of medial joint)
- (+) varus stress test indicates
- LCL laxity (>5mm opening of lateral joint)
- (+) excessive external rotation indicates
- posterolateral corner injury (involved leg rotates more than uninvolved leg)
- (+) posterolateral drawer test indicates
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- isolated PCL injury if diminished translation
- combined PCL/LCL injury if increased translation - (+) reverse pivot shift test indicates
- posterolateral corner injury (shift occurs w/ a clunk as knee flexed 20-30 deg)
- (+) external rotation (varus) recurvatum test indicates
- posterolateral corner injury (injured knee falls into varus and hyperextension, and tibia rotates externally)
- (+) external rotation test indicates
- posterolateral corner injury (injured limb passively rotates externally more than ininjured limb)
- (+) joint line tenderness indicates
- meniscal tear
- (+) McMurray's test indicates
- meniscal tear (painful clunk as torn meniscus is trapped during procedure)
- (+) Apley's compression and distraction test indicates
- meniscal tear (no pain on distraction (FOS otherwise), pain w/ external rotation = medial tear, pain w/ internal rotation = lateral tear)
- (+) squat test (duck walk, Childress test)
- meniscal tear (pain)