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Test Checks for Positive if Notes Picture

Apleys scratch Asymmetry


ROM
Asymmetry
ROM


Supraspinatus
Empty can
Supraspinatus
injury
Pain
Resisted
abduction
Supraspinatus
injury
Pain

Hawkins test Supraspinatus
impingement
Pain Passive
Make a hawk
wing

Neers test Supraspinatus
impingement
Pain Passive
Arm near head

Resisted
external
rotation















Infraspinatus
& teres minor
injury
Pain
Test Checks for Positive if Notes Picture
Lift off test Subscapularis
injury
Inability to
move arm
from small of
back upwards


Crossover AC joint Pain Passive

Speeds test Biceps
tendinitis
Pain in
bicipital
groove
Active; patient
extends elbow,
supinates
forearm, and
flexes shoulder
against
resistance

Yergasons test Biceps
tendinitis
Pain in
bicipital
groove
Active; provider
resists patients
supination/bicep
flexion
simultaneously

Sulcus













Anterior
shoulder
instability
Instability,
shoulder pulls
down
Passive

Test Checks for Positive if Notes Picture
Apprehension
and relocation
GHJ stability
Patient grimace
upon external
rotation, with
relief on provider
pressing joint
back down
Passive

Anterior slide
Clunk
Labral tear Shoulder pain
or pop
Patient resists
provider pushing
up on elbow

OBrien test Labral tear Pain or pop
Oh Brian!
Your labrum
is torn!
Patient resists
horizontal
adduction and
forward flexion
of shoulder

Crank Labral tear Pain, pop,
catching,
grinding
Internal and
external rotation
with gentle axial
load

Scapular
winging
Injury to
serratus
anterior/long
thoracic nerve
Winging of
scapula


Spurlings
maneuver
Brachial
plexus injury
(burner or
stinger)
Pain with
position or
pain with
applied
pressure
Patient extends
neck, rotates,
and laterally
bends while
provider applies
downward
pressure

Adsons test









Thoracic outlet
syndrome
causing artery
compression
Loss of radial
pulse in arm
Pt turns head to
affected side and
breathes in while
provider feels
radial pulse

Test Checks for Positive if Notes Picture
Roos test Thoracic outlet
syndrome
Reproduction
of symptoms
Pt repeatedly
clenches and
unclenches the
fists while
keeping the arms
abducted and
externally
rotated

Resisted
extension &
supination
Lateral
epicondylitis
Pain over
lateral
epicondyle
Resisted wrist
extension and
supination

*All extensors originate@ lateral epicondyle
Resisted flexion
& pronation
Medial
epicondylitis
Pain over
medial
epicondyle
Resisted wrist
flexion and
pronation

*All flexors originate @ medial epicondyle
Finkelsteins
test
DeQuervains
tenosynovitis
Pain along
distal radius


Tinels sign Carpal tunnel Tingling or
pain in
median nerve
distribution
(thumb, 2
nd
&
3
rd
digits)


Phalens test Carpal tunnel Numbness or
tingling over
median nerve
distribution
Flexion of wrists
60-90 secs

Durkans Carpal tunnel (
more sensitive
and specific
than Tinels or
Phalens)
Numbness or
tingling over
median nerve
distribution
Pressure over
carpal tunnel for
30 secs

Test Checks for Positive if Notes Picture
Watson test Scapholunate
dissociation
Clunk +pain Patient ulnar and
radial deviates
while provider
applies pressure
to scaphoid

Compression
test
CMC
osteoarthritis
Provider moves
CMC joint with
longitudinal load
applied

Grind test CMC
osteoarthritis
Provider grabs
metacarpal base
and rotates the
thumb

Straight leg
raise
Radicular
cause of pain
in back of leg
Pain,
increased pain
when you also
dorsiflex the
foot
(Bragards
test)
Passive; straight
leg flexion of
hip
Confirmation tests:

1.) Bragards: increased pain when you dorsiflex
the foot after flexion
2.) Crossed straight leg raise: raising contralateral
leg causes radicular pain on ipsilateral leg
3.) Distracted straight leg raise (FLIP): sneak the
same test in but with the patient seated to confirm
rxn

