ORTHOPEDIC SPECIAL TESTS OCS WITH ALL CORRECT &
100% VERIFIED ANSWERS|LATEST UPDATE|ALREADY
GRADED A+
Meniscal Tear Test Item Cluster ✔Correct Answer-Cluster:
1. History of catching or locking reported by the patient
2. Joint line tenderness
3. Pain with forced hyperextension (modified bounce home test)
4. Pain with maximal passive knee flexion
5. Pain or audible click with McMurray manuver
ACL Tear ✔Correct Answer-1. Lachman's
+LR = 10.2. Sn = 85%. Sp = 94%
2. Pivot Shift
3. Anterior Drawer
PCL Tear ✔Correct Answer-
MCL Tear ✔Correct Answer-1. Valgus stress test @30 (for laxity AND pain). Are Sn, but NOT Sp.
LCL Tear ✔Correct Answer-
Meniscal tear ✔Correct Answer-Meniscal Pathology Composite Score (high SpIN):
1. Hx catching/locking
2. Pain with forced hyperextension
3. Pain with end range/max flexion
4. (+) McMurray. Sn 55%. Sp 77%. +LR= 3-4
5. Joint line TTP
*5 of 5 present = 92% predictive. Sn 11%. Sp 99%
*4 of 5 present = 75% predictive. Sn 17%. Sp 96%
Also, per CPG:
(+) twisting MOI
"tearing" sensation at onset
delayed effusion (6-24 hrs post)
(+)Thessaly (at 5* or 20* flexion)
Hip Labrum pathology ✔Correct Answer-
RTC Tear ✔Correct Answer-Age > 65
Weak ER ( infra test)
Night pain
+LR 9.84
-LR 0.54
( good to rule in NOT out )
secondary RTC Impingement Test Item Cluster ✔Correct Answer-1. Hawkins-Kennedy
2. Painful Arc Sign
3, Infraspinatus Muscle Test
, • Pretest Prob 65%
• 3 of 3 → + LR 10.56 → Post test Prob 95%
• 2 of 3 → + LR 5.03 → Post test Prob 90%
Internal Rotation Resisted Strength Test ✔Correct Answer-Zaslov (J Shoulder Elbow Surg, 2001)
• Patient stands shoulder 90° abd and 80° ER • Examiner resists IR then ER
• Positive:
- Greater weakness w/ IR = Intra-articular : Posterior Impingement, Anterior / posterior labrum,
bankart , SLAP.
- Greater weakness w/ ER = RC pathology : secondary Impingement , tear .
- no difference in strength = extra-articular : ACJ lesion , LHB lesion , systemic referral .
• Sn 0.86, -LR .13 • Sp 0.96, +LR 22
External Rotation Lag Sign ✔Correct Answer-Supraspinatus or Infraspiantus Tear
+ LR 15.5-34.5 (88% Post test) NegLR .2-.32 (13.2% Post Test)
Hornoblowers Sign ✔Correct Answer-Teres Minor Tear
+ LR = 14.29(87.7% Post) Neg LR = 0
Internal Rotation Lag Sign ✔Correct Answer-Subscapularis Tear
Pos LR = 24.3(92.4% Post) Neg LR = .03(1.48%).
Per Cleland and Kopenhaver text: +LR = 6.2. -LR = 0.0
Dropping Arm Sign ✔Correct Answer-RTC tear of Infraspinatus
Pos LR = 0 Neg LR = 0
(Anterior Instability ✔Correct Answer-Apprehension test
+ LR = 20.2 - 53(91-96.4% post)
- LR = .28 (12.7-19.0% post)
OR
Apprehension and Relocation
+ LR 39
- LR .19 ( improves ruling out from above test )
Anterior Release Test ✔Correct Answer-" Suprise Test" for Anterior instablity
+ LR 8.36-58.6(80.7-96.7% post)
- LR.09-.37(4.4-15.6% post)
Test Item Cluster for Bankart/Anterior shoudler Labral tear ✔Correct Answer-All 5 must be postivie
1. Crank, 2. Jobe Relocation, 3. Apprehension, 4. Anterior Load and Shift, 5. Sulcus Sign
+LR = 6.0(75% post)
-LR = .12(7% post)
Jerk Test ✔Correct Answer-Posterior/Inferior Labral lesion
+LR = 36.5(94.8% post)
-LR = .28(12.3% post)
100% VERIFIED ANSWERS|LATEST UPDATE|ALREADY
GRADED A+
Meniscal Tear Test Item Cluster ✔Correct Answer-Cluster:
1. History of catching or locking reported by the patient
2. Joint line tenderness
3. Pain with forced hyperextension (modified bounce home test)
4. Pain with maximal passive knee flexion
5. Pain or audible click with McMurray manuver
ACL Tear ✔Correct Answer-1. Lachman's
+LR = 10.2. Sn = 85%. Sp = 94%
2. Pivot Shift
3. Anterior Drawer
PCL Tear ✔Correct Answer-
MCL Tear ✔Correct Answer-1. Valgus stress test @30 (for laxity AND pain). Are Sn, but NOT Sp.
