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Orthopedic exams Matching
reverse cozen
pt flexes wrist and forearm and holds the forearm in supination. doctor tries to push wrist into extension while patient resists. pain = medial epicondylitis
ant drawer of the foot
grasp tibia of affected ankle of the supine patient with one hand and the calcaneus with the other hand. push down on tibia and pull the calcaneus upwards. talus slides anteriorly = tear anterior talofibular ligament
Roos, Elevated are Stress test
pt abducts arms to 90 and bends elbows to 90. open and close fists repeatedly for 3 minutes. reproduces symptoms or arm starts to fall = TOS
Sicard
If SLR is positive, lower leg just below point of pain. quickly extend big toe of affected foot. Pain = sciatic nerve root compression
speed
st standing. ask pt tp extend elbow , supinate the forearm, flex the arm and hold that position. attempt to push forearm down. pain in bicipital groove = bicipital tendonitis.
Hautant
Pt seated. pt extends arms out in front with palms up. pt closes eyesand extends and rotates it to one side and then to the other side. if pt's arms drift or dizziness or blurriness occur or nystagmus = vertebrobasilar insufficiency
ober
patient lies on unaffected side. doc stabilizes iliac crest. doc grabs pts ankle with other hand and flexes knee at 90 degrees. passively abducts leg allows the knee to fall,if leg remains abducted = it band syndrome or trochanteric bursitis
Bechterew
seated pt. extends affected leg first and then both while you exert downward pressure on pt's thighs. pain to affected leg = disc lesion or sciatica
lachman
pt supine. flex affected knee at 30 degrees. grab proximal end of tibia and pull tibia anteriorly. excessive movement = ACL tear
wince
pressure on specific point on muscle causes patient to make a facial grimace = tender point in fibromyalgia
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