Card Set Information
Ortho tests as taught at sherman
How is the anterior drawer test performed in the ankle?
Tibia is pushed posterior while calcaneus is pulled anterior
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
What does a positive posterior drawer test in the ankle indicate?
Posterior talofibular ligament instability/tear
What ligaments are torn by inversion? Eversion?
Anterior and posterior talofibular - inversion
Deltoid - Eversion
How is Thompson's test performed?
Patients knee is bent to 90 degrees
Squeeze calf muscle just below the widest point
What is another name for Thompson's? What is a positive for Thompson's? What does it indicate?
No plantar flexion of foot
Rupture of Achilles' tendon
How is Medial stability test in the ankle performed?
Stabilize distal leg
Pull calcaneus lateral
What does a positive for the Medial stability test in the ankle indicate?
Increased movement laterally
Deltoid ligament instability
What does a positive Lateral stability test in the ankle indicate?
Anterior talofibular ligament instability
How is Morton's squeeze test performed?
Lateral compression of the metatarsal heads of the foot
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
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
How is Buerger's test performed?
Hold SLR at 45 degrees (rest on doctor's knee) for 3 minutes
What is a positive for Buerger's test? What does it indicate?
Foot will turn pale
How is Homan's sign performed?
Doctor flexes the hip and knee to 90 degrees and squeezes the patient's calf
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)
What tests are done on the ankle and foot?
Anterior drawer test
Thompson's (simmond's) test
Medial stability test
Morton's squeeze test
What tests are done for vascular exam of the leg?
How is Bechterew's sitting test performed?
Patient actively extends one leg at a time
Doctor resists hip flexion (raising knees)
Patient attempts to extend both legs at the same time
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
How is Beery's tests performed?
Ask patient to sit down
What is a positive for Beery's test? What does it indicate?
Pain is relieved
How is Belt test performed?
Patient flexes at waist to touch toes
Doctor stabilizes patient's sacrum with their hips and patient bends forward again
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
What does it indicate if pain persists in the belt test?
How is Bonnet's sign performed?
After SLR, lower just below point of pain, internally rotate and adduct the leg
What is a positive for bonnet's? What does it indicate?
Sciatic pain is reproduced
How is Bowstring sign performed?
After SLR, rest flexed knee on doctor's shoulder
Apply pressure to the posterolateral thigh in the popliteal fossa
What is a positive for Bowstring sign? What does it indicate?
Lumbar nerve root compression
How is Bragard's sign performed?
After SLR, leg is lowered just below point of pain and foot is dorsiflexed
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
How is Sicard's test performed?
After SLR, patient's leg is lowered just below point of pain and toe is dorsiflexed
What is a positive for Sicard's? What does it indicate?
How is Turyn's test performed?
After SLR, patient's leg is on table and big toe is dorsiflexed
What is a postive for Turyn's? What does it indicate?
What tests are done for sciatica?