Orthopedics 2

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Author:
runner0369
ID:
66177
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Orthopedics 2
Updated:
2011-02-13 22:13:02
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Orthopedics
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Description:
Ortho tests as taught at sherman
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  1. How is the anterior drawer test performed in the ankle?
    • Supine
    • Tibia is pushed posterior while calcaneus is pulled anterior
  2. What is a positive for the anterior drawer test in the ankle? What does it indicate?
    • Talus slides excessively anterior
    • Anterior Talofibular ligament instability/tear
  3. What does a positive posterior drawer test in the ankle indicate?
    Posterior talofibular ligament instability/tear
  4. What ligaments are torn by inversion? Eversion?
    • Anterior and posterior talofibular - inversion
    • Deltoid - Eversion
  5. How is Thompson's test performed?
    • Prone
    • Patients knee is bent to 90 degrees
    • Squeeze calf muscle just below the widest point
  6. What is another name for Thompson's? What is a positive for Thompson's? What does it indicate?
    • Simmond's
    • No plantar flexion of foot
    • Rupture of Achilles' tendon
  7. How is Medial stability test in the ankle performed?
    • Supine
    • Stabilize distal leg
    • Pull calcaneus lateral
  8. What does a positive for the Medial stability test in the ankle indicate?
    • Increased movement laterally
    • Deltoid ligament instability
  9. What does a positive Lateral stability test in the ankle indicate?
    Anterior talofibular ligament instability
  10. How is Morton's squeeze test performed?
    • Supine
    • Lateral compression of the metatarsal heads of the foot
  11. What is a positive for Morton's squeeze test? What does it indicate? How to treat?
    • Increased pain between the metatarsal heads, most common between 3rd and 4th
    • Morton's neuroma (tumor of a nerve)
    • Adjust foot and instruct patient to wear wider shoes
  12. Ankle sprain grading
    • Grade 1 - Decreased ROM, slight swelling
    • Grade 2 - No ROM, increased swelling, bruising, partial tear of ligaments
    • Grade 3 - complete tear, requires surgery
  13. How is Buerger's test performed?
    • Supine
    • Hold SLR at 45 degrees (rest on doctor's knee) for 3 minutes
  14. What is a positive for Buerger's test? What does it indicate?
    • Foot will turn pale
    • Buerger's disease
    • Vascular compromise
  15. How is Homan's sign performed?
    • Supine
    • Doctor flexes the hip and knee to 90 degrees and squeezes the patient's calf
  16. What is a positive for Homan's sign? What does it indicate?
    • Deep seated calf pain
    • Deep vein thrombosis (DVT) (patient presents with red, swollen, hot, painful leg)
  17. What tests are done on the ankle and foot?
    • Anterior drawer test
    • Thompson's (simmond's) test
    • Medial stability test
    • Morton's squeeze test
  18. What tests are done for vascular exam of the leg?
    • Buerger's test
    • Homan's sign
  19. How is Bechterew's sitting test performed?
    • Seated
    • Patient actively extends one leg at a time
    • Doctor resists hip flexion (raising knees)
    • Patient attempts to extend both legs at the same time
  20. What is another name for Bechterew's? What is a positive for it? What does a positive indicate?
    • Flip test, SLR in seated position
    • Increased LBP or patient has to lean back
    • Disc protrusion causing sciatic neuralgia
  21. How is Beery's tests performed?
    • Seated
    • Ask patient to sit down
  22. What is a positive for Beery's test? What does it indicate?
    • Pain is relieved
    • Tight hamstrings
  23. How is Belt test performed?
    • Standing
    • Patient flexes at waist to touch toes
    • Doctor stabilizes patient's sacrum with their hips and patient bends forward again
  24. What is another name for the belt test? What is a positive for it? What does it indicate?
    • Supported Adam's (first part is unsupported)
    • Decreased pain with stabilization
    • Sacroiliac lesion
  25. What does it indicate if pain persists in the belt test?
    Lumbar lesion
  26. How is Bonnet's sign performed?
    • Supine
    • After SLR, lower just below point of pain, internally rotate and adduct the leg
  27. What is a positive for bonnet's? What does it indicate?
    • Sciatic pain is reproduced
    • Piriformis syndrome
  28. How is Bowstring sign performed?
    • Supine
    • After SLR, rest flexed knee on doctor's shoulder
    • Apply pressure to the posterolateral thigh in the popliteal fossa
  29. What is a positive for Bowstring sign? What does it indicate?
    • Sciatic pain
    • Sciatica
    • Lumbar nerve root compression
    • Piriformis syndrome
  30. How is Bragard's sign performed?
    • Supine
    • After SLR, leg is lowered just below point of pain and foot is dorsiflexed
  31. What is a positive for Bragard's sign? What does it indicate?
    • Increased pain with dorsiflexion on affected side only not opposite side
    • Sciatic neuritis, spinal cord tumor, IVD lesion, nerve root irritation, SOL
  32. How is Sicard's test performed?
    • Supine
    • After SLR, patient's leg is lowered just below point of pain and toe is dorsiflexed
  33. What is a positive for Sicard's? What does it indicate?
    • Sciatic pain
    • Sciatica
  34. How is Turyn's test performed?
    • Supine
    • After SLR, patient's leg is on table and big toe is dorsiflexed
  35. What is a postive for Turyn's? What does it indicate?
    • Sciatic pain
    • Sciatica
  36. What tests are done for sciatica?
    • Bechterew's
    • Bowstring
    • Bragard's
    • Sicard's
    • Turyn's

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