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NMS 2 Exam One > Lumbar Orthopedics > Flashcards

Flashcards in Lumbar Orthopedics Deck (67)
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1

procedure for Antalgia sign

Dr will observe patient while standing to see if they maintain a certain posture to help alleviate pain

2

findings of Antalgia sign when leaning away from the side of pain

means posterolateral herniated disc

3

findings of Antalgia sign when leaning toward the side of pain

means posteromedial herniated disc

4

findings of Antalgia sign when leaning forward away from the pain

means posterocentral herniated disc

5

procedure for Straight leg raiser

patient lies face up, doctor raises the symptomatic leg until the pain is reproduced

6

purpose for Straight leg raiser

testing for possible SOL, disc lesion, sacro-iliac or lumbosacral problem

7

findings of Straight leg raiser

pain may suggest sciatica from lumbosacral lesion or SOL

8

with straight leg raiser, if pain is in first 30 degrees it means

means something major

9

with straight leg raiser, if pain is between 30 and 45 degrees it means

means sciatic irritation

10

with straight leg raiser, if pain is after 60 degrees it means

means lumbosacral problem

11

procedure for Bragard's sign

(done if the patient has positive straight leg raiser)
perform a straight leg raiser then lower the leg 5 degrees and dorsiflex the foot

12

purpose of Bragard's sign

attempt to reproduce leg pain

13

findings of Bragard's sign

will be positive if there is an increase in leg pain

14

procedure for Sicard's sign

(done if the patient has positive Bragard's sign)
perform straight leg raiser, lower leg 5 degrees, dorsiflex foot & relax, then dorsiflex big toe

15

purpose of Sicard's sign

to reproduce leg pain

16

findings of Sicard's sign

irritation of usually L5 nerve root, but can be L4 or S1 as well

17

procedure for Bechterew's test

(is a seated straight leg raiser)
patient sits with back straight then extends the leg at the knee; if no pain then Dr applies downward pressure right above the knee while patient lifts leg

18

purpose of Bechterew's test

pain should be the same as in straight leg raiser

19

findings of Bechterew's test

will be positive if straight leg raiser is positive

20

procedure for Slump test

patient is seated with back maximally slumped, knee is at 90 degrees, foot is fully dorsiflexed, then patient extends the leg at the knee

21

purpose of Slump test

pain should be the same as in straight leg raiser

22

findings of Slump test

if positive then possible disc bulge or herniation

23

procedure for Crossed straight leg raiser

is the same as straight leg raiser but done on ASYMPTOMATIC side first

24

purpose of Crossed straight leg raiser

attempt to reproduce leg pain

25

findings of Crossed straight leg raiser

if symptoms are at same angle as straight leg raiser then possible posteromedial disc bulge or herniation
if symptoms are at increased angle of straight leg raiser then possible posterolateral disc bulge or herniation

26

procedure of Fajersztajn's test

performs crossed straight leg raiser (on asymptomatic side!), then lowers leg 5 degrees and dorsiflex foot

27

purpose of Fajersztajn's test

attempt to reproduce leg pain

28

findings of Fajersztajn's test

if pain is at the same angle as Braggard's sign, then possible posteromedial disc bulge or herniation
if pain is at a greater angle than Braggard's sign, then possible posterolateral disc bulge or herniation

29

procedure for Cox sign

perform straight leg raiser and the patient will raise ipsilateral hip to alleviate pain

30

findings of Cox sign

positive may indicate SOL, IVF enroachment, radiculopathy, nerve root tension, sciatica