1
Q
Perform scour test for the central compartment of the hip
A
- flex and externally rotate pt hip
- load into the socket and articulate through annular range of motion (make an omega sign)
- positive test= pain
- indicates labral or articular cartilage pathology
2
Q
Perform apprehension FABER for the central compartment of the hip
A
- pt hip is flexed abducted and externally rotated
- doc induce further external rotation by applying posterior force at the knee
- positive test= anterior subluxation of hip or apprehension/pain
- indicates= anterior labral pathology or can also be positive with impingement
3
Q
Perform ely’s test for the peripheral compartment of the hip
A
- pt prone, doc passively flex pt knees
- positive test= ipsilateral hip raise off table (shortening of the muscle b/c flexion causes pull on rectus femoris so if its tight it shortens)
- indicates= rectus femoris contracture
4
Q
Perform rectus femoris test for the peripheral hip compartment
A
- pt supine flex legs to chest and then drop 1 leg over the table
- the leg should make 90 angle at the knee
- positive test= knee flexion less than 90
- indicates= rectus femoris contraction ipsilaterally
5
Q
Perform ober’s test for the lateral compartment of the hip
A
-pt lateral recumbent doc behind the pt
-doc abduct top leg and then pt lowers leg to the table while doc stabilize hip
(Other version= drop leg off side of table to look for adduction)
-positive test= inability to adduct
-indicates= IT band contracture
6
Q
Perform trendelenburg test for lateral compartment of the hip
A
- pt standing with doc behind
- pt lift 1 foot off ground (doc at eye level with hips)
- positive test= weakness/inability to hold hips level
- indicates= contralateral gluteus medius weakness (superior gluteal n)
Ex= pt lifes right foot, right hip drops= left gluteus medius/superior gluteal n pathology
7
Q
Perform patricks FABER for the lateral compartment of the hip
A
- pt hip flexed abducted externally rotated
- doc braces contralateral ASIS
- pt externally rotates and abducts against doc resistance (doc hand on backside of leg and pt push down against doc pushing up)
- positive test= pain or weakness
- indicates= gluteus medius pathology
8
Q
Perform thomas test for anterior/iliopsoas compartment of the hip
A
- pt supine with pulls knees to chest
- one leg lowered to the table to test flexibilty of hip flexors
- positive test= inability to fully extend at the hip (leg should be flat on table and no increase in lumbar lordosis)
- indicates= hip flexor contraction
9
Q
Perform patricks FABER for the anterior/iliopsoas compartment of the hip
A
- pt hip is flexed, abducted, externally rotated
- doc braces contralateral ASIS
- pt internally rotates, adducts against resistance (doc hand on top of leg and pt push up against doc pushing down)
- positive test= anterior or medial groin pain/weakness
- indicates= iliopsoas insufficiency or pathology
10
Q
Perform apley compression (grind) test for the knee
A
- pt prone with knee flexed to 90
- doc use downward force on foot to provide compresssive force on meniscus while rotating foot internally and externally
- positive test= pain with rotation and or compression
- indicates= meniscal injury, collateral ligament injury or both
11
Q
Perform apley distraction test for the knee
A
- pt prone with knee flexed to 90
- use upward pulling force on the foot to provide a distraction on the meniscus while rotate foot internally and externally (stabilize at femur so dont lift entire leg)
- positive test= pain with rotation and or compression
- indicates= collateral ligament damage (pressure off meniscus)
12
Q
Perform valgus stress test of the knee
A
- pt supine and examiner support pt lower leg on examiner hip with knee flexed to 30 (also test in neutral)
- doc hands placed on medial and lateral aaspects of pt knee
- provide lateral resistance at the knee (press lateral—> medial) to move ankle laterally while holding distal femur in place
- assess for laxity, quality end point, pain
- positive test= increased laxity, soft/absent end point, pain
- indicates= MCL disruption **more severe injury indicated if also positive at 0 (posterior joint capsule/ACL/MCL)
13
Q
Perform varus stress test of the knee
A
- doc support pt lower leg on thie hip with knee flexed to 30 (and neutral) and place hands on medial and lateral aspect of patient knee
- provide medial resistance (press medial–> lateral) to move ankle medially
- positive test= increased laxity, soft/absent end point, pain
- indicates= LCL disruption **more severe injury indicated if also positive in neutral 0
14
Q
Perform anterior drawer test for the knee
A
- pt supine with knee flexed to 90
- doc sit on pts foot and grasp the proximal tibia with both hands pulling tibia anteriorly
- positive test= excessive translation/laxity compared to other knee
- indicates= ACL insufficiency
15
Q
Perform posterior drawer test for the knee
A
- pt supine with knee flexed to 90
- doc sit on pt foot and grasp proximal tibia wiht both hands translating the tibia posteriorly
- positive test= excessive translation/laxity compared to other side
- indicates= PCL deficiency, posterior capsular injury or disruption
16
Q
Perform ankle anterior drawer test
A
- doc grasp posterior calcaneus with 1 hand and cups distal tib/fib with other hand monitoring anteriorly at the talus
- provide anterior force on calcaneus while stabilizing distal tib/fib
- normal spring of clacaneus back to neutral should occur
- positive test= pain, no springing, excessive motion anterior/laxity
- indicates: ATFL pathology tear
17
Q
Perform talar tilt test for ankle
A
- doc grasp distal tib/fib with 1 hand adn inferior calcaneous with other (blocking motion of calcaneous on talus)
- invert talus to evaluate ROM
- positive test= laxity, increased ROM or pain
- indicates= calcaneofibular L pathology/tear and some ATF
18
Q
Perform squeeze test (high ankle sprain) for ankle
A
- doct wraps hands around leg proximal to ankle
- contact distal tib/fib with both thenar eminences
- squeeze for 2-3 sec, rapidly release
- positive test= pain at syndesmosis
- indicates= syndesmosis pathology
19
Q
Perform thompson test
A
- pt prone with foot off table
- doc squeeze pt calf (should see plantar flexion at ankle)
- positive test= absence of plantar flexion
- indicates= achilles tendon rupture
20
Q
Perform homans sign
A
- pt laying or seated with leg extended
- doc dorsiflex the foot and squeeze the calf
- positive test= pain with dorsiflexion and squeezing
- indicates= actute venous thrombosis or thrombophelebitis
- *suggestive of venous thrombosis in presenc eof edema, erythema, increased warmth of skin of lower leg, need venous doppler to r/o clot
Joint Exam Special Test
flashcards
Decks in class (2)
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