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Author3 Posts
  #1

What are the following tests for? How to do them?

a. Finkelstein test
b. Schober test
c. McMurray test
d. Ortolani test
e. Anterior draw sign




  #2

Finkelstein test: The pt plaes his thumb in his palm then makes a fist over it. In a positive test pain is felt at the radial styloid. For De quervian's disease.stenosing tenosynovitis.
Schober test
Indication: Evaluation of Lumbar Spine Range of Motion
Ankylosing Spondylitis
Technique
Patient stands erect with normal posture
Identify level of posterosuperior iliac spine
Mark midline at 5 cm below iliac spine
Mark midline at 10 cm above iliac spine
Patient bends at waist to full forward flexion
Measure distance between 2 lines (started 15 cm apart)
Interpretation
Normal: distance between 2 lines increases to >20 cm
Abnormal: distance does not increase to >20 cm
Suggests decreased Lumbar spine range of motion
May suggest Ankylosing Spondylitis
McMurray test
Indication
Evaluation for Knee Meniscus Injury
Technique
Patient lies supine
Knee flexed to 45 degrees
Hip flexed to 45 degrees
Examiner braces lower leg
One hand holds ankle
Other hand holds knee
Medial meniscus assessment
Assess for pain on palpation
Palpate medial joint line with knee flexed
Assess for "click" suggesting meniscus relocation
Apply valgus stress to flexed knee
Externally rotate leg (toes point outward)
Slowly extend the knee while still in valgus
Lateral meniscus
Repeat above with varus stress and internal rotation
Interpretation: Positive Test suggests Meniscal Injury
"Click" heard or palpated on above maneuvers
Joint line tenderness on palpation
Ortolani test
Indications
Evaluation for Congenital Hip Dislocation
Pathophysiology
Femoral head displaced superiorly, posteriorly
Technique
Infant's legs placed in frogleg position
Place third finger on greater trochanter
Use thumb and index finger to hold knee
Attempt relocation of femoral head into acetabulum
Push upward with greater trochanter (away form bed)
Push toward bed and laterally with thumb at knee
Interpretation: Signs of Dislocation
Hip clunk felt
Occurs when femoral head relocates in acetabulum
Suggests Congenital Hip Dislocation
Hip click
Benign finding
Anterior draw sign
Anterior Draw Sign to test Integrity of anterior cruciate ligament


  #3

You are good. smiling face





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