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Flashcards in Lumbar Orthopedic Exams Deck (75)
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0

Which exams are done in the thoracics and lumbars?

Adam's Position Test
Amos's Sign

1

An antalgic lean away from the side of pain indicates what kind of lesion?

Posterolateral disc herniation

2

An antalgic towards the side of pain indicates what kind of lesion?

Posteromedial disc herniation

3

A forward antalgic lean indicates what kind of lesion?

Posterocentral (rhizal) disc herniation

4

Facet syndrome has similar findings of the antalgic sign. How would you differentiate between a disc herniation and facet syndrome?

Leg pain increases means a disc herniation
Back pain increases means facet syndrome

5

What is a classic positive of the Straight Leg Raiser?

Reproduction or increase of the pain
Radiating pain down the leg

6

A positive SLR would indicate?

Sciatica: sacroiliac or Lumbosacral problem
SOL or IVD lesion

7

What orthopedic test is the Hyndmann's sign associated with?

Straight leg raiser

8

What is Hyndmann's sign?

Neck flexion can cause pain during SLR, which is a confirmation of the findings

9

What is a classic positive sign for Bragard's Sign?

Reproduction or increase of pain

10

What does a positive Bragard's sign indicate?

Sciatica

11

What is a prerequisite for performing Bragard's sign?

A positive SLR

12

What is a classic positive of Sicard's Sign?

Reproduction or increase of radiating pain

13

What nerve does is tractioned during Bragard's sign?

The tibial nerve

14

What nerve does is tractioned during Sicard's sign?

Tibial nerve

15

A positive Sicard's sign indicates?

MC irritation of the L5 nerve root, though L4 or S1 are possible
Sciatica

16

What are the prerequisites for doing a Sicard's test?

SLR and Bragard's must be positive

17

What is a classic positive finding for Bechterew's Test?

Should correlate with pain findings from the SLR test. If SLR is positive then Bechterew's should also be positive

18

What test has the highest likelihood ratio for disc herniation?

Slump test

19

What is a positive finding for Slump test?

Pain should correlate with SLR

20

What does a positive Bechterew's sign indicate?

Sciatica: sacroiliac or Lumbosacral problem
SOL or IVD lesion

21

What would a positive slump test indicate?

Disc bulge or herniation

22

What is different about a Crossed Straight Leg Raiser/Well Leg Raiser/Contralateral Laseques?

You only test the asymptomatic side

23

What is a classic positive of Crossed Straight Leg Raiser/Well Leg Raiser/Contralateral Laseques?

Reproduction of pain on the symptomatic side

24

If the symptoms occur in the Crossed Straight Leg Raiser/Well Leg Raiser/Contralateral Laseques at the same level/angle as the SLR, there is potentially a _____________.

Posteromedial IVD bulge or herniation

25

If the symptoms occur in the Crossed Straight Leg Raiser/Well Leg Raiser/Contralateral Laseques at an increased angle as the SLR, there is potentially a _____________.

Posterolateral IVD bulge or herniation

26

If the symptoms occur in the Fajersztain's Test at the same angle as Bragard's, there is potentially a _____________.

Posteromedial disc bulge or herniation

27

If the symptoms occur in the Fajersztain's Test at a greater angle as Bragard's, there is potentially a _____________.

Posterolateral IVD bulge or herniation

28

A positive Fajersztajn's Test would be?

Reproduction of pain on the symptomatic side

29

How is Fajersztajn's Test performed?

Perform a crossed SLR/well leg raiser/Contralateral Laseques (SLR on the asymptomatic side) then lower the leg 5 degrees and dorsiflex the foot