This test requires certain preliminary findings as it is not entirely without risk. Parameters requiring prior assessment include blood pressure, arm pulse, and pulses in the common carotid and subclavian arteries with auscultation to detect any murmurs or bruits. This test should not be performed if any of these prior examinations produces significantly abnormal findings. In the absence of any significant abnormalities, the seated patient is asked to maximally rotate his or her head to one side while extending the neck.
Adson Test is used to evaluate the presence of Thoracic Outlet Syndrome which is a compression syndrome with compromised neurovascular function.
The Neer Test for subacromial impingement during the examination of the shoulder. Video demonstration included.
Thompson Test (or as it called Calf Compression Test or Simmonds' test) is used to identify the presence of a complete Achilles tendon rupture.
McMurray test of the knee is used to evaluate the injury of the lateral and medial meniscus of the knee joint.
Explanation of O'Brien's Test in orthopedic shoulder examination including involved tissues, test postion, test movement, etc. plus video demonstration.
This test requires certain preliminary findings as it is not entirely without risk. Parameters requiring prior assessment include blood pressure, arm pulse, and pulses in the common carotid and subclavian arteries with auscultation to detect any murmurs or bruits. This test should not be performed if any of these prior examinations produces significantly abnormal findings. In the absence of any significant abnormalities, the seated patient is asked to maximally rotate his or her head to one side while extending the neck.
Durkan Test or as it called the carpal compression test is used to test for Carpal Tunnel Syndrome where the median nerve is compressed in the carpal tunnel.
Stork Test (also known as the Gillet test) is used to assess the movement at the sacroiliac joint.
Neer Test (or Neer Impingement Test) is a special test for shoulder joint that is used mainly to check for rotator cuff impingement syndrome.
The Ober Test is used to test for iliotibial band syndrome (Tight ITB) or for tensor fascia latae TFL contraction or inflammation.
Speed Test (Palm-Up Test or Straight Arm Test) is used to evaluate Biceps tendinitis and Superior labral anterior and posterior lesions (Slap Lesion).
Lift Off Test (or Gerber Lift Off Test) is used to check for isolated rupture of the subscapularis tendon of the rotator cuff of the shoulder.
FADDIR Test (Flexion ADDuction Internal Rotation) is used for examine the Femoroacetabular impingement syndrome, anterior labral tear , liopsoas tendinitis.
Lachman Test (or Noulis Test) is used to assess the integrity of the anterior cruciate ligament (ACL) of the knee.
Spurling test (Spurling compression test) is a provocative test designed to exacerbate encroachment of a cervical nerve root at the neural foramen.
Shoulder Exam - Provocative Testing Supraspinatus muscle injury: - Jobe’s Test - Hawkin’s Test - Drop Arm Test Infraspinatus muscle injury: - Infraspinatus Scapular Rotation Test Subscapularis muscle injury: - Lift-Off Test Rotator cuff subacromial impingement: - Neer Test Labral tear: - Crank Test - O’Brien Test Biceps muscle: - Yergason Test #Diagnosis #PhysicalExam #Shoulder #Testing #Maneuvers #RotatorCuff #Injury #Tendinopathy #Impingement #ALiEM
Ege’s Test (also called the weight-bearing McMurray test) is used to detect a tear of the lateral or medial meniscus of the knee.
Spurling's test is performed in seated position. The patient flexes the head and tilts it laterally, first to the unaffected side and then to the affected side. The examiner stands behind the patient with one hand on the patient’s head. With the other hand, the examiner lightly taps (compresses) the hand resting on the patient’s head applying a downward axial force (classically ~7 kg), thus narrowing the space for cervical nerve roots to exit the spinal cord. If the patient tolerates this initial step of the test, Spurling Test is then repeated with the cervical spine extended as well.
Trendelenburg Test is used to identify weakness of the hip abductor muscles. It also can be used to assess other mechanical, neurological or spinal disorders
Windlass Test is used for plantar fasciitis examination, a “windlass” meaning is the tightening of a rope or cable. The plantar fascia is like a cable attached to the calcaneus and the metatarsophalangeal joints. The windlass mechanism principle is characterized by the shortening of the plantar fascia, which effectively reduces the distance between the calcaneus and the metatarsals, thereby facilitating the elevation of the medial longitudinal arch. This shortening of the plantar fascia is principally induced by dorsiflexion of the hallux.
A 38-year-old patient experiences sudden, severe pain in his left knee as he pivots on that leg to lift a couch up some stairs. He is able to ambulate initially but later develops locking relieved by shaking his leg gently. On examination, he has a small effusion, no erythema, nearly normal range of motion and slight joint line tenderness medially. There is no tenderness of the patella or head of the fibula. How would you evaluate this patient?
Durkan Test or as it called the carpal compression test is used to test for Carpal Tunnel Syndrome where the median nerve is compressed in the carpal tunnel.
Noble Test (Noble Compression test) is used for iliotibial band syndrome that causes pain and frictional over the lateral femoral epicondyle.
Jerk Test (also known as the clunk test) is used to check for posterior instability of the shoulder joint (It's used to detect a posteroinferior labral lesion).
Barlow Test is used in evaluation of Developmental dysplasia of the hip DDH in newborn along with Ortolani test.
Pivot shift test is a manipulative test for demonstrating the rotatory subluxation that is often associated with anterior cruciate ligament injury.
Scapular Assistance Test SAT is used to assess scapular motion and "scapular assistance" position during elevation and lowering of the arm.
Patellar Tap Test (or as it called Patellar Ballottement Test) is a useful technique for detecting the effusion of the knee joint.
Bunnell Test is used to determine whether flexion restriction of the PIP is due to tightness of intrinsic muscles or restriction of MCP joint capsule.
FABER Test interpretation in these steps: - The patient is supine with one leg extended and the other flexed at the knee. - The lateral malleolus of the flexed leg lies across the other leg superior to the patella. - The test may also be performed so that the foot of the flexed leg is in contact with the medial aspect of the knee of the contralateral leg. - The flexed leg is then allowed to fall into abduction, and from this position the examiner increases the external rotation by increasingly pressing the patient’s knee down toward the examining table with one hand. - The examiner must immobilize the pelvis on the extended contralateral side to prevent it from moving during the test.
Definition Osteomyelitis is a pyogenic bone infection. Risk Factors Trauma or secondary infection (most commonly Staphylococcus aureus). Blood-borne (hematogenic) osteomyelitis is more common in children after a throat infection. Resulting from orthopedic surgical procedures is more common in older persons. Pathophysiology Circulation of infectious microbes through the bloodstream to susceptible bone leads to inflammation, increased vascularity and edema. The organisms grow, pus forms within the bone, and abscess may form. This deprives the bone of its blood supply, eventually leading to necrosis. Assessment/Clinical Manifestations/Signs And Symptoms Localized bone pain Tenderness, heat and edema in the affected area Guarding of the
Femoral Nerve Stretch Test is a way of eliciting root stretch in the evaluation of high lumbar radiculopathy.
The log roll test (or Passive Rotation Test) is the most specific special test that is used to assess hip pain.
Wright Test is used for Thoracic outlet syndrome, it's done by passively externally rotate and abduct the patient’s arm to 180° while checking the radial pulse.
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The knee anatomy is a complex hinge joint that flexes, extends, and twists slightly from side to side. It is responsible for weight bearing and movement.
