Hand
Pivot Shift Test
– See: – Anterior Cruciate Ligament – Anterolateral Rotatory Instability – Clunk Test – Lachman – Losee Test – Reverse Pivot Shift Test – Discussion: – pivot shift assesses degree of incapacitating dysfunction in knee … Read more
PIP Joint in Duputren’s
– Discussion: – flexion contractures of PIP joint are more difficult to correct; – flexion deformities of PIP joint may be caused by contracture of a diseased central cord (which is an extension of palmar pre-tendinous cord); – PIP join contracture may be presaged by development of firm, fixed … Read more
Piano Key Test
– Discussion: – evaluate the freedom of motion in an AP as well as pain an crepitus – with one hand, firmly stabilize the distal radius; – w/ other hand, grasp the head of ulna between the thumb and index fingers
Physical Exam for Carpal Tunnel Syndrome
– Discussion: – its essential to consider the differential dx and to examine the patient from the neck down to the finger tips; – in taking the history, be sure to inquire as to whether the patient’s main complaint is hand/wrist pain versus paresthesias; – it is also important … Read more
Physical Exam for Cervical Spondylosis
– Signs and Symptoms: (see C-spine Exam) – pain is earlly symptom, which may be ischemic in origin; – Myelopathy: – characterized by weakness (upper > lower extremity); – ataxic broad based suffling gait, sensory changes; – rarely urinary retention; – myelopathy hand: … Read more
Physical Exam of the Cervical Spine
– See: – Brachial Plexus – Neuro Exam – Diff Dx of Cervical Pathology: – Neuro Exam: – PE of Lumbar Spine: – Upper Cord Involvement: (see: cervical radiculopathy / myelopathy) C5 C6 C7 C8 T1 Sens: Lat arm Thumb … Read more
Physical Exam and Evaluation of Colles Frx
– Neurological Exam: – be sure to examine the AIN, PIN, and median nerve at the wrist; – carpal tunnel syndrome; – evaluate the strength of the APB; – injury from contact with bone spicules; – … Read more
Physical Exam for ACL Tear
– See: – Physical Exam of the Knee: – Mechanism: ACL Tear: – Anteromedial Rotatory Stability: – Anterior Cruciate Ligament – Anterior Drawer Test – Anterolateral Rotatory Instability – Clunk Test – Lachman – Losee Test – … Read more
Physical Exam for Ankle Sprains
– See: Talar Tilt – Anterior Drawer Test – evaluates Anterior Talofibular ligament (look for diff. of 8 mm) – this can be performed by securing distal leg w/ one hand and applying an anterior pull on the heel with the foot held in gentle plantar flexion; – forward … Read more