E1: PD - MSK special test positives

spurling's

pain = foraminal stenosis & nerve root irritation/compression

cervical distraction

↓ pain = cervical radiculopathy

Neer's

pain = shoulder impingement

Hawkin's/Kennedy's

pain = shoulder impingement

external rotation lag sign

arm lags forward = full thickness rotator cuff tear

*full thickness means supraspinatus, infraspinatus and teres minor

internal rotation lag sign

pain = subscapularis tear

empty/full can

pain = supraspinatus tear

drop arm test

can't bring arm down gradually = rotator cuff tear

O'Brien's test

AC joint or labral tear

sulcus sign

shoulder instability

anterior/posterior drawer (shoulder)

mvmt btw scapula = shoulder instability

anterior apprehension sign/Crank test

anterior labrum/capsule instability

posterior apprehension

shoulder instability

Jobes relocation test

shoulder instability

speeds test

pain in bicipital groove = biceps pathology

yergasons test

pain in bicipital groove = biceps pathology

ludington's test

no palpable contraction = torn biceps head

Lipman's test

pain in bicipital groove = bicipital tendonitis

crossover/adduction test

pain = AC joint pathology

Adson's/Scalene maneuver

thoracic outlet syndrome

Allen's test

thoracic outlet syndrome

military brace

↓/absent radial pulse = thoracic outlet syndrome

roos test

can't maintain position/↓ UE sensation = thoracic outlet syndrome

winged scapula

CN 11 dysfunction

varus stress test of elbow

pain = LCL damage

valgus stress test of elbow

pain = MCL damage

tines of elbow

cubital tunnel syndrome

mill's test

pain on outside of elbow = lateral epicondylitis

cozen's test

pain on outside of elbow = lateral epicondylitis

if pt has pain on the medial side of the elbow when flexing the wrist and pronating the forearm, what does this suggest?

medial epicondylitis

Finkelstein test

pain = DeQuervain's

Tinel's of wrist

paresthesia in index/middle fingers = carpal tunnel

Phalen's test

paresthesia in fingers = carpal tunnel

Froment's sign

can't hold contraction = ulnar nerve impairment

valgus stress test for thumb

ulnar collateral ligament rupture/stretching

Watson clunk test

dislocation = scaphoid instability

CMC grind test

pain = CMC joint pathology (arthritis)

FABER test

pain = SI joint pathology

Ober test

hip stays abducted = IT band tightness or contraction of tensor fascia latea

Thomas test

elevation of affected leg = labral pathology

piriformis syndrome test

pain = piriformis tightness or pinched sciatic nerve

trendelenburg test

leg/pelvis drops = hip abductor dysfunction

Barlow's test

hip dislocated/sublux = congenital hip dysplasia

ortolani's test

hip relocated = congenital hip dysplasia

Ballotable patella test

patella moves up & down = effusion

Clarke's sign/patellar grind

pain = patellofemoral syndrome (PFS)

patellar apprehension

pt becomes apprehensive (positive test)

valgus stress test of knee

pain = MCL strain/tear

varus stress test of knee

pain = LCL strain/tear

anterior drawer test of knee

anterior tibial translation + pain = ACL tear

posterior drawer test of knee

posterior tibial translation + pain = PCL tear

Lachman's test

↑ anterior tibial translation + pain = ACL tear

Apley compression

pain = meniscus tear

apley distraction

↑ pain = ligament sprain

↓ pain = meniscus tear

McMurray's

pain + audible click = meniscus tear

talar tilt test

pain with inversion = ATFL & calcaneofibular ligament pathology

pain with eversion = deltoid ligament pathology

anterior drawer test of ankle

excessive movement = ATFL tear

syndesmosis squeeze test

pain = ankle sprain or fx

tines test of ankle

tarsal tunnel syndrome

Thompson's test

no motion = achilles tendon tear

Morton's test

pain = Morton's neuroma

Homan's sign

DVT!!

straight leg raise

pain = sciatic or joint pain

Kernig's

pain/resist extension = SAH or meningeal irritation

Brudzinski test

involuntary flexion = meningeal irritation

cervical special tests

Spurling's

cervical distraction

shoulder impingement special tests

Neer's

Hawkins/Kennedy

rotator cuff special tests

external rotation lag

internal rotation lag

empty/full can

drop arm

o'brien's

shoulder instability special tests

sulcus sign

ant/post drawer

anterior apprehension/crank test

posterior apprehension

jobes relocation

biceps pathology special test

speed's

yergasons

ludington's

Lipman's

AC joint pathology special test

crossover/adduction

thoracic outlet syndrome special tests

adson's/scalene

allens

military brace

roos

elbow special tests

varus

valgus

tinel's

mill's

cozen's

golfer's

wrist special tests

finkelstein's

tinel's

Phalen

froment's

valgus (thumb)

Watson clunk

CMC grind

hip special tests

FABER

ober

thomas

piriformis

trendelenberg

Barlow's

Ortalani's

patella special tests

Ballotable

Clarke's/patellar grind

patellar apprehension

knee ligament special tests

valgus

varus

ant/post drawer

Lachman's

apley compression/distraction

McMurray's

ankle/foot special tests

talar tilt

ant drawer

syndesmosis squeeze

tinel's

Thompson's

Morton's

Homan's

babinski

spine special tests

straight leg raise

Kernig's

Brudzinski