REIDER PART 217

List,

and

339

L2 nerve root, compression of, assessment of, 357, 359

motor cxamination of, 349, 351 sensory examination of, 347, 349 L3 nerve root, compression of, assessment of, 357, 359

motor cxamination of, 349, 351 sensory examination of, 347, 349 L4 nerve root, compression of, assessment of, 357, 359

motor examination of, 350, 351

reflex examination of, 353,354

reinforcement o(, 353, SS4 sensory examination of, 347, 350 L5 nerve root, motor examination of,

350, 352

reflex examination of, 353-355, 354 sensory examination of, 347, 350 straight-leg raising test and, 356 L5-S1 lumbar disk, herniated, 356 Lacertus fibrosus, 69, 69 palpation of, 82, 82 Lachman s test, 230-231,231 laminae, 297 Laseguć's sign, 194 Lasegue’s test, 356, 356 Lateral, definition of, 1 Lateral pelvic compression test, 196, 197 Lateral pressure syndromc, exccssive,

220, 220

Lateral scapular slide, 28, 28 Latissimus dorsi, testing of, 43, 44 Laxity, of joints, abnormal, 14 of ligaments, 8-10, 11 of shoulder, anterior and posterior, tests of, 54-56, 55, 57 Leg(s), lower, alignment of, 264 anterior, 251, 254 palpation of, 278 compartment syndrome of, 295t foot, and ankle, 247-296 lateral, 251

palpation of, 281-282 medial, 258, 262 palpation of, 283

Leg length, discrepancy in, 168-173 apparcnt, 169 functional, 169

measurement of, 169, 171, 171, 172 true, 169

błock method for quantitating, 171 measurement of, 169-171, 171 yisual method for quantitating, 171-172, 172-173 true versus functional, 169 discrepancy of, femoral, 172,174 tibial, 172-173, 174 Levator scapula, inspection of, 25 Lhermittes maneuver, 331, 331 Lhermittcs sign, 331 Ligainent(s). Sec also specific ligaments. coracoclavicular, palpation of, 35, 38 fibular collateral, 206-208,207, 208 injury of, grade 1,14 grade 2, 14 grade 3, 14

lateral collateral, 206-208, 207, 208

Ligament(s) (Continued) laxity of, 8-10 generalized, 10, 11 thumb to forearm, 11 of ankle, stability testing of, 290-292 Light touch, testing of, 315, 315 Limb alignment, standing, 211,211 Limbs, lower, rotational malalignment of, 168

Limp, abductor, 178, 179 Lipoma, lumbar, 338 Lisfrancs joint, 249,280

oi mm

of lumbar spine, 337, 337 Lister s tubercle, 106, 108, 133 Little Leaguers elbow, 85 Load-and-shift test, 54-56, 57 Long finger extcnsion test, 93, 93 Long head biceps tendon. Sce liiceps brachii tendon, long head.

Long head tendon, 22 Longissimus cervicis muscles, 299 Longissimus muscles, 335 Longitudinal arch, 110 Lordosis, lumbar, 338-339, 339 of cervical spine, 301, 302 Losse s test, 233, 233

Low-back pain, after trauma, complaints of, 345t

complaints of, evaluation in, 34 It without preceding trauma, complaints

of, 346t

Low-back strain, 360t Lumbar dermatomes, 347, 348, 349 Lumbar disk, herniated, 360t Lumbar flatback syndromc, 339, 339 Lumbar spine, common conditions of, physical findings in, 360t examination of, and examination of peripheral circulation, 360 extension of, 342, 342, 345-349, 347 flexion of, 340, 340-342, 345, 347 fraclure of, 360t

gaił evaluation and, 339-343, 340

inspection of, 335-343

lateral aspect of, assessment of, 338-339,

lateral bending of, 342, 343

list of, 337, 337

lordosis of, 338-339, 339

manipulation of, 345-360

motor examination of, 349-352

muscles of, strength testing of, 345-347

neurologie examination of, 347-357

palpation of, 343-345

pathology of, pain due to, radiation of, 360

pelvic obliquity and, 335-337

posterior aspect of, inspection of,

335-338

palpation of, 343-345 rangę of motion of, 340, 340-343, 342, 343 reflex examination of, 352-355 rotation of, 343, 344

sensory examination of, 347, 348, 349-350 skin and subcutaneous tissue abnormalities of, 337-338 step-off deformity of, 338, 344

■_-3 Index 377

Lumbar spine, common conditions of, physical findings in (Continued) surface anatomy and alignment of, 335-339

symmetry of, 335 Lumbrical muscles, 138 Lunate, 133

Lunotriquetral ballottement test, 152, 152-153

Lunotriquetral joint, instability of, test of,

152,152-153

Lunotriquetral ligament, 134

Lunula, 104, 247 Lurch, abductor, 178, 179

glutcus maximus lurch, 179, 179 Lymph nodes, epitrochlear, 67

M

Maisonneuve fracture, 281-282 Malignant melanoma, 247 Malleolus(i), lateral, 281 medial, 283

medial and lateral, 251,252,253 osteoarthritis and, 251, 253 Mallet finger, 116, 119 Mallet injury, 129-130 Mallet toe deformity, 261,266 Manipulation, in physical examination,

11-15

of hip, 190-198 of knee, 224-243

of lower leg, foot, and ankle, 286-295 of lumbar spine, 345-360 of wrist and fingers, 137-141 Mannifelt lesion, 120 Master knot of Henry, 284-285 McMurrays test, 241, 241-242 Medial, definition of, 1 Medial collateral ligament. See Collateral ligament, ulnar.

Medial cubital vein, 67, 68 Medial epicondyle. See Epicondyle(s), medial. Medial hamstring reflex, 354, 354-355 Medial nerve, 135 Medial tibial plateau, 222,222 Median nerve, 69, 113,114, 139, 142 anterior interosseous branch of, 139 brachial artery and, 82 compression of, 93-94, 146-147 physical findings in, 98t of hand, sensory distribution in, 89,90, 90 palsy of, 139 Tinels test of, 147, 147 Median nerve neuropathy, 135 Median vein, of forearm, 67, 68 Meniscus(i), cyst of, 219t

lateral, tear of, test for, 241, 242 medial, bucket handle tear of, 243, 243 test of, 241, 241-242 passive extension test of, 243, 243 tear(s) of, 219t, 2441 lateral, 208, 208

tests to diagnose, 239-243, 241, 242, 243 Meralgia paresthetica, 161, 186, 192, 199t Metacarpal(s), fifth, 114-115 first, 108