A Abdominal Reflex, 156 Abdominal Wall, T9-12 And, 135, 153 Abduction External Rotation In, 15 of Forefoot, 295–296 of Hip, 20
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Index A Acromioclavicular joint (ACJ), Abdominal reflex, 156 10 Abdominal wall, T9-12 and, arthritis of, 1 135, 153 dislocation of, 1 Abduction O’Brien’s test and, 36 external rotation in, 15 subluxation of, 5 of forefoot, 295–296 tests for, 38 of hip, 204–205 Acromion, 11 internal rotation in, 17 Active dorsiflexion, 291 in shoulder, 13–14 Active eversion, 292 of thumb, 105 Active inversion, 291 Abductor digiti minimi, 115 Active plantarflexion, 290 hypothenar eminence and, Adam’s test, 165 117 Adduction muscle insertion for, 122 of forefoot, 295 T1 and, 152 of hip, 205 Abductor pollicis, 115, 118 in shoulder, 14 muscle insertion for, 122 Adductor brevis, 209 Abductor pollicis brevis (APB), Adductor gracilis, 209 105, 111 Adductor longus, 209 Abductor pollicis longus Adductor magnus, 209 (APL), 97, 102 Adhesive capsulitis, 1, 3 muscle insertion for, 105 Adson’s test, 161 Abductor tendinitis, groin Anal reflex, 156 pain and, 189 S2-4 and, 182 Acetabular labrum, 190 Anatomical snuffbox, 88–89 Achilles’ tendon, 288 Ankle, 259–310 reflex, 307 hip and, knee and, 223 S1 and, 181 injury mechanisms for, 259 tendinitis in, 277 muscle testing for, 298–305 ACJ. See Acromioclavicular pain sites for, 259 joint range of movement for, ACL. See Anterior cruciate 290–292 ligament special tests for, 308–310 314 INDEX Ankle (cont.) grind test and, 131 swelling in, 261, 277 of hip, 191 Ankylosing spondylitis, 135, of MTP, 298 136 of radiohumeral joint, 44 chest expansion and, 145 Arthrogryposis, pes cavus and, relieving factors for, 163 269 stiffness and, 190 ASIS, 191, 200 Antalgic gait, 192, 227 Ataxia, 192 foot and, 278 Avascular necrosis (AVN) Anterior apprehension test, 34 groin pain and, 189 Jobe’s relocation test and, 34 of lunate, 62 pectoralis major and, 34 swelling from, 261 Anterior cruciate ligament AVN. See Avascular necrosis (ACL), 217 Avulsion of sartorius, 200 Lachman’s test for, 251 Axilla, T3 and, 135, 153 Anterior dislocation, of elbow, 39 B Anterior drawer test, 250–251 Babinski test, 158, 183 for foot, 308 Baker cyst, 219, 241 Anterior inferior tibiofibular Beighton’s score, for ligament, 286 hypermobility, 31 Anterior interosseous nerve, Benediction hand deformity, 81 105 Biceps Anterior joint line tenderness, C6 and, 147 237 muscle testing of, 53 Anterior talofibular ligament, reflex of, C5 and, 153 277, 286 Biceps femoris tendon, 240 Anterolateral dome, Biceps tendon, 48 of talus, 285 Bishop’s hand, 81 APB. See Abductor Bladder dysfunction, 136 pollicis brevis Blount’s disease, 221, 263 Ape hand deformity, 82 Bouchard’s nodes, 70 Apex of the olecranon, 46 Boutonniere deformity, 74 APL. See Abductor pollicis Bowel dysfunction, 136 longus Brachial artery, 48 Arcade of flexion, Brachial plexus injury, 1, 77 of fingers, 65 Brachioradialis, 55, 97–98 Arcade of Frohse, 44 muscle insertion for, 105 Arthritis. See also muscle testing of, 55 Osteoarthritis; reflex of, C6 and, 154 Rheumatoid arthritis; Bryant’s triangle, 201 Septic arthritis Bulbocavernosus reflex, 156 of ACJ, 1 S3-4 and, 182 of glenohumeral joint, 1, 13 Bunnell