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ortho test-positive finding

Ortho Test Positive Finding Significance


Adson's Test TOS (ant scalenes) [px]
Compression Test IVF encroachment [cerv and/or radicular px]
soft tissue [px]; N root compression [relief of
Distraction Test
px]
Spurling's Foraminal Encroachment
N. root irritation [if radicular-facet if local]
Test
Kernig's Test Meningeal irritation-px prevents completion
Brudzinski (soto-hall) Meningeal irritation-buckling of knees
Gaenslen's Supine Test Sacroiliac joint tension-exacerbation of px
True Leg Length ASIS to medial malleolus
Apparent Leg Length Umbilicus to medial malleolus
Ely's Test Lumbar N. Root
SI or LS lesion - local px at site of lesion or
Nachlas
radiating px down nerve
Yeoman's Test Hip of SI lesion-px deep in SI joint
Bechterew Disc lesion-px down affected leg
Minor's Sign Sciatica
Gower's Sign Muscular dystrophy
Toe Walk S1 n. root/L5 disc
Heel Walk L5 n. root/L4 disc
Supported Adam's px on flexion-pelvic problem
Lumbar m. spasm or sciatic-flexion of knee on
Neri's Bowing Sign
affected side to relieve px or tension
lumbar facet syndrome-local px w/wout
Kemp's
radiation
weakness oppo glut medius (MS)-hip on side
Trendelenberg
or raised leg is lower
Sacroiliac fixation-ilium fails to move posterior,
Gillet Test
medial and inferior
Lewin-Gaenslen's SI joint px
Iliac Compression SI joint px
Ober's Test TFL contracture-leg does not fall, or does in
clonus
Burn's Bench Malingering-refuses/unable to perform
Malingering-no downward pressure on
Hoover's Sign
unaffected leg
Sprain-ligament px on passive mvmt; strain-
O'Donohue Test
muscle, px on active mvmt
Dejerine's Triad SOL, disc, compression fx-radicular px
Valsalva space occupying lesion-radicular
Millgram's Test SOL-LBP
Apley's Scratch Test Decreased active ROM-limited mvmt
Rotator Cuff tear, esp. supraspinatus-shoulder
Codman's Drop Arm
px and hunching of deltoid
Apprehension Chronic shoulder dislocat
subacromial bursitis-pxful spot disappears
Dawbarn
under dr's fingers as arm is abducted
Tear of tranverse humeral lig-bicipital tendon
Yergason's Test
instability-px or audible click at bicipital groove
Lateral epicondylitis/tennis elbow-px in elbow
Cozen's Test
over lat epicondyle
Mill's Test Lateral epicondylitis-px in lat elbow
Stability Test Tear of collateral and/or capsular lig
Neuritis, neuroma or regeneration of ulnar n.-
Tinel's Sign
px, tingling distal to n.
Phalen's Test Carpal tunnel syndrome-px or redup of sx
Stenosing tenoynovitis/Dequervain's disease-
Finkelstein's Test
px in anotomical snuffbox
Carpel tunnel-median n. lesion-px, paresthesia
Tinel's
in hand
Ulnar n. lesion-pt flexes thumb in order to hold
Froment's Paper sign
it, due to paralysis of adductor pollicis
median n. compression (entrapment in
Pinch grip test
pronator teres)
Injury to anterior or posterior cruciate
Drawer Sign ligaments-excess mvmt pulling fwd-ant cruc;
excess mvmt back-post cruc lig
Meniscus damage-incomplete ext and has
Bounce Home Test rubbery resistance to further ext (vs. sharp
endpoint)
Meniscus tear-pxful click-medial menis
McMurray's Test (external); in medial rot. pxful click-lateral
meniscus (internal)
Meniscus had slipped back into place-click
Reduction Click Test
sound during rotation and ext
Effusion Test - Major Joint effusion-rebound of patella
Minor effusion-tap causes fluid to wave over to
Effusion Test - Minor
lateral side of the joint
Roughening of the articular surface
Grinding Test for Patella
(chondromalacia patella)-palp crepitus
Chronic patellar dislocation-look of
Apprehension Test
apprehension
Collateral lig disruption-px/inc laxity in
Stress Tests valgus=medial collateral; in varus = lateral
collateral
Meniscus damage-px; in medial rot.-lat
Apley's Compression Test
meniscus, in lateral rot.-medial meniscus
Collateral ligament damage-in medial rot.=lat
Apley's Distraction Test
collat lig;in lat. rot.=medial collat. lig
Homan's Sign Thrombophlebitis
Anterior Foot Drawer Instability of ant. talofib. lig
Ligament tear-invert calc=gapping (ant
Stability Test talofib/calcaneofib lig); evert calc=deltoid lig
gapping
Thompson's/Simmond's/Achille's Rupture of achilles tendon-lack of plantar
Continuity Test flexion

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