Hip
Knee
Ankle
Ankle part 2
CPGs- examination
100

Tests for hip fractures and their statistical utility

- Fulcrum test( Sp good, Sn excellent)

-Patellar percussion test ( Sp good, Sn high)

100

Tests for ACL integrity

- Lachman's (Sp high, Sn good)

-Anterior drawer (Sp high, Sn fair)

-Pivot shift (Sp high, Sn fair)

100

Achilles tendinopathy test

-Thompson test (Sp high, Sn excellent)

-Royal london (Sp high, Sn poor)


100

Plantar fasciitis

Windlass(Sp excellent, Sn poor)

100

A level examinations for osteoarthritis 

-WOMAC, BPI, PPT, and VAS outcome measures

-6MWT, stair measurement, TUG, 30 sec chair stand

-FABER test

-balance performance through BERG balance scale, 4-square step, timed SLS

200

Test for space-occupying lesions

-Sign of the buttock (unknown Sp and Sn)

200

Tests for PCL integrity 

- Posterior drawer (Sp unclear, Sn fair)

-Quad active (Sp high, Sn good)

-Post sag (Sp unclear, Sn good)

- Varus/valgus at 0(Sp good, Sn mod)

200

Lateral ankle sprain tests

-Anterior drawer  (Sp and Sn fair-good)

-Reverse anterolateral drawer (Sp good, Sn high)

-Medial talar tilt (Sp fair, Sn poor)

200

DVTs- Well's criteria

- pitting edema

-Active cancer

-full leg swelling

-collateral superficial veins

-major surgery or bedridden for 3 or more days

- 0=low risk, 1-2= mod risk, >2= high risk 

200

A level examination for patellofemoral pain

- outcome measures like AKPS, KOOS-PF, VAS, EPQ

-squatting or ascending/descending stairs to stress the joint

300

Intra-articular conditions(ex. femoracetabular impingement)

-FADDIR( Sp unclear, Sn high)

-FABER (Sp mod, Sn good)

-Scour (Sp fair, Sn high)

-Flexion internal rotation (Sp unclear, Sn excellent)


300

Tests for MCL and PCL integrity (different tests)

- MCL- valgus stress (Sp fair, Sn high)

-LCL- varus stress (Sp poor, Sn high)

300

High ankle sprain tests

-Syndesmosis squeeze

-External rotation, ATFL stress- Kleiger's 

-

300

Ottawa ankle rules-imaging

-TTP over post and lateral malleoli

-TTP over navicular and base of 5th metatarsal

-can't WB

-trauma last 7 days

- Sp poor, Sn excellent

300

A level examination for lateral ankle ligament sprain

- outcome measures include VAS, LEFs, ankle and foot ability measure, 

- talar translation and inversion, ankle swelling, WB lunge test for DF measurements, dynamic balance, static single limb balance

400

Tests for neurodynamic mobility

-SLR (Sp fair, Sn good)

-Prone knee bending (Sp unclear, Sn good)

400

Tests for meniscus integrity

- Joint line tenderness (Sp and Sn mod)

-McMurray's (Sp high, Sn fair)

-Apley's (Sp high, Sn poor)

-Thessaly's (Sp high, Sn mod)

-Composite scoring( 3+ Sp high, Sn fair)

400

Morton's neuroma test

Mulder's click (Sp unknown, Sn fair-high)

400

Ankle impingement

Forced DF (Sp good, Sn high)

400

A level examination for hamstring strains

-knee flexion strength using a isokinetic or handheld dynamometer 

-measure hamstring length with hip flexed to 90o using an inclinometer 

500

Examination for osteoarthritis (CPG)

-TUG

-6MWT

-Stairs

-Limited ROM in 2 or more directions

-Morning stiffness 

-Pain in lat/ant hip and WBing


500

Ottawa knee rules for imaging

- age >55

-TTP over the fibular head and patella

-unable to flex knee >90o

-unable to WB >4 steps 

-Sp fair, Sn excellent

500

Tarsal tunnel syndrome

Tinel's (Sp fair-good, Sn poor-fair)

500

Neurodynamic testing SLR (sural, superficial and deep peroneal, tibial)

-Tibial= DF and evert 

-Sural= DF and invert

-Peronal(deep and superficial)= PF and invert

500

A level examination for achilles tendinopathy

-Outcome measures include LEFS, VISA-A, FAAM

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