test, 132 INDEX 315 Bursitis Calcaneofibular ligament, 286 in elbow, 40 Callosities, 275, 276 of greater trochanter, 200 Camptodactyly, 86 in knee, 219, 223 Capitellum psoas, 190 fracture of, 39 skin temperature and, osteochondritis of, 39 232, 279 Caput ulnae, 62, 72 subacromial, 11 Carpal tunnel syndrome, 62 Buttocks, poliomyelitis Modified Durkan’s and, 191 test for, 124 Tinel’s test for, 125 C Carpometacarpal joint C1-2, pain in, 134 (CMCJ), 70 C2-3, pain in, 134 grind test for, 131 C3, neck and, 135, 153 osteoarthritis of, 71 C3-4-5, pain in, 134 Carrying angle, 41–42 C4, shoulder and, 135, 153 Catching C5, 146 in knee, 220 biceps and, reflex of, 153 in lumbar spine, 170 deltoid and, 153 Cauda equina syndrome, 164 deltoid muscles and, Cellulitis, skin temperature 135, 146 and, 279 elbow and, 135 Cerebral palsy, 263 nerve root, 146 Cervical rib, 161 C6 Cervical spine biceps and, 147 extension in, 141 brachioradialis reflex flexion in, 140 and, 154 herniated disc in, 140 nerve root, 147–148 lateral flexion of, 142 thumb and, 135, 153 lateral rotation of, 143 wrist and, 147 lordosis of, 166 C6-7-T1, pain in, 134 rheumatoid arthritis in, 140 C7 spondylosis of, 135, 140 fingers and, 149 stenosis of, 135 middle finger and, 135, 153 Cervical/thoracic spine, nerve root, 148–150 133–161 triceps and, 150 congenital deformities of, reflex of, 155 133 wrist and, 148 fractures of, 133 C8 gait and, 138 fingers and, 151 injury mechanisms of, 133 little finger and, 135, 153 muscle testing for, 146–152 nerve root, 150–151 pain sites for, 134 Café-au-lait spots, 136 paresthesia in, 135 316 INDEX Cervical/thoracic spine (cont.) Coronal plane, 13 scars and, 136 Cremasteric reflex, T12 and, special tests for, 156–161 182 stiffness in, 135 Crossed straight leg raising test, Charcot arthropathy 185 of midfoot, 274 Cross fluctuation, 232 skin temperature and, 279 Crush injury, pes cavus and, Charcot-Marie-Tooth disease, 269 96, 192 Crystal induced arthropathies, pes cavus and, 269 skin temperature and, 279 varus heel and, 273 Cubital tunnel syndrome, 39 Chest expansion, ankylosing Cubitus valgus, 42 spondylitis and, 145 Cubitus varus, 42 Chest wall asymmetry of, 137 D T5-8 and, 135, 153 Deep venous thrombosis, 261 Chondrocalcinosis, 219 Deltoid, C5 and, 153 Clark’s test, 257 Deltoid ligament, 281 Clavicle, 5, 10 Deltoid muscles, 5, 6, 22–23 Claw hand, 77–78 C5 and, 135, 146 Claw toes, 268 Demyelination, 97 pes cavus and, 268 Dermatomes, 153 Clicking, 190 Diabetes, 275 Clinodactyly, 87 claw toes and, 268 Clonus, 183 Diabetes mellitus, 97 myelopathy and, 158 Dial test, 254 Club foot DIPJ. See Distal pes cavus and, 269 interphalangeal joint varus heel and, 273 Disc prolapse, 162 Club hand, 87 Dislocation CMCJ. See Carpometacarpal of ACJ, 1 joint of elbow, 39 Cobbler’s fracture, 61 of hip, 189, 196 Coccyx, 168 of MCPJ, 93 Colle’s fracture, 61 scapholunate, 62 EPL and, 103 of shoulder, 1 Congenital deformities Distal interphalangeal joint of cervical/thoracic spine, 133 (DIPJ), 70 of hands, 83–87 deformity of, 73 of lumbar spine, 161 mallet toes and, 266 Congestive heart failure, 261 Distal radioulnar joint, 90 Coracoclavicular ligament, 10 Dorsal interossei, 115, Coracoid, 10 119–120 Corn, 276 muscle insertion for, 122 INDEX 