LCL Tear ✔Correct Answer-
Meniscal tear ✔Correct Answer-Meniscal Pathology Composite Score (high SpIN):
1. Hx catching/locking
2. Pain with forced hyperextension
3. Pain with end range/max flexion
4. (+) McMurray. Sn 55%. Sp 77%. +LR= 3-4
5. Joint line TTP
*5 of 5 present = 92% predictive. Sn 11%. Sp 99%
*4 of 5 present = 75% predictive. Sn 17%. Sp 96%
Also, per CPG:
(+) twisting MOI
"tearing" sensation at onset
delayed effusion (6-24 hrs post)
(+)Thessaly (at 5* or 20* flexion)
Hip Labrum pathology ✔Correct Answer-
RTC Tear ✔Correct Answer-Age > 65
Weak ER ( infra test)
Night pain
+LR 9.84
-LR 0.54
( good to rule in NOT out )
secondary RTC Impingement Test Item Cluster ✔Correct Answer-1. Hawkins-Kennedy
2. Painful Arc Sign
3, Infraspinatus Muscle Test
, • Pretest Prob 65%
• 3 of 3 → + LR 10.56 → Post test Prob 95%
• 2 of 3 → + LR 5.03 → Post test Prob 90%
Internal Rotation Resisted Strength Test ✔Correct Answer-Zaslov (J Shoulder Elbow Surg, 2001)
• Patient stands shoulder 90° abd and 80° ER • Examiner resists IR then ER
• Positive:
- Greater weakness w/ IR = Intra-articular : Posterior Impingement, Anterior / posterior labrum,
bankart , SLAP.
- Greater weakness w/ ER = RC pathology : secondary Impingement , tear .
- no difference in strength = extra-articular : ACJ lesion , LHB lesion , systemic referral .
• Sn 0.86, -LR .13 • Sp 0.96, +LR 22
External Rotation Lag Sign ✔Correct Answer-Supraspinatus or Infraspiantus Tear
+ LR 15.5-34.5 (88% Post test) NegLR .2-.32 (13.2% Post Test)
Hornoblowers Sign ✔Correct Answer-Teres Minor Tear
+ LR = 14.29(87.7% Post) Neg LR = 0
Internal Rotation Lag Sign ✔Correct Answer-Subscapularis Tear
Pos LR = 24.3(92.4% Post) Neg LR = .03(1.48%).
Per Cleland and Kopenhaver text: +LR = 6.2. -LR = 0.0
Dropping Arm Sign ✔Correct Answer-RTC tear of Infraspinatus
Pos LR = 0 Neg LR = 0
(Anterior Instability ✔Correct Answer-Apprehension test
+ LR = 20.2 - 53(91-96.4% post)
- LR = .28 (12.7-19.0% post)
OR
Apprehension and Relocation
+ LR 39
- LR .19 ( improves ruling out from above test )
Anterior Release Test ✔Correct Answer-" Suprise Test" for Anterior instablity
+ LR 8.36-58.6(80.7-96.7% post)
- LR.09-.37(4.4-15.6% post)
Test Item Cluster for Bankart/Anterior shoudler Labral tear ✔Correct Answer-All 5 must be postivie
1. Crank, 2. Jobe Relocation, 3. Apprehension, 4. Anterior Load and Shift, 5. Sulcus Sign
+LR = 6.0(75% post)
-LR = .12(7% post)
Jerk Test ✔Correct Answer-Posterior/Inferior Labral lesion
+LR = 36.5(94.8% post)
-LR = .28(12.3% post)
