Extremities Practical Charts (Shoulder; Elbow/Wrist/Hand; Hip/Knee; & Ankle/Foot)

What are 2 DDx for a Bunion?

Hallux Rigidus

Fusion of MT-P joint

What would you visualize with a Bunion? (2)

Lateral (valgus) deviation of toe

Callus formation at MT-P joint

What is the static pain point of a bunion?

MT-P joint

What is the decreased ROM for Bunion?

All may be decreased

What is the decreased fluid motion for Bunion?

All may be decreased (MT-P & I-P jts)

What are 2 DDx for Calcaneus L?

Inversion sprain

ATFL tear

Calcaneofibular ligament tear

Facture of distal fibula or neck of fibula

What is visualized with Calcaneus L?

Swelling over lateral aspect of jt

WHat is the static pain point for Calcaneus L?

Lateral jt space

What is the Decreased ROM for Calcaneus L?

Decreased eversion

What is the orthopedic done for Calcaneus L?

Lateral Stability Test

What is the decreased fluid motion for Calcaneus L?

Medial Stability Test (loss of motion)

What are 2 DDx of Calcaneus M?

Spine subluxation

Eversion Sprain

Deltoid ligament tear

What is visualized with Calcaneus M?

Swelling over medial aspect of jt space

What is the static pain point of Calcaneus M?

Medial jt space

What is the decreased ROM for Calcaneus M?

Decreased inversion

What is the orthopedic test for Calcaneus M?

Medial stability test

What is the decreased fluid motion for Calcaneus M?

Lateral stability test (loss of motion)

What are 2 DDx of Cuboid AL?

Calcaneus L

T-MT A (4th/5th)

Pulled calf muscle

Fractured 5th metatarsal

Inversion sprain

What is the visualization for Cuboid AL?

Pillow like shaped edema over cuboid

What is the static pain point for Cuboid AL?

Over cuboid & Deep in calf

What is the ROM decreased with Cuboid AL?

Possibly eversion

What is the Orthopedic for Cuboid AL?

Lateral stability test

What is the decreased fluid motion for Cuboid AL?

A-P

What are 2 DDx for Cuneiform P?

Plantar fasciitis

T-MT A

Pes Planus

Fallen Arch

Flexible Foot

Navicular AM

What do you visualize with Cuneiform P?

Fallen Arch

What is the static pain point for Cuneiform P?

Over post cuneiform (plantar surface)

What is the orthopedic for Cuneiform P?

Strunskey's

What is the decreased fluid motion for Cuneiform P?

P-A

What are 2 DDx of I-P Jt?

Stubbed toe

Claw toe

Hammer toe

Mallet toe

Hallux Rigidus

DJD

Fracture

What is the static pain point for I-P Jt?

I-P jt

What is the decreased ROM for I-P Jt?

Plantar flexion

What is the orthopedic test for I-P Jt?

Strunskey's may cause pain at joint

What is the decreased fluid motion for I-P Jt?

Some or all

What are 2 DDx for MT-P P?

T-MT A

Hammer Toe

DJD

Dislocation

Bunion

Bunionette

What is the visualization for MT-P P?

Heavy Callus under joint

What is the static pain point for MT-P P?

MT-P jt

What is the decreased ROM for MT-P P?

Plantar flexion

What is the orthopedics for MT-P P? (2)

Strunskey's

Morton's

What is the decreased fluid motion for MT-P P?

P-A

What are 2 DDx of Navicular AM?

Talus A

Deltoid ligament tear

Cuneiform P

What is the static pain point for Navicular AM?

Over navicular

What is the decreased fluid motion for Navicular AM?

Decreased rotation (pronation)

What are 2 DDx for Talus A?

ATFL tear

Fracture distal tibia

Navicular AM

Fibula L

Calf muscle tightness

What is the pain point for Talus A?

Anterior talus

What is the decreased ROM for Talus A?

Dorsiflexion

What are the orthopedics for Talus A? (2)

Draw sign (ankle)

Lateral stability test

What is the decreased fluid motion for Talus A?

A-P

What are 2 DDx for T-MT A?

MT-P P

Metatarsal fracture

Metatarsalgia

Cuboid AL

Cuneiform P

What is the static pain point for T-MT A?

Anterior T-MT joint and possibly along shaft of MT

What are the orthopedics for T-MT A? (2)

Strunskey's

Morton's

What is the decreased fluid motion for T-MT A?

A-P

What are 2 DDx for Hip?

Subluxation (hip, pelvis, spine, knee, ankle, foot)

Osteoarthritis

Hip Fx

Bursitis / Hip Pointer

Snapping Hip Syndrome

Piriformis Syndrome

Pediatric

Hip Dysplasia

SCFE

Legg-Calve-Perthes

What do you visualize for the Hip?

