Thoracic Orthopedics Flashcards Preview

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Flashcards in Thoracic Orthopedics Deck (17)
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0
Q

During the Adam’s test if the scoliosis disappears when the patient flexes forward, this is ______ scoliosis.

A

Functional

1
Q

Adam’s Position test is to determine?

A

Functional or structural scoliosis

2
Q

During the Adam’s test if the scoliosis remains when the patient flexes forward, this is ______ scoliosis.

A

Structural

3
Q

In what instance could structural scoliosis straighten during the Adam’s test?

A

If the patient has an anatomically short leg

4
Q

Which type of scoliosis definitely warrants an X-ray?

A

Structural

5
Q

What is a classic positive for Amos’s Sign?

A

Pain, weakness, or decreased flexibility in the thoracics or thoracolumbar area when rising from a side-lying position

6
Q

What is a classic positive for Beever’s sign and what does it mean?

A

If the umbilicus deviates from the center, the abdominal muscle opposite to the direction of deviation is weak

7
Q

During normal chest expansion, the rib cage moves _________.

A

1.5-3.0 inches

8
Q

If chest expansion is less than ______ it is considered a positive finding.

A

1.25 inches

9
Q

What is a classic positive for Forestier’s Bowstring Sign?

A

Unequal ROM when the patient laterally flexes from side to side

10
Q

A positive Forestier’s bowstring test indicates primarily what disorder?

A
Ankylosing spondylosis (AS)
Although it could also indicate muscle spasm, pain inhibiting motion, or stacking
11
Q

If a rib stops moving during expiration it indicates a/n _______ rib.

A

Elevated

12
Q

If a rib stops moving during inspiration it indicates a/n _______ rib.

A

Depressed

13
Q

A positive Rib Motion Test (the rib is not moving properly) could indicate …

A
Rib subluxation (most likely)
Muscle strain
Pleuritis
Fracture
Arthritides
14
Q

A positive Schepelmann’s Sign would be?

A

Intercostal pain

15
Q

What would a positive Schepelmann’s sign indicate?

A

Pain on the concave side indicates neuralgia (compression of an intercostal nerve)
Pain on the convex side indicates myalgia or myofascitis (stretching of a sensitive muscle or fascia)

16
Q

What orthopedic tests can be used for both the thoracic and lumbar spine?

A

Adam’s Position Test

Amos’s Sign