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ortho test-positive finding

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