Abrasion, Bruising, Discoloration, Swelling

What is the static pain point for the hip?

Pain deep in line w/ actual hip joint

What is the decreased ROM for the hip?

Any

What is the orthopedics for the Hip? (4)

Fabere-Patrick

Hibbs

Thomas

Trendelenburg

What is the decreased fluid motion for Hip? (2)

Utilize Part 1 Fabere Patrick

Internal & External Rotation

What are 2 DDx for Fibula L

Fibular fx (distal or proximal)

LCL damage

Shin splints

inversion ankle sprain

What is the static pain point for Fibula L?

Pain over fibular head

What is the orthopedic for Fibula L?

Varus Stress

What is the decreased fluid motion for Fibula L?

Decreased P-A on passive dorsi & plantar flexion of foot

What are 2 DDx for Tibia AL?

Fibula L

LCL tear

Lateral meniscus tear

Tibial plateau fx

How do you visualize Tibia AL?

Tibial tubercle medial to inferior pole of patella

Toe IN foot flare

Patella tracking medially

What is the static pain point for Tibia AL?

Pain over lateral aspect of knee

What is the orthopedic for Tibia AL?

Varus stress

What is the decreased fluid motion for Tibia AL?

Decreased on Varus test and EXTERNAL rotation

What are 2 DDx for Tibia AM?

MCL tear

Medial meniscus tear

Tibial plateau fx

How do you visualize for Tibia AM?

Tibial tubercle lateral to inferior pole of patella

Toe OUT flare

Patella tracking laterally

What is the orthopedic for Tibia AM?

Valgus stress

What is the decreased fluid motion for Tibia AM?

Decreased on Valgus & INTERNAL rotation

What are 2 DDx for Tibia P?

Baker's cyst

Varicose veins

Aneurism of the popliteal arteries

ACL tear

PCL tear

What is the static pain point for Tibia P?

Popliteal fossa and/or under patella

What is the decreased ROM for Tibia P?

Flexion

What are the orthopedics for Tibia P? (4)

Drawer Sign

Sag Sign

Lachman's Patella Femoral Grinding

Bounce Home

What is the decreased fluid motion for Tibia P?

Decreased on anterior drawer sign (P to A)

What are 2 DDx for Patella Traction?

Tear of patellar tendon

Fx of patella

What is the visualization for Patella Traction?

Patella superior and lateral

Swelling around patella

What is the decreased ROM for Patella Traction?

STUCK in flexion

What are 2 DDx for Knee Traction Limited Flexion?

Bakers Cyst

Varicose Veins

Aneurism of popliteal arteries

ACL tear

Meniscal tera

Edema in joint

Fracture

What is the visualization for Knee Traction Limited Flexion?

May or may not see edema in joint space

What is the decreased ROM for Knee Traction Limited Flexion?

Flexion

T/F: You are unable to perform orthopedics or fluid motion / joint play with patellar traction and knee traction limited flexion

TRUE

What are 2 DDx for Radius P?

Lateral epicondylitis

Lateral epicondyle fx

Cervical, Shoulder, Wrist subluxation

What is the static pain point for Radius P?

Over radial head

What is the decreased ROM for Radius P?

Pronation

What orthopedic can you perform for Radius P? (3)

Cozens

Lift in Pronation

Mills

What is the neurological test for Radius P?

Triceps M (w/ wrist extended)

What is the decreased fluid motion for Radius P?

Decreased P-A at radial head

What are 2 DDx for Ulna P or Ulna PM?

Medial epicondylitis

Medial epicondyle fx

Cervical, Shoulder, Wrist subluxation

Olecranon Fx

What is the visualization for Ulna P or Ulna PM?

Alignment a triangle vs a line

What is the static pain point for Ulna P?

1-1.5" distal to medial epicondyle

What is the static pain point for Ulna PM?

Olecranon process / fossa area

What is the decreased ROM for Ulna P or Ulna PM?

Extension

What is the orthopedic for Ulna P or Ulna PM?

Lift in Supination

What is the neurological test for Ulna P or Ulna PM?

Triceps M (w/ wrist flexed)

What is the decreased fluid motion for Ulna P or Ulna PM?

Decreased P-A (on extension)

What are the 2 Midline carpals?

Lunate & Capitate

What are the 2 Ulna side carpals?

Hamate & Triquetral

What are the 3 Radial side carpals?

Scaphoid, Trapezoid, Trapezium

What are 2 DDx for any of the carpals P (Lunate P, Capitate P, Hamate P, Triquetral P, Scaphoid P, Trapezoid P, Trapezium P)?

CTS

Carpal fx

Cervical, Shoulder, Elbow subluxation