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foot special tests

        Help!  

special test
how it's done
+ sign
what it's for
toe tap/percussion   flick toe/tap toe   pain   fracture  
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intermetatarsal glide   MT heads moved in opposite direction up and down   pain, increased glide   muscle injury, interosseous tear  
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Morton's test   squeeze first and fifth mets   pain   stress fracture, interdigital nerve compression  
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valgus/varus test of mtp/ip joints   valgus/varus force applied to joint of toes   pain   collateral ligament sprain  
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ant./post drawer   pull ankle forward backward   laxity   ant. /pot. talofibular ligament  
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talar tilt(ankle neutral)   invert by rolling calcaneus medially   laxity   calcaneofibular ligament  
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talar tilt (ankle plantarflexed   invert by rolling calcaneus medially   laxity   calcaneofibular/ anterior talofibular ligament  
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eversion test   evert by rolling calcaneus laterally   laxity   deltoid ligament  
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bump test   bump calcaneus w/ palm   pain   ankle fracture  
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pott's compression squeeze test   squeeze fibula and tibia together   pain   fracture or anterior TIBIOFIBULAR ligament and interosseous membrane sprain  
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talar torsion   df and externally rotate   laxity   ant. tibiofibular ligament and interosseous membrane  
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thomson's test   squeeze calf (prone) watch plantarflexion   plantarflexion   rupture of achilles tendon  
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percussion test   tap tib/fib   pain   fracture  
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kleiger's test   foot externally rotated in neutral/plantarflexed position   pain   deltoid ligament tear  
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homan's sign   passively df foot while knee is extended   pain in calf   deep vein thrombophlebitis  
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tine's sign   tap posterior to medial medial mal   pain   tarsal tunnel  
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grind test (clarkes sign)   Pressure on superior pole, downward pressurePatient contract   can't hold contraction   chondromalacia  
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apprehension test   move patella laterally   pain contraction of quads   patellar subluxation  
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hughston's plica   Examiner passively flexes and extends knee while simultaneously internally rotating tibia while pushing on patella mediallyPalpate medial femoral condyle   pain   abnormal medial plica  
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full passive ROM   take through ROM   can go through ROM   rule out locking of joint, joint effusion  
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McMurray Test   Valgus/er/flexVarus/ir/ext   joint line pain, popping or clicking   valg/er= medial meniscusvarus/IR= lateral meniscus  
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apley's compression/distraction test   Prone, flexed 90Rotate tibia w/ compressionRotate tibia w/ distraction   pain   Pain w/ compression=meniscal tearPain w/ distraction = collateral ligament trauma  
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duck walk   deep squat/walk like duck   pain   post. horns of menisci  
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bounce home   Supine, knee flexedPassively allow the knee to extended   doesnt extend   springy block due to meniscal injury  
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valgus test 15-30 degrees/full extension   Valgus force applied to knee while distal tibia moved laterally   pain/laxity   15-30 mclfull ext - mcl and acl  
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varus test 15-30/full ext   opposite of valgus   pain/laxity   lcllcl and acl  
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ant/ posterior drawer   hip flexed 45 knee 90Grab tibia below joint lineDraw tibia anteriorly/posteriorly   pain laxity   acl/pcl  
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slocum test   Like ant. Drawer but int/externally rotate tibia   Increased amount of ant. Tibial translation, lack of firm end point   Anteriomedial/anteriolateral rotary instability  
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lachman   pull tibia anteriorly, push down on femur   laxity, pain   acl  
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sag test   Hip @ 45 degKnee @ 90 deg   post sag of tibia   pcl  
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godrey's test   Supine with knees extended and legs togetherLift legs and hold them parallel to table   post sag of tibia   pcl  
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supra patellar puch (sweep tset)   squeeze, make bulge   pouch   joint effusion  
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obers   Passively flex knee and hip bringing hip into ABD and extension so ITB clears greater trochanterAllow leg to slowly aDDuct   doestnt adduct   itb  
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nobles   Apply pressure to the lateral femoral condyle as the knee is passively or actively extended   pain over lateral condyle (under where examiner thumb is)   itb  
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longitudinal compression   longitudinal force placed along shaft of toe   pain   fracture  
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distraction test   pull out toe   pain   fracture, ligamentous laxity  
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