Shared Flashcard Set

Details

LE SPecial Tests
LE Special Tests
41
Anatomy
Graduate
04/12/2012

Additional Anatomy Flashcards

 


 

Cards

Term
Anterior/posterior drawer test with foot rotated med/lat (pull straight out)
Definition

Anteromedial/lateral instability

posteromedial/lateral instability

 

Quadrant Drawer Test

Term
Anterior drawer test with 15° ER and 30° IR
Definition

tests anterior rotary instability

 

Slocum's Test

Term
POsterior drawer in slight med and lat rotation
Definition

Posterior rotary instability

 

Hughston's Test

Term

PT stands on 1 leg in slight knee flex and rotates L and R

 

(+) pain with rotation and feeling of instability

 

(+) if pain is at joint lint (Merke's Sign)

Definition

tests rotary instability and meniscus

 

Disco test

Term

Start with knee flexed at 30°, support foot and allow knee to “drop” into ext.

-Rubbery or springy rebound (something blocking ext) – usually torn meniscus

Definition

Tests Meniscus

 

Bounce Home

Term

In supine, take knee from fully flex à ext:

Medial – add varus stress & lat tibial rotation

Lateral – add valgus stress & medial tibial rotation

Definition

Tests Meniscus

 

McMurray

Term

With pt in prone, knee flex to 90 med and lat rotate tibia with rotation (menisci) and distraction (ligamentous tissue – prob coronary ligs)

*Can perform in varying degrees of flex – use towel above the patella

Definition

Tests Meniscus and Ligamentous tissue

 

Apley's Compression and Distraction

Term

Pt side lying, tested hip passively abd and ext (examiner stabs pelvis) – slowly lower leg to plinth

-+ = leg does not add but IR to plinth

-Do with knee flex/ext

Definition

tests TFL and IT band

 

Ober's test

Term

Pt side lying (or supine) with knee flex to 90. Maintain pressure on ITT while pt actively ext knee

-Painful response occurs as ITT crosses over lat epicondyle

Definition

tests IT band

 

Noble's Test

Term

Pt prone with knee flex to 90, palpate greater trochanter, rotate thigh until trochanter is “horizontal” – measure angle: should have 8-15° IR

Definition

tests femoral anteversion

 

Craigs test

Term

Pt relaxed in 20-30 flex, slowly push patella lat

-Pt will contract quads to prevent subluxation

Definition

tests PFJ

 

Patellar Apprehension Test

(Fairbank's)

Term

Compress suprapatellar pouch – pt performs quad contraction with maintained pressure on base of patella

-Pain

Definition

tests PFJ

 

Clarke's Test

provocative

Term

Pull patella distally, pt contracts quads

-Pain

Definition

tests PFJ

 

Zohlers test

provocative

Term

Percuss patella in various degrees of knee flex

-Pain

Definition

tests PFJ

 

Frunds test

provocative

Term

Palpate b/t patella and med femoral condyle while knee is flex & ext (0-90) – look for painful “popping”

-Add med tib glide of patella (~ 30°)

-Add med glide & med tib rotation (Hughston’s) while passively flex/ext knee

Definition

tests Plica

 

Plica Test

Term

tests for stress fracture 

 

(+) increased pain

Definition
fulcrum test/indirect percussion
Term

Anterior talofibular ligament (gen’l anterior instability)


Excessive anterior motion when pulling talus forward on a fixed mortise (or pushing mortise backwards on a fixed foot    

Definition
anterior drawer (Ankle)
Term

PF – anterior fibers

Neutral – middle fibers

DF – posterior fibers


(+) Excessive motion or pain when inverting/everting calcaneus and/or talus on a fixed mortise

 

 

 

 

Definition
collateral stress test
Term

tests Calcaneofibular ligament


Pain or stress when talus is abd/add on a fixed mortise

Definition
Talar tilt
Term

tests Deltoid ligament

 

 

 

 

 

Ant/Post tibiofibular ligs


-Med pain/if talus displaces

-Pain in the “high”ankle

Definition
KLEIGER TEST (EXTERNAL ROTATION TEST)
Term

syndesmosis (inferior tib/fib ligament)

 

(+) Pain with compression of tibia and fibula just distal to calf (can repeat distally)

Definition
Squeeze test
Term

tests mortise integrity 

 

Fix tibia, perform A – P glides of fibula.

-Hold head of fibula back and repeat inversion

Definition
Positional fault test
Term

Mortise integrity/ syndesmosis


Hold distal tib/fib and attempt to glide talus medial/lateral

Definition
Cotton Test
Term

Mortise integrity/ syndesmosis

 

Forceful passive DF of foot with lower leg stab’d

Definition
Dorsiflexion Maneuver Test
Term

Mortise integrity/ syndesmosis


WB DF with & w/o compression of malleoli

Definition
DOrsiflexion Compression Test
Term

tests Achilles tendon

 

No plantar flexion with squeeze

Definition
Thompson test
Term

tests DVT

 

pain with abrupt passive dorsiflexion

 

Definition
Homens test
Term

tests Tarsal tunnel syndrome – posterior tibial nerve

Definition
Tinel's sign
Term

tests MLA/spring ligament

 

measure malleoli to navicular then to 1st MT head

 

(+) more than 10mm drom of navicular

Definition
Feiss Test
Term

Tests knee swelling 

 

Observe indentation lat to patellar tendon with knee ext in supine – as pt flexes knee observe if indentation stays on normal side

Definition
Indentation test
Term

tests knee Temp & swelling

 

Stroke fluid prox on med side of patella & down on superolat side – watch for wave of fluid on med side

Definition
Stroke test
Term

tests knee Temp & swelling


One hand over suprapatellar pouch, other with fingers and thumb around patella – alt pressure feeling for fluctuation of fluid with other hand

Definition
Flucuation test
Term

Tests MCL, LCL

 

Do in 0 & 30° flex:

Varus stress – LCL

Valgus stress – MCL

Slight flex isolates collaterals

Definition
Collateral ligament stress test
Term

tests ACL

 

Pulling anterior on tibia while knee is in 90° - excessive translation (normal is 5-6 mm)

Definition
Anterior Drawer
Term

Tests ACL

 

Position pt in 20-30° knee flex – ant glide of tibia while femur is stabilized. Looking for loss of infrapatellar slope, soft end feel, excessive tibial motion (norm 2-3 mm)

Definition

Lachman

 

(6 variations)

Term

Tests ACL

 

Passively move knee from full ext to 60° flex while maintaining tibial rotation & valgus stress on prox tibia

-Knee will sublux/reduce 20-40° - pt will report “giving way” feeling

Definition
Pivot Shift
Term

tests PCL

 

Knee flexed to 90, watch for post “sagging” of tib on one side (can also do with hips flexed to 90 and tib horiz)

Definition
Sag Sign
Term

tests PCL

 

Pushing posterior on tibia while knee is in 90° - excessive translation (normal is 5-6 mm)

Definition
Posterior Drawer
Term

tests PCL

 

Prone post tibial glide – classically knee flexed to 30, more displacement in 90

Definition
Reverse Lachman
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