378_lndex
Metacarpal(s), fifth (Conlinued) of thumb, fractures of, 133 fractures of, 133
Metacarpophalangeal joint(s), 105 abduction of, 125-127, 129 adduction of, 125-127, 129 first, 108
hyperextension of, 11 palpationof, 130-131 stability testingof, 149,149-150, 150 ulnar deviation of, 116, 118 Mctatarsal(s), 280
stress fracturc of, 280,295t Metatarsal-medial cuneiform joint, first, 249 Metatarsal rise test, first, 292,294 Metatarsophalangeal joint(s), 249-251, 274 first, stiff, 265, 270 palpation of, 280 Metatarsus primus varus, 261 Midcarpal joint, 133 Midpalmar space(s), 112 infection of, 135 Midstance, 5, 6 Milking maneuver, 96, 97 Mobile wad of three, 69 Morton’s ncuroma, palpation for, 280, 280 physical findings in, 295t Mortons test, 292-294, 294 Motion, rangę of. See Rangę of motion.
Motor dermatomes, examination of, 319-321 Motor examination, of lumbar spine,
349-352
Movement, coronal piane of, 5, 7 sagittal piane of, 7 transversc piane of, 8 Mucous cyst, 104, 105 Mulder’s click, 294 Multifidus muscles, 335 Muscle(s), of cervical spine, testing of, 310-313
of knee, testing of, 224-225 of lumbar spine, strength testing of, 345-347 testing of, about shoulder and upper arm, 40-44
in physical examination, 11-12 Muscle strength, evaluation of, 11-12,12 grade 0,11 grade 1,11 grade 2, 11 grade 3,11 grade 4, 11-12 grade 5, 12 resistive testing of, 12 Musculocutaneous nerve, 22,69, 87, 88 Myositis ossificans, 39, 187
N
Nail fold, 247 Nailbed, 104 Navicular, accessory, 283 Navicular tuberosity, 283 Neck pain, after trauma, assessment in, 313t and arm pain, assessment in, 314t without preceding trauma, assessment in, 314t
Neer, Charles, 45-47
Neer impingement sign, 46, 47
Neer impingement test, 46 Nelaton’s linę, 165 Nerve(s). See also specific nerves. compression of, tests for, 146-148 impingement of, 282t Nerve compression syndromes, screcning tests for, 90-94
Nerve palsies, of hand, 116-118 Nerve roots, lower thoracic, assessment of, 321,322
Nerve tension tests, 355-357 Neurofibromatosis, 301 Neurologie examination, of lumbar spine, 347-357
Neuroma, interdigital, palpation for, 280, 280 Mortons, 280, 280,295t Neurovascular structures, of hip, 186 Nightstick fracture, 83 Nonorganic signs of Waddell, 331-333, 332 Nuchal ligament, 309 Nucleus pulposus, herniated, 360t
O
Obers test, 193, 193 Obliquus capitis inferior muscle, 309 Obliquus capitis superior muscle, 309 0’Brien test, 49-51, 53 Obturator externus muscle, 165 Obturator internus muscle, 165 Obturator nerve, 190-191 Occipital nerve, greater, 309 Olecranon, 73, 74 fracture of, 73, 74 Olecranon apophysitis, 82-83 Olecranon bursa, 72 palpation of, 83, 83 Olecranon bursitis, 72, 72 Olecranon fossa, 82-83 Olecranon process, 71, 72 palpation of, 82-83 Opponens digiti minimi muscle, 144 Opponens pollicis muscle, 144 Opposition, 8
by thumb, 128-129, 132 Orthopaedic conditions, generał, physical findings in, 15t Os trigonum, 272
Osgood-Schlatter disease, 204, 204, 219t, 220, 221, 244t
Osteoarthritis, 219t, 244t
of elbow and forearm, physical findings in, 98t of hip, 199t
of metatarsophalangeal joint, 249, 249 Osteochondritis dissecans, 243, 2441, 279 of capitellum, 84 Osteochondrosis, navicular, 280 Osteophytes, of dorsum of foot, 249, 249 of knee, 219t periarticular, 206,206 Out-facing patella, 4 Overreaction, as nonorganic sign of Waddell, 333
P
Pain, low-back, 360 Painful arc syndrome, 29, 30
Painful facet joint syndrome, 344-345 Palm, of hand. See Hand.
Palmar crease(s), 112,124 transverse, 112
and fingertips, measurement of distancc between, 124,127 Palmar flexion crease, distal, 112 proximal, 112
Palmaris longus muscle, 69, 70 Palmaris longus tendon, 114, 116, 135 Palpation, of cervical and thoracic spine, 307-310, 309, 310 of fingers and hand, 129-135 of hip, 185-190
of knee, 218-224, 219, 220, 221, 222, 223, 224
of lower leg, foot, and ankle, 277-286 of lumbar spine, 343-345 of pelvis, 185-190 of shoulder and upper arm, 34-40 ofwrist, 133, 135-137 Panner’s disease, 84
Paraspinous muscle(s), 335, 336, 343, 344 spasm of, 307, 335 Paronychia, 104, 104 Passive rotation test, 49, 52 Patella(ae), alignment of, 212, 212-213, 213 anatomy of, 201, 202 as fulerum, 201 bipartite, 201, 203 excessive lateral pressure syndrome of, 239
height of, 213, 215 in-facing, 4, 212, 212 in-toeing, 4 magna, 201,203 out-toeing, 4 outfacing, 212 palpation of, 219,220, 220 Q angleof, 212, 212-213 squinting, 212, 212 tuberde-sulcus angle of, 213,213 Patella alta, 213, 215 Patella baja, 213, 215 Patella infra, 213, 215 Patellar apprehension test, 239, 240 Patellar dislocation, habitual, 239 Patellar facet tenderness, 220, 220 Patellar glide test, 239, 240 Patellar grind test, active, 238, 238 passive, 237-238, 238 Patellar plica, medial, 220 Patellar tendinitis, 204 Patellar tendon, 204 palpation of, 221 rupture of, 244t tendinitis of, 220 Patellar tendon reflex, 353, 354 reinforcement of, 353, 354 Patellar tracking, dynamie, 238-239,239 Patellofemoral joint, chondrosis of, 244t examination of, 237-239 instability of, 244t Patellofemoral ligament, lateral, 220 Patricks test, 196 Pectineus muscle, 163 Pectoral nerves, medial and lateral, 43