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ortho tests
ortho test-positive finding
| Ortho Test | Positive Finding Significance |
|---|---|
| Adson's Test | TOS (ant scalenes) [px] |
| Compression Test | IVF encroachment [cerv and/or radicular px] |
| Distraction Test | soft tissue [px]; N root compression [relief of px] |
| Spurling's Foraminal Encroachment Test | N. root irritation [if radicular-facet if local] |
| Kernig's Test | Meningeal irritation-px prevents completion |
| Brudzinski (soto-hall) | Meningeal irritation-buckling of knees |
| Gaenslen's Supine Test | Sacroiliac joint tension-exacerbation of px |
| True Leg Length | ASIS to medial malleolus |
| Apparent Leg Length | Umbilicus to medial malleolus |
| Ely's Test | Lumbar N. Root |
| Nachlas | SI or LS lesion - local px at site of lesion or radiating px down nerve |
| Yeoman's Test | Hip of SI lesion-px deep in SI joint |
| Bechterew | Disc lesion-px down affected leg |
| Minor's Sign | Sciatica |
| Gower's Sign | Muscular dystrophy |
| Toe Walk | S1 n. root/L5 disc |
| Heel Walk | L5 n. root/L4 disc |
| Supported Adam's | px on flexion-pelvic problem |
| Neri's Bowing Sign | Lumbar m. spasm or sciatic-flexion of knee on affected side to relieve px or tension |
| Kemp's | lumbar facet syndrome-local px w/wout radiation |
| Trendelenberg | weakness oppo glut medius (MS)-hip on side or raised leg is lower |
| Gillet Test | Sacroiliac fixation-ilium fails to move posterior, medial and inferior |
| Lewin-Gaenslen's | SI joint px |
| Iliac Compression | SI joint px |
| Ober's Test | TFL contracture-leg does not fall, or does in clonus |
| Burn's Bench | Malingering-refuses/unable to perform |
| Hoover's Sign | Malingering-no downward pressure on unaffected leg |
| O'Donohue Test | Sprain-ligament px on passive mvmt; strain-muscle, px on active mvmt |
| Dejerine's Triad | SOL, disc, compression fx-radicular px |
| Valsalva | space occupying lesion-radicular |
| Millgram's Test | SOL-LBP |
| Apley's Scratch Test | Decreased active ROM-limited mvmt |
| Codman's Drop Arm | Rotator Cuff tear, esp. supraspinatus-shoulder px and hunching of deltoid |
| Apprehension | Chronic shoulder dislocat |
| Dawbarn | subacromial bursitis-pxful spot disappears under dr's fingers as arm is abducted |
| Yergason's Test | Tear of tranverse humeral lig-bicipital tendon instability-px or audible click at bicipital groove |
| Cozen's Test | Lateral epicondylitis/tennis elbow-px in elbow over lat epicondyle |
| Mill's Test | Lateral epicondylitis-px in lat elbow |
| Stability Test | Tear of collateral and/or capsular lig |
| Tinel's Sign | Neuritis, neuroma or regeneration of ulnar n.-px, tingling distal to n. |
| Phalen's Test | Carpal tunnel syndrome-px or redup of sx |
| Finkelstein's Test | Stenosing tenoynovitis/Dequervain's disease-px in anotomical snuffbox |
| Tinel's | Carpel tunnel-median n. lesion-px, paresthesia in hand |
| Froment's Paper sign | Ulnar n. lesion-pt flexes thumb in order to hold it, due to paralysis of adductor pollicis |
| Pinch grip test | median n. compression (entrapment in pronator teres) |
| Drawer Sign | Injury to anterior or posterior cruciate ligaments-excess mvmt pulling fwd-ant cruc; excess mvmt back-post cruc lig |
| Bounce Home Test | Meniscus damage-incomplete ext and has rubbery resistance to further ext (vs. sharp endpoint) |
| McMurray's Test | Meniscus tear-pxful click-medial menis (external); in medial rot. pxful click-lateral meniscus (internal) |
| Reduction Click Test | Meniscus had slipped back into place-click sound during rotation and ext |
| Effusion Test - Major | Joint effusion-rebound of patella |
| Effusion Test - Minor | Minor effusion-tap causes fluid to wave over to lateral side of the joint |
| Grinding Test for Patella | Roughening of the articular surface (chondromalacia patella)-palp crepitus |
| Apprehension Test | Chronic patellar dislocation-look of apprehension |
| Stress Tests | Collateral lig disruption-px/inc laxity in valgus=medial collateral; in varus = lateral collateral |
| Apley's Compression Test | Meniscus damage-px; in medial rot.-lat meniscus, in lateral rot.-medial meniscus |
| Apley's Distraction Test | Collateral ligament damage-in medial rot.=lat collat lig;in lat. rot.=medial collat. lig |
| Homan's Sign | Thrombophlebitis |
| Anterior Foot Drawer | Instability of ant. talofib. lig |
| Stability Test | Ligament tear-invert calc=gapping (ant talofib/calcaneofib lig); evert calc=deltoid lig gapping |
| Thompson's/Simmond's/Achille's Continuity Test | Rupture of achilles tendon-lack of plantar flexion |
Created by:
pcelvfrdm
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