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NPTE Musculoskeletal

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Question
Answer
Yergason's Test   * transverse lig/bic tendonitis.   P= sho neutral, elb 90d, FA pron. Resist SUP/ER of sho   .+ biceps pops out, pain  
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Speed's   bicipital tendonitis   P= UE full EXT, FA SUP. or Sho 90d FLEX, resist EXT   + pain biceps tendon  
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Neer's   impingement LHB or SupraS   sitting. Sho passive IR then ABD   pain in shoulder  
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Supraspinatus/Empty Can   tear or impingement of SupraS or possible suprascapular nerve neuropathy   P= Sho ABD resisted without rotation. Sho ABD resisted with IR/scapular plane   + pain or weakness in empty can position  
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Drop Arm Test   tear/rupture of RTC   P= sho passively ABD to 120d. Instruct to slowly lower.   + unable to perform  
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Posterior internal impingement test   impingement of RTC and Gtr tub or post glenoid and labrum   P= Supine. sho 90d ABD, max ER, 15d HADD   + pain in posterior sho  
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Clunk test   glenoid labrum tear   P= supine. sho full ABD. push humeral head anterior while ER   + clunk  
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Anterior apprehension sign   Hx of anterior sho d/l   P= Supine. sho 90d ABD, slowly add ER.   + apprehension  
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Posterior apprehension sign   hx of posterior sho d/l   P= Supine. sho ABD 90d in scapular plane. Posterior force thru elbow with simult IR/HADD   + apprehension  
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AC shear test   ACJ dysfunction   P= clasp hands and place heel of one on scap spine, other on clavicle. Squeeze to compress ACJ   + pain in ACJ  
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Adson's test   thoracic inlet   P: Sitting, find radial pulse. IL Cx rotation. EXT/ER sho with Cx EXT.   + neuro/vascular symptoms  
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Costoclavicular syndrome test (military brace)   thoracic inlet   P= sitting. find radial pulse. move sho down & back   + neuro/vascular symptoms  
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Wright hyperabduction test   thoracic inlet   P= sitting. find radial pulse. Sho max ABD/ER. deep breath, rotate Cx opp side.   + neuro/vascular symptoms  
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Roos elevated arm test   thoracic inlet   P= standing. Sho ER, 90d ABD, sl HADD, elbows 90d FLEX. Pt opens/closes hands for 3min slowly   + neuro/vascular symptoms  
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Elbow ligament instability   Varus force + laxity in radial collateral. Valgus force + ulnar collateral.   Elbow 0-20d flexion. Valgus/varus force    
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Tennis elbow test   lateral epicondylitis + pain   Elbow 90d flexion and supported. resist Wrist EXT/RD and forearm PRON with fist    
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Golfer's elbow test   Medial epicondylitis + pain   sitting with elbow 90d FLEX. Passively SUP, EXT elbow, EXT wrist.    
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tinel's   Ulnar nerve irritation   tap ulnar nerve at cubital tunnel    
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Pronator teres syndrome test   median nerve entrapment in pronator teres   Resist forearm PRON and elbow EXT simultaneously    
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Finkelstein's test   DeQuervain's tenosynovitis of APL or EPB   make fist with thumb inside, ulnar deviation    
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Bunnel-Littler test   MCP structure tightness. Tight capsule - both parts. Tight intrinsic mm if less with MCP EXT   MCP stabilized in sl EXT while PIP FLEX. Then MCP FLEX and PIP FLEX.    
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Froment's sign   ulnar nerve dysfunction - weakness of ADD pollicis   Pt grasps paper between 1st & 2nd digits. Pull paper out and watch for IP flexion of thumb.    
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Tinel's at wrist   CT compression of median nerve   tap CT    
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Phalen's   CTS   max FLEX both wrists x1min    
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Allen's test   vascular compromise   ID radial & ulnar arteries. Open/close fingers serveral times and then make fist. Occlude ulnar artery and open hand. observe for vascular filling. Repeat for radial    
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