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MSK Exam- Special Tests Part 1 (PPT 3)
Terms in this set (43)
-Place index fingers in front of tragus and instruct patient to open and close the jaw slowly. Examiner examines the smoothness of ROM and notes any tenderness. Check for Truisms (lockjaw)
Commonly seen in pt's w/ peritonsillar abscess
Evaluate Jaw Motion
Palpation of neck muscles?
Adam's Forward Bend Test
-Indicated for sciolosis (assess for asymmetry) of the spine "S" curve or "C" curve
- Look for uneven scapulas and hips
Name of test?
+/- Costovertebral angle tenderness (CVAT)
-May indicate kidney stone or pyelonephritis
Lift up right leg
- If the pelvis "drops" to the right, this indicates a weak LEFT
gluteus medius muscle
- Hands are placed on the SI joints and iliac Crests bilaterally
-Name of test?
-Report on normal vs. abnormal findings?
Cervical Distraction Test
-Indicates herniated disc or radioculopathy
Distraction vs. Compression
worsens the symptoms, where
will make the symptoms less or better.
Cervical Compression Test. Assess nerve root pain (aka radicular pain).
Spurling's Test - Testing for Nerve Root Impingement
The examiner had the patient's head lateral bend towards the affected side placing the patient
The practitioner then applies downward pressure to the top of the patient's head. Positive findings would be pain shooting down the same side being testes.
Increased pressure will cause increased pain. Could be related to a herniated disc.
The Valsalva Test
Right winged scapula: Have the patient perform a push up on the wall and hold in the down "position"
Nerve Injury - Long thoracic nerve - Leading to weakness of the serratus anterior muscle
Sprengel's deformity: Congenital Malformation
displacement of the scapula
Abduct and externally rotate the shoulder, while applying pressure on the posterior shoulder, stressing the anterior capsule.
Testing for previous shoulder dislocation.
When would you perform the apprehension test?
The examiner resists the patient supination and external rotation, looking for bicipital tendinitis or the biceps tendon "popping" out of the bicipital grove.
Tenderness/Pain = Bicipital Tendinitis
Long Head "popping" out = Tear in the retinaculum that holds the tendon in the groove
Drop arm test
-Test for rotator cuff tears, specifically of the supraspinatus tendon
*Examination test for inferior instability of the shoulder/glenohumeral joint - Dr. B's Notes
Also looking at the acromioclavicular (AC) joint
Tinels test - Radial Tunnel
*Radial Nerve: Pain on the back of the hand and forearm especially with extension of the wrists - Radial nerve innervates the back of the forearm, back of the thumb, index, middle, and 1/2 of the ring finger.
* The ulnar nerve will also innervate the back of the hand, just the small finger and half of the ring finger
Tinel's test - Cubital tunnel - Ulnar Nerve
-Often "positive" causing tingling into 1/2 of the ring finger and small finger - Front and back.
Located between the medial epicondyle and the olecranon
Golfer's elbow test. + Medial epicondylitis
This test is indicated for?
Tinel's Test - Carpal Tunnel - Median Nerve
-Numbness and tingling to the thumb, index, middle, and 1/2 of the ring finger, front of the hand only
Phalen's: Observe patient for 1 min and assess for paresthesias
*Median Nerve is being assessed here
Phalen's test: Indicated for carpal tunnel Syndrome
Reverse phalen's: Observe patient for 1 min and assess for paresthesias
Guyon's canal - Ulnar nerve as it passes through Guyon's canal - Tinel's over this canal will produce ulnar nerve symptoms
ONLY on the palmar side
Located between the Pisiform and the Hook of the Hamate.
*May not be on test/quiz, but he sure mentioned this a lot!
Shuck's test: Palpate
Test for ligamentous instability.
The test is performed by applying a
dorsally directed pressure to the pisiform
and a palmarly directed pressure to the lunate
Watson test: Palpate
Watson test is a combination of pain and a palpable clunk when the wrist is brought from ulnar deviation into radial deviation while pressure is applied to the palmar aspect of the scaphoid tubercle.
Scapholunate ligament instability
What does the Watson's Test test for?
--> abductor pollicis longus & extensor pollicis brevis
Name of test?
Testing the transverse metacarpal ligament
-Move each joint opposite each other in dorsal-volar directions
O part tests for median nerve
Dorsiflexion tests for radial nerve
Also tests ulnar nerve
What does the Kumar Pinch test for?
When the patient grasps a piece of paper between the thumb & index fingertips of both hands and the examiner pulls on the paper, the thumb with
flexes at the interphalangeal (IP) joint, while the uninjured thumb will not flex.
What nerve does the Front Sign test for??
Flexor Digitorum Superficialis
Tests for PIP joint
What does this test for?
Testing for the Flexor Digitorum Profundus
Tests for DIP joint
What is this testing for?
-Test for 2-point discrimination
I think in lab he said normal was 2-3 mm
Testing C5 + C6 (Nerve Root)
but mainly C5
Testing C7 (Nerve Root)
Testing C5 + C6 (Nerve Root)
But mainly C6
- Also called Cozen's Test - tennis elbow
- Characterized by pain in the region of the lateral epicondyle of the humerus. Pain radiates down the
surface of the forearm.
-To test for tennis elbow, the examiner should flex the patient's elbow and fully pronate the hand. Assess for pain
THIS SET IS OFTEN IN FOLDERS WITH...
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MSK Exam- Special Tests (PPT 3)
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