Orthopedic Tests Flashcards

1
Q

A positive Rust’s sign indicates what?

A

Severe sprain
Severe cervical subluxation
Fracture
Rheumatoid arthritis

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2
Q

Rust’s sign presence suggests what?

A

Sever upper cervical (Atlanto-axial) instability

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3
Q

What are the clinical indications for Rust sign?

A

1) Suggest ligament, muscle damage or possible fracture

2) X-RAY patient BEFORE performing any other tests (Flexion/extension films)

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4
Q

The procedure of the examiner applying thumb pressure to the mastoid process and gradually increases the pressure until the patient states that it is becoming noticeably uncomfortable is known as?

A

Libman’s sign

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5
Q

What does libman’s sign demonstrate?

A

Unusually low, high, or normal threshold for pain in the patient?

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6
Q

What is the clinical indication for Libman’s sign?

A

Is useful for interpretation of palpation findings in later exams
(Establishes pain tolerance for accurate Borg scale)

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7
Q

What is the sign for when the patient will be in a seated position and will place the hand of the affected extremity on top of their head, raising the elbow to the level of the ear?

A

Bakody sign

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8
Q

What sign is a position that the patient will assume if they have severe radicular symptoms?

A

Bakody sign

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9
Q

Decreasing the traction of the lower part of the brachial plexus and thus diminishing pain is the function of what sign?

A

Bakody sign

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10
Q

What is the advantage of bakody sign over a compression test?

A

It’s as effective as a compression test and causes the patient a lot less pain
(Note location of pain to help identify etiology of pain)

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11
Q

What is a positive reverse bakody sign?

A

Pain of patient chief complaint is exacerbated.

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12
Q

What does a positive reverse bakody sign indicate?

A

Thoracic outlet syndrome from interscalene compression

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13
Q

What is a negative bakody sign?

A

When the patient places the hand over head and there no change in pain or no pain in neck/arm

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14
Q

Differentiating a nerve root (IVF) encroachment from a thoracic outlet syndrome is the clinical indication for what?

A

Negative Bakody Sign

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15
Q

Radiating multi dermatomal pain is usually indicative of what?

A

Brachial plexus
Or
Vascular

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16
Q

When the patient is asked to abduct the shoulder to 90 degrees and then put the elbow into full extension its known as?

A

Bikele’s sign

17
Q

What is the purpose of Bikele’s sign?

A

Placing patient in a position that will traction the brachial plexus and its nerve roots

18
Q

Stressing the brachial plexus is the function of what sign?

A

Bikele’s sign

19
Q

What are the findings of Bikele’s sign?

A

The pain is radicular in nature and goes into the arm

20
Q

What test has the patient abduct both shoulders to 90 degrees and place the hands behind the head. The doctor the pulls the elbows back?

A

Brachial plexus tension test

21
Q

What is the purpose/function of the brachial plexus tension test?

A

Place tension on the brachial plexus. What the F*** else do you think it would do…

22
Q

What are the pain findings for the brachial plexus tension test?

A

Pain is radicular and goes into the arm

23
Q

What is the procedure of Dejerine’s sign?

A

Coughing, sneezing and straining during defecation, which may cause aggravation of radiculitis symptoms

24
Q

What causes the aggravated radiculitis symptoms during Dejerine sign?

A

Due to mechanical obstruction(SOL) such as a herniated or protruding intervertebral disc, spinal cord tumor or spinal compression fracture

25
Q

If the patient spontaneously grasps the head with both hands when lying down or when rising from a recumbent position, this is known as what sign?

A

Rust’s sign