317 T1 and, 151–152 posterior dislocation of, 39 Dorsalis pedis artery, 210, 281 pronation of, 50–51, 52, 56 knee and, 247 range of movement in, Dorsiflexion 49–52 of foot, 293–294 rheumatoid arthritis in, 40 of great toe, 297 septic arthritis in, 40, 42 of wrist, 93 special tests for, 57–59 Dowager’s hump, 137–138 stiffness in, 40 Drawer tests, 31–32 supination of, 50–51, 56 of MTP, 310 synovitis in, 45 Drop arm sign, 27 T1 and, 135, 153 Drop foot, 192, 278 tendinosis in, 40 Dupuytren’s contracture, 66 Ely’s test, 213 Dupuytren’s disease, 71 Enchondroma, 65 EPB. See Extensor pollicis E brevis ECRB. See Extensor carpi Epicondyles, bony radialis brevis prominences of, 46–47 ECRL. See Extensor carpi EPL. See Extensor pollicis radialis longus longus ECU. See Extensor carpi Erb’s palsy, 3 ulnaris Extension EDC. See Extensor digitorum of cervical spine, 141 communis of elbow, 49 EDM. See Extensor digiti of hip, 206 minimi of lumbar spine, 171 EHL. See Extensor hallucis of thoracic spine, 144 longus Extensor carpi radialis brevis EIP. See Extensor indicis (ECRB), 97, 99 proprius muscle insertion for, 105 Elbow, 39–59 Extensor carpi radialis longus anterior dislocation of, 39 (ECRL), 97, 99 bursitis in, 40 muscle insertion for, 105 C5 and, 135 Extensor carpi ulnaris (ECU), extension in, 49 97, 100 flexion in, 49 muscle insertion for, 105 gout in, 42 Extensor digiti minimi (EDM), hyperextension of, 50 97, 102 hyperflexion of, 50 muscle insertion for, 105 injury mechanisms of, 39 Extensor digitorum communis muscle testing for, 53–57 (EDC), 97, 101 obesity and, 42 muscle insertion for, 105 osteoarthritis in, 39, 40 Extensor digitorum longus, pain sites in, 39 281, 302 318 INDEX Extensor hallucis brevis, 301 normal rotational alignment Extensor hallucis longus of, 65 (EHL), 177, 247, 280, 301 rheumatoid arthritis of, 65 Extensor indicis proprius swelling of, 70–72 (EIP), 97, 102 Finklestein’s test, for de muscle insertion for, 105 Quervain’s disease, 126 Extensor pollicis brevis (EPB), First dorsal interosseous, 97, 104 atrophy of, 71 muscle insertion for, 105 First metatarsal, 285 Extensor pollicis longus Fixed flexion deformity, (EPL), 97 230–231 Colle’s fracture and, 103 Flexed knee gait, 227, 278 muscle insertion for, 105 Flexion radial nerve and, 121 of cervical spine, 140 rheumatoid arthritis and, of elbow, 49 103 of hip, 203 External rotation, 14–16 of knee, 222 in abduction, 15 of lumbar spine, 169 External rotation lag test, 29 of thoracic spine, 144 External rotation test, 311 Flexion deformity, 230–231 Flexor carpi radialis (FCR), F 105, 107 FABER maneuver, 187 muscle insertion for, 114 for hip, 212 Flexor carpi ulnaris (FCU), Facet joint, 139, 168 90, 116 Facet syndrome, 161 muscle insertion for, 122 Fairbank’s test, 256 ulnar nerve and, 115 FCR. See Flexor carpi radialis Flexor digiti minimi brevis, FCU. See Flexor carpi ulnaris 115 FDP. See Flexor digitorum muscle insertion for, 122 profundus Flexor digitorum longus, 283 FDS. See Flexor digitorum Flexor digitorum profundus superficialis (FDP), 64, 105, 110 Femoral shortening, 198–199 little finger and, 116 Femoral stretch test, 186 median nerve and, 121 FHL. See Flexor hallucis muscle insertion for, 114, longus 122 Fick angle, 262 ring finger and,