orthotests - ORTHOPAEDIC TEST Adsons Test (Scalene...

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ORTHOPAEDIC TEST PROCEDURE CLINICAL SIGNIFICANCE Adson’s Test (Scalene Triangle) -Pt sitting (prac stands b/h) -Prac palpates radial pulse -Pt is instructed to rotate their head towards the side being tested. -Prac laterally rotates & extends the pts shoulder. -Pt is instructed to take a large breath & hold it -+ve test= reproduction of pts symptoms & a disappearance of radial pulse= thoracic outlet syndrome -Most likely cause of TOS= scalene muscles esp. anterior scalene. Allen’s Test -Pt sitting (prac standing to the side of the pt) -Pt is instructed to open & close their fist quickly several times & then squeeze their fist tightly so that the venous blood is forced out of the palm. -Prac places their thumb of one hand over the radial artery & the thumb of the other hand over the ulnar artery. The arteries are pressed against the underlying bones to occlude them. -Pt is then instructed to open their hand the palm of the hand should be pale -Prac then releases one artery whilst the other remains occluded hand flushes quickly -Test is repeated on other artery & other hand -Flushing should occur immediately after the artery is released. -+ve test= no reaction or very slow flushing= complete or partial occlusion of the artery being tested. Anterior Interosseous Nerve Test -Pt sitting (prac stands in front) -Pt is instructed to pinch the tips of their index finger & thumb together (in an ‘ok’ sign) -Tests for compression of the anterior interosseous nerve (branch of the median nerve). -+ve test= pt is unable to pinch tip-to-tip & instead has an abnormal pad-to-pad pinch= pathology of the anterior interosseus nerve -Anterior interosseus nerve is most commonly compressed as it passes b/w the 2 heads of pronator teres Anterior Apprehension Test -Pt sitting (prac stands b/h pt w knee flexed & foot on couch) -Pts arm is abducted to 90 ° and elbow is flexed to 90 ° . The patients arm rests on the prac’s knee. -The prac pushes anteriorly on the posterior aspect of the humeral head w the thumb as the shoulder is slowly externally rotated. -Prac observes the pts face -Tests for anterior hypermobility & instability of the glenohumeral joint -+ve test= look of apprehension or alarm on the pts face & the pts resistance to further motion of the reproduction of the pts symptoms. Anterior Draw Sign (Ankle) -Pt supine w knee bent & heel resting on couch (prac stands at side of couch level w feet) -Prac stabilizes the pts heel into the couch and pushes the distal tibia & fibula posteriorly -Tests for injury of the anterior talofibular (lateral) ligament (most commonly injured of all ankle ligaments) & the deltoid (medial) ligament -+ve test= instability +/- pain Anterior Draw Sign (Shoulder) -Pt supine (prac stands at side of couch) -Pts forearm is placed in the prac’s axilla. -Pts shoulder is abducted to 90
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This note was uploaded on 07/15/2011 for the course ECO 2023 taught by Professor Mr.raza during the Summer '10 term at FAU.

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orthotests - ORTHOPAEDIC TEST Adsons Test (Scalene...

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