Orthopedic Assessment Methods
By Scott R. Sailor, EdD ATC
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This podcast features orthopedic assessment videos which demonstrate various orthopedic assessment techniques. These methods are primarily used as review of the material for students in athletic training and physical therapy.
|1||VideoKnee - Anterior Drawer Test||Click to Play The Anterior Drawer Test for the knee is used to examine the integrity of the anterior cruciate ligament. The patient is placed supine on the table with the knee in 90 degrees of flexion and the hip flexed approximately 45 degrees. The exam||5/29/2007||Free||View In iTunes|
|2||VideoKnee - Apley's Distraction Test||Click to Play Apley's distraction test is commonly performed in conjunction with Apley's compression test. The patient starting position is the same (prone with the knee flexed to 90 degrees). The examiner will apply traction to the lower leg while rotat||5/29/2007||Free||View In iTunes|
|3||VideoKnee - Apley's Compression Test||Click to Play Apley's Compression test is used to assess the menisci of the knee. The patient is place prone on the exam table with her knee flexed to 90 degrees. The examiner applys a downward compressive force through the lower leg while laterally rota||5/29/2007||Free||View In iTunes|
|4||VideoKnee - Lachman's Test||Click to Play The Lachman's test (aka Ritchie test) is the preferred method of assessing for instability of the anterior cruciate ligament. The patient is supine on the table with their knee flexed approximately 20-30 degrees. The examiner grasps the||2/15/2007||Free||View In iTunes|
|5||VideoKnee - Slocum Anterior Drawer||Click to Play The Slocum Drawer test is used to assess for medial and lateral rotary instabilities of the knee. The exam is administered similarly to the anterior drawer test with the exception that the tibia is rotated medially and laterally to assess||2/15/2007||Free||View In iTunes|
|6||VideoKnee - Patellar Apprehension Test||Click to Play The Acute Patella Injury Test (aka Apprehension Test) is used to assess the possibility that the patient may have sustained a patellar dislocation which spontaneously reduced. This test provokes the same sensations which would have been p||2/15/2007||Free||View In iTunes|
|7||VideoKnee - Posterior Sag Test||Click to Play The posterior sag test (also known as the gravity drawer test, drop back sign, or Godfrey's test) is used to assess posterior cruciate ligament laxity. The patient is supine with her hips and knees bent to ninety-degrees. The examiner s||2/15/2007||Free||View In iTunes|
|8||VideoKnee - McMurray's Test||Click to Play The McMurray test is a test used to determine the presence of a meniscal tear. While the patient is supine on the exam table the examiner grasps the knee, placing one hand over the top of the knee with her thumb over one joint line and he||2/15/2007||Free||View In iTunes|
|9||VideoShoulder - Sulcus Sign||Click to Play The sulcus sign is an examination to determine the extent and/or presence of inferior instability of the glenohumeral joint. This test can be administered with the patient either seated or standing with his arm relaxed at her side. The||1/26/2007||Free||View In iTunes|
|10||VideoShoulder - Empty Can Test||Click to Play The empty can test is used to assess for the presence of injury/pathology to the supraspinatus. This test is also known as the supraspinatus strength test. The patient is either seated or standing with his arms in a position of scapatio||1/24/2007||Free||View In iTunes|
|11||VideoShoulder - Apprehension Test||Click to Play The shoulder Apprehension test is also known as the Fowler test or the Jobe relocation test. The examination is used to assess for shoulder instability. This examination is best partnered with the shoulder relocation test. The apprehe||1/24/2007||Free||View In iTunes|
|12||VideoShoulder - Adson's Test||Click to Play Adson's test is used to assess for the presence of Thoracic Outlet Syndrome at the scalene triangle. The patient is examined standing. The examiner palpates the radial pulse while moving the upper extremity in abduction, extension, and exte||1/9/2007||Free||View In iTunes|
|13||VideoAnkle - Anterior Drawer Test||Click to Play The Anterior Drawer Test is used to assess for instability of the ankle. Laxity is typically due to a sprain of the anterior talofibular ligament. To administer the test the examiner stabilizes the lower leg of the patient with one hand whi||1/8/2007||Free||View In iTunes|
|14||VideoAnkle - Talar Bump Test||Click to Play The heel percussion test (AKA bump or tap test) is used to differentiate a tibial stress fracture from medial tibial stress syndrome. The examiner stabilizes the patient's lower leg on the table and brings the foot into a relaxed neutral po||1/8/2007||Free||View In iTunes|
|15||VideoAnkle - Lower Leg Compression Test||Click to Play Pott's Compression (AKA squeeze) test is used to assess for the presence of a fracture of the lower leg. The examiner places the pads his or her hands on either side of the upper portion of the leg, one being located just distal to the head||1/8/2007||Free||View In iTunes|
|16||VideoAnkle - Kleiger's Test||Click to Play This test is used to determine if there is instability caused by a sprain of the Deltoid ligament of the ankle. The patient is examined in a seated position with his or her knee flexed over the end of the table and foot relaxed non-weight b||1/8/2007||Free||View In iTunes|
|17||VideoAnkle - Talar Tilt Test||Click to Play The talar tilt test is used to examine the integrity of the calcaneofibular or the deltoid ligament. The patient is seated confortably on the end of an exam table. Possible alternate positions can be sidelying or supine. The examiner grasps||1/8/2007||Free||View In iTunes|
|18||VideoAnkle - Thompson Test||Click to Play The Thompson test is used to examine the integrity of the Achilles' tendon. With the patient lying prone on the table with his or her foot extended beyond the end of the table the examiner squeezes the calf. A normal non-injured response to||1/8/2007||Free||View In iTunes|
|19||VideoLower Leg - Homan Sign||Click to Play Homan's sign is used to determine the presence of a deep vein thrombophlebitis. The patient lies prone on the table with the knee fully extended. The examiner passively dorsiflexes the patient's ankle while palpating the calf. Pain in the c||12/21/2006||Free||View In iTunes|
some of us use your podcast in our class. Thanks for helping us review our sp.tests. We need more podcasts like this one!
Good, not Great. Could be Great tho.
These assesment techniques are much more easily understood by watching than reading, so this is a great medium for them. Even tho these are common techniques & have been used for eons, how well do they actually work? Ie: I think the author needs to just give a 1 sentence summary of "What is the Sensitivity & Specificity of These Techniques?" This would make the podcast Great. I don't just want to learn something just because everyone has been doing it for eons. I'd like to know if they actually work.
You're awesome for doing these! So is Angie! So am I, I guess, but I haven't done any yet...