Extremities Final Study Set: Medicine Terms & Definitions

What may cause a positive Allen's test?

TOS

Cervical subluxation

Raynauds

How long is the radial artery palpated with Adson's ?

10-20 sec

What does a positive Adson test indicate?

Anterior Scalene involvement causing pressure on subclavian artery and/or brachial plexus

With a modified adson what is the ddx?

cervical rib or middle scalene involvement

A cervical rib that causes loss of artery patency is acute or chronic?

acute

What is a positive Eden's test?

decreased pulse volume

What does a positive Eden's test indicate?

costoclavicular syndorme

What is a positive Wright test?

10-15 degrees difference

What does a positive Wrights indicate?

Hyperabduction syndrome

What is a positive Yergasons?

Bicipital tendon pops out

What does a positive Dawburns indicate?

subacromial bursitis

What is Dugas a test for?

dislocation

What are 3 indications of a inferior humerus?

1. sulcus sign

2. tenderness at the anterior joint

3. loss of fluid motion

4. Loss of external rotation

5. Anterior deltoid weakness

What are 3 indications of a posterior humerus?

1. normal visualization

2. loss of fluid motion

3. tenderness at posterior joint

4. loss of internal rotation

5. teres major muscle weakness

WIth a shoulder subluxation, what 6 areas should the doc look?

St-Cl

AC

St-Co

S-T

GH

Spine

Where is the patients arm placed for ST L?

behind their back

With S-T L, where is the #11 of the stabilization hand?

Over AC

Where are the fingers with a S-T L?

over GH

What direction does the stabilization hand push on the shoulder?

S-I

Where is the pain point for S-T L?

subscapularis

What motion is restricted with S-t L?

internal

What motion is restricted with S-t M?

external

What hand is used as CH for ST M prone?

inferior hand

What is the LOC for G-H posterior?

P-A

What does a positive part one drop test indicate?

severe tear

What is the move of choice for a G-H sublux?

traction

What are the limiting factors for traction?

patient tolerance

and visualizing the joint space opening

What are diagnoses G-H traction would work for?

frozen shoulder

inferior humerus

posterior humerus

oa

GH

What direction does the clavicle most commonly subluxate?

superiorly

What muscle is mc involved with hyperabduction syndrome?

pec minor

What 4 things cause pec minor to contract/ shorten?

1. Cervical subluxation

2. subacromial bursitis

3. rolled shoulder posture

4. other types of TOS

What causes anterior scalene syndrome normally?

subluxation

What should you do for antieor scalene syndrome?

adjust, moist heat> stretch

What questions do you ask with a positive edens?

Backpack?

Accident while whereing a seatbelt?

FOOSH?

What are the ddx if pain is running along the rib all the way around?

1. probably sublux fo thoracics

2. shingles

3. intercostal neuralgia

4. fracture

5. tumor

6. Heart attack when on left

What breathing instructions are for St-Co S?

Exhale and hold

What breathing instructions for St-Co I?

Inhale and hold

When don't you use mentholated rubs?

Allergies

Pneumonia

What is the MC shoulder misalignment?

GH I

What is the MC shoulder dislocation?

anterior inferior

What 3 systems do you want to post check after dislocation?

neurologic

vascular

musculoskeletal

What is a shoulder separation?

dislocation of A-C

What is the pronation lift test for?

lateral epicondylitis

What is the supination lift test for?

medial epicondylitis

What subluxation might mimic medial epicondylitis?

posterior ulna

What 3 subluxations may elbow traction be good for?

Ulna P

Ulna PM

Radius P

What subluxation would elbow traction be most effective for?

ulna P

Pain point for radius P?

hed of radius

DDX for radius P?

lateral epicondylitis and cervical spine

Pain point for ulna p?

1-1 1/2 in distal to medial epicondyle

Pain point for ulna PM?

olecranon fossa

What is the Carpal tunnel movement of choice?

wrist traction

What direction do carpals misalign?

Posterior

What is the direction of carpal misalignment in CTS?

Anterior lunate

What are the fingers on the stabilization hand stabilizing during capitate single thumb?

proximal row of carpals

What test is for DeQuervains?

finklesteins

What tendons make up the tunnel of dequervain?

extensor pollicus brevis

abductor pollicus longus

What are the contents of the carpal tunnel?

9 felxor tendons and median nerve

Of C-MC 2-5 which is the most mobile?

5th

With CTS is lunate hypo or hyper mobile?

hypo

What are the 1,2, and 3rd MC subluxated carpals?

1. lunate

2. capitate

3. scaphoid

What is the only motion for CTS traction?

flexion

2 tests to verify a positive tinnel tap?

Phalen's and English

What are ways to verify a positive Froments?

thenar and hypo thenar muscle wasting

loss of strength in muscle test

EMG

What is the distribution of radicular symptoms with CTS?

median nerve

What are the order for moves of choice for Carpals?

traction> single thumb> double thumb

A sprain will have ?mobility and ? fluid motion

hyper; fluid

A strain will have pain with ? ROM

active

A separation will have ?mobility and ? findings

hyper; visual

A subluxation will have pain with ? ROM and ?mobility

active AND passive; hypo

ANGLES on FARES

What is the motion of the MT and P with bunion correction?

MT goes medial

P goes lateral

If your ddx is a fx what is your next step?

xray

If lachman's is positive what other test should be positive?

Anterior drawer

What are the reffered pain point subluxation?

Ulna and cuboid

What are the indications for hip traction?

loss of motion with hibbs or patricks

pain

OA

dull ache to sharp pain at hip

What are we looking for in part 1 of Patricks?

acetabular hip pain

motion or lack of motion

What is part 3 of Patricks?

stabilize opposite pelvis and push down

positive indicates hip joint pathology and pain

What are the 2 common hip joint pathologies in young>

LCP

SCFE

What is the MC cause of hip pain?

subluxation

What is the positive with HIBBS?

pain with internal rotation

What does a positive Hibbs indicate?

hip joint pathology

What is the indication of Trendelenbergs?

weakness of pelvic stabilization muscles

What is a positive trendelenbergs?

weakness on standing leg

What is a positive Thomas test?

contracture of iliopsoas

What is a positive Anterior drawer sign?

excessive motion

What is the MC tear of the knee?

med meniscus

What does hypomobility with anterior drawer sign indicate?

posterior tibia

What direction do you motion the tibia with anterior drawer sign?

P-A

What is the increased motion with posterior drawer sign?

Increased A-P motion

What is the best ortho for ACL?

LAchman's

Why is lachman's preferred?

lower angle of flexion does not stretch the quads as much

What are indications of Tibia P?

aching behind knee

loss of fluid motion on anterior drawerfull flexion ROM is lost

What is the pain during apleys compression indicative of?

meniscal damage

What type of test is apleys compresion?

subjective

If apleys compression is positive with pain on the medial side what other test should be done?

mcmurrarys

What is apleys distraction testing?

collaterals

What is the stress during mcmurrays?

varus

What is a positive mcmurrarys?

audible/palpable click

What is the MC cause of joint mouse of the knee?

medial meniscus tear