FABER =
flexion,
abduction,
external
rotation
n
Differentiate
SI joint pain
from other hip
pain
Pain =SI joint
pain


Schobers test














Ankylosing
spondylitis
<5-7 cm
movement
Examiner marks
L5, 5cm below,
10 cm above, pt
bends forward to
touch toes,
difference from
15 cm measured

Test Checks for Positive if Notes Picture
Barlow-
Ortolani
maneuver
Hip dysplasia
in infants
Clunk heard
or felt (+
Barlow),
relocation
clunk (+
Ortolani)


Thomas test Hip flexor
tightness
Abnormal
degree of hip
flexion with
leg at rest
(lower
picture)
UNAFFECTED
knee to chest

Trendelenberg
sign
Weak hip
abductors
(gluteus
medius)
Sinking of
pelvis
Unaffected leg
rises

Medial/lateral
patellar glide
Laxity of
patellofemoral
joint/patellar
dislocation
Hypermobility
of patella


Patellar
apprehension
Instability of
patellofemoral
joint/patellar
dislocation
Grimace
Same as above but with lateral motion
Inhibition test













Patellofemoral
syndrome
Pain or
crepitus
Provider
squeezes top of
patella and
displaces it
inferiorly

Test Checks for Positive if Notes Picture
Q angle Measures knee
valgus
Greater or less
than 20


J tracking Patellofemoral
syndrome
Patella
displaced


Valgus stress MCL damage No opening +
pain (I),
opening with
endpoint (II),
no endpoint
(III)
Pt knee in 20-
30 of flexion


Opposite direction of picture below
Trying to open the medial joint line
Varus stress LCL damage Same as
above
Pt knee in 20-
30 of flexion

Trying to open the lateral joint line
Lachman ACL
instability-
gold standard!
Abnormal
forward
mobility


Anterior drawer
test













ACL
instability
Abnormal
forward
mobility
*Beware of false
+with PCL tear!
Test Checks for Positive if Notes Picture
Pivot shift ACL
instability
Feel clunking
of tibia when
moving into
extension


Posterior
drawer test
PCL instability Abnormal
downward
mobility


Sag sign PCL tear Depression on
anterior knee


Quad active test PCL tear Depression on
anterior knee
with quad
flexion


Dial test @ 30
of flexion
PCL Abnormal
motion of
tibial tubercle


McMurray test










Meniscus tear Click or catch For medial:
external rotation
+flexion +
valgus stress
For lateral:
internal rotation
+extension +
varus stress

Test Checks for Positive if Notes Picture
Apley grind
with distraction
Meniscus tear Pain with
grind, NO
pain with
distraction
(pain with
both suggests
ligament
injury)
Grind- push
down on foot
and rotate back
and forth.
Distraction- do
the same but
push down on
thigh as well.

Obers test ITB tightness Leg remains
elevated


Nobles test ITB syndrome Pain Pt repeatedly
flexes and
extends knee
under providers
thumb @ ITB

Ballottement
test
Major effusion
in knee joint
Fluid felt Squeeze fluid
down from
above knee and
feel on either
side of patella
for fluid

Bulge sign Minor effusion
in knee joint
Fluid felt Squeeze fluid up
medially, then
tap laterally and
watch for medial
bulge

Anterior drawer
test
Laxity of
anterior
talofibular
ligament
Increased
movement or
sulcus sign


Talar tilt Laxity of
calcaneofibular
ligament/sprain
Increased
movement or
pain



Test Checks for Positive if Notes Picture
Thompson test Achilles
rupture
No movement
of foot with
gastroc
squeeze


Squeeze test for
fx
Fracture of
tibia or fibula
Pain upon
release of
squeeze in an
area that is
NOT being
squeezed
Squeeze up and
down leg in
several places

Squeeze test for
tear
Anterior
tibiofibular
ligament tear
or syndesmosis
tear
Pain upon
release of
squeeze
Squeeze just
above anterior
talofibular
ligament

External
rotation test
Anterior
tibiofibular
ligament tear
Pain