Maryville Nurs 612 Exam 3 Musculoskeletal System

Maryville Nurs 612 Exam 3 Musculoskeletal System McMurray Test - answerTests for torn meniscus in the knee. Ballottement - answerPalpation technique used to assess an organ or mass. Also used for detection of effusion in the knee Neer Test - answerShoulder rotator cuff impingement or tear. Forward flex the patient's arm up to 150 degrees while depressing the scapula. This presses the greater tuberosity and supraspinatus muscle against the anteroinferior acromion. Hawkins Test - answerShoulder rotator cuff impingement or tear. Abducting the shoulder to 90 degrees, flexing the elbow to 90 degrees, then rotating internally rotating the arm to its limit. Tinel Sign - answerMedian nerve integrity. Tested by striking patient wrist with index finger or middle finger where median nerve passes under the flexor retinaculum and volar carpal ligament. Phalen Test - answerMedian nerve integrity. Patient holds both wrists in a fully palmar- flexed position with the dorsal surfaces pressed together for 1 minute. Numbness and paresthesia in the distribution of the median nerve suggestive of carpal tunnel syndrome. Bulge sign - answerEffusion of fluid in the knee. With patients knee extended, milk the medial aspect of the knee upward two or three times, and then milk the lateral side of the patella. Observe for a bulge of returning fluid to the hollow area medial to the patella. Anterior & Posterior Drawer Test - answerAnterior and posterior cruciate ligament integrity Varus-valgus stress test - answerMedial or lateral collateral ligament instability in knee Lachman test - answerAnterior cruciate ligament integrity Thomas Test - answerFlexion contracture of hip Trendelenburg Sign - answerWeak hip abductor muscles Femoral Stretch Test - answerL1, L2, L3, L4 nerve root irritation Pronation - answerPosition of the forearm so that the palm faces down; position of the heel so that the foot does not bear weight through the midline.