Hip Tests
Thomas Test: perform test and give the positive & indication
Positive- opposite thigh or knee rises off the table or the lumbar curve dosen’t flatten
Indicates- tight hip flexors/contracture (ilopsoas muscle)
Patellar Grinding Test/Clarke’s Sign- perform test and give positives & indications
Positive- retropatellar pain, clicking
Indication- patella femoral arthralgia
Calcaneal Squeeze- perform test and give positives & indications
Positives- pain
Indications- sides= calcaneal fracture, back= retro-calcaneal bursitis, medial= plantar fascitis
What is a congenital hip dislocation?
Hip dysplasia
T1 disc lesion
T1 nerve root
Ulnar nerve
Palmar & Dorsal interossei
finger add and abduction
No DTR
Medial elbow
Log Roll Test- perform test and give positives & indications
Positive- pain, popping, clicking
Indications- torn ligamentum teres and general hip lesions
Abduction/Valgus Stress Test- perform test and give positives & indications
Positive- medial knee laxity/instability
Indication- medial/tibial collateral ligament sprain
Thompson’s/Simmond’s Test- perform test and give positives & indications
Positive- no plantarflexion of foot
Indication- ruptured Achilles tendon
________ is inflammation of the pubic symphysis particularly where muscles insert
Osteitis pubis
C5 nerve root
C4 disc lesion
Axillary and musculocutaneous nerves
Deltoid and biceps muscles
Shoulder abduction and elbow flexion
Biceps DTR
Lateral side of upper arm to elbow
Trendelenburg’s Test- perform and give the positive & indications
Positive- unsupported hip drops below supported hip
Indication- weakness of the gluteus medius/minimus (hip abductors) on the side they are standing on
Thessaly Test- perform the test and give positives & indications
Positive- pain, catching, or popping
Indication- meniscal injury/tear
Klieger’s Test- perform the test and give the positives & indications
Positives- increased pain in the distal tibia/fibular syndesmotic joint
How does someone get turf toe? Sand toe?
Turf toe- excessive dorsiflexion
Sand toe- excessive plantarflexion
Anteromedial leg and medial side of foot
L3 disc
L4 nerve root
Femoral and deep fibular nerves n
Quads and anterior tibialis muscles
Knee extension and ankle inversion
Patellar DTR
FAIR Test- perform test and give positives & indications
Positive- reproduction of groin and maybe hip pain, sciatic pain
Indications- hip lesions, femoral acetabular impingement, piriformis syndrome
Lachman’s Test- perform the test and give the positive & negative
Positive- mushy, soft end feel and/or excessive movement, may not be painful
Indication- laxity/instability, ACL tear
Homan’s sign- perform the test and give the positives & indications
Positives- deep seated calf pain upon squeezing or squeezing with dorsiflexion
Indications- deep vein thrombosis or thrombophlebitis
List 3 orthos that would help determine if someone has IT band syndrome
Nobel’s, Renne’s, and Ober’s
Achilles DTR
L5 disc
S1 nerve root
Tibial and superficial fibular nerves
Gastrocnemius, soleus, and fobularis longus and brevis
Foot plantarflexion and ankle extensionPosterolateral leg and lateral side of foot
Scouring Test- perform the test and give the positives & indications
Positive- pain/catching
Indications- hip lesions (specifically a labrum tear)
Nobles Compression- perform the test and give the positives & indications
Positives- pain over femoral condyle as the knee straightens
Indications- IT band syndrome
Anterior AND Posterior Ankle Drawer Test- perform the test and give the positives & indications
Positives- talus slides excessively (laxity and instability)
Indications- anterior: anterior talofibular ligament sprain/instability/tear, posterior: posterior talofibular ligament sprain/instability/tear
What is the AKA for Osgood Schlatter Disease? What is this?
Sinding Larson Johannsen Disease- apophysitis of the tibial tubercle
Elbow flexion and wrist extension
C5 disc lesion
C6 nerve root
Radial nerve
Brachioradialis, extensor carpi radialis longus and brevis
Brachioradialis DTR
Lateral forearm, thumb and index finger