Definitions/ Already Graded A+
Finkelstein's - Answer: de Quervain's tenosynovitis
hold thumb and rapidly ulnar deviate
Tinel's - Answer: tap on radial nerve, shooting pain --> carpal tunnel
Phalen's - Answer: Press back of hands together for 1 minute, if numb, tingling,
pain, carpel tunnel
Carpal tunnel RFs - Answer: pregnant women, people who do repetitive work like
factory workers, knitters
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,Drawer test
Indication
Movement
Positive - Answer: Indication: ACL or PCL rupture
Flex hip to 45, knee to 90
examiner sits on feet to stabilize
Place hands at top of calf and try and push in (anterior) and pull out (posterior)
laxity >6-8mm implies positive
Lachman test
Indication
Movement
Positive - Answer: ACL rupture
Flex knee slightly, examiner grasps above calf with dominant hand and stabilizes
femur with other
pulls tibia anteirorly in sudden firm forward motion
>6-8mm is laxity, positive
McMurray's
Indication
Movement
Positive - Answer: indication: meniscal tears
Flex knee as much as possible, examiner rotates btween external and internal
rotation and extending the knee. listen for popping, clicking, etc
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, Bulge sign - Answer: confirms fluid in the knee
upward strokes on medial aspect of knee while applying lateral pressure
presence of bulge/fluid = +
Different grades of ankle sprains
Grade 1
Grade 2
Grade 3 - Answer: 1: Small tears
2: larger tears, no complete tears
3: complete tears
Important history information for neck pain - Answer: Fever
Most common cause of back pain - Answer: nonspecific, muscle strain or sprain
Straight leg raise - Answer: supine patient
lift up leg as far as can go, should be able to go >70 degrees without significant
radiating pain (some gluteal discomfort or hamstring tightness is okay)
+ if sharp shooting pain up back of leg, sciatica, lumbar root nerve cmopromise
Red flags of neck pain - Answer: Nuchal rigidity
Recent trauma
Weakness of extremities
3 types of joints - Answer: 1. Synovial (freely movable, knee and shoulder)
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