Pectoralis major, palpation of, 39, 39 rupture of, 20-21,2/ testing of, 39,42-43
Pectus excavatum, 304
Pelvic obliąuity, in lumbar spine, 335-337 Pelvis, anatomy of, 161 anterior aspect of, surface anatomy of, 161-165,162
anteroposterior compression test of,
197,197
conditions of, physical findings in, 199t duringgait, 177, 178 extension of, 179, 180 flexion of, 179, 180 fracture or disruption of, 199t hip, and thigh, 161-199 lateral aspect of, 164, 165 latcral compression test of, 196, 197 obliquity of, 168-169, 171 palpation of, 185-190 posterior aspect of, 165-168, 167 rangę of motion of, 179-180, 180 rotation of, in coronal and transverse planes, 179
stress tests of, 196-197 Percussion, 1 Periostitis, 283 Peritendinilis, 278 Peroneal muscles, 251 Peroneal nerve, common, 209 weakness of, 287 dcep, 278-279, 290 weakness of, 287 injury of, 290 superficiai, 278, 290 Peroneal nervc palsy, 288 Peroneal tendinitis, 295t Peroneal tendon, instability test of, 292, 293 Peroneal tubercle, 281 Peroneus brevis muscle, strength of, testing of, 351-352, 353 Peroneus brevis tendon, 281 Peroneus longus muscle, strength of, testing of, 351-352, 353
Peroneus longus tendon, 251, 255, 281 Peroneus tertius tendon, 251, 253, 279 Pes anscrinus, 206 Pes anserinus bursa, 222, 222 Pes cavus, 253, 260, 264 Pes planus, 253, 260, 264 Phalanges, fractures of, 104-105, 105 proximal, 105 Phalens test, 147, 148 reverse, 147, 148 Phelps’ test, 194, 195 Physical examination, alignmenl in, 3—4 anatomie position in, 2 inspection in, 1-10 manipulation in, 11-15 muscle testing in, 11-12 of gait, 5, 6
of surface anatomy, 1-3 rangę of motion, 8 sensation testing in, 12-14, 13 stability testing in, 14
Piano key test, 153, 153 Pigeon-toed, 4
Pigmentation, of shoulder, pathology related
PIP flcxion test, long finger, 93, 94
Piriformis fossa, 189,190 Piriformis muscle, 165,167 Piriformis syndrome, 196 Piriformis tendon, 189 tendinitis of, 189, 190,199t Piriformis test, 195,195-196 Pisiforra bonę, 114,137
fracture of, 126t Pisohamate ligament, 137 Pisotriquetral arthritis, 126t Pivot glide, 232 Pivot shiłt, tracę, 232 Pivot shift test, 97, 98,231-233, 232, 233 classic, 231-232, 232
flexion-rotation drawer test, 232, 232-233 jerk test, 232 Losse’s test, 233, 233 reverse, 237, 238 Plantar, definition of, 3 Plantar fascia, 285-286 Plantar fasciitis, 282t Plantar fat pad, 251, 286 Plantar flexion, of ankle, 272, 272 Plantar llexors, strength of, assessment of, 286, 287, 287
Plantar keratosis, intractable, 258, 264 Plantar nerve(s), lateral, first branch of, 285 media! and lateral, entrapment of, 284-285, 285 sensation testing of, 290 Plantar rellex, 324, 324 Plantar warts, 259, 265 Popeye deformity, 22, 22 Popliteal artery, palpation of, 223-224, 224 Popliteal cyst(s), 209, 223 Popliteal fossa, 208-209, 209 Popliteus tendon, injury to, 235 Port winę stain, on lumbar spine, 338 Posterior, definition of, 1 Posterior cord syndrome, shuffling and slap foot gaits in, 304 Posterior elements, 297 Posterolateral ligament injury, 244t Posterolateral ligament complex, injuries to, 235-236
Posterolateral rotatory instability test, 97, 98 Posturę, of shoulder, 27 Processus trigonum, 272 Profundus tendon, laceration of,
111-112, 113 Pronation, 4
prolonged resisted, 93 Pronation/supination, 8 Pronator quadratus, 89 Pronator syndrome, 82,93 physical findings in, 98t screening for, 82-83, 83 Pronator teres, 69, 70,89 Prone hanging test, of knee extension, 217,2/7
Proprioception, assessment of, 316, 3/6
j;_ Index 379
Provocative tests, 51-52 Proximal, definition of, 3 Pubie ramus, superior, 163 Pubie symphysis, 163,186
Pubie symphysis stress test, 197,197
Pubie tubercle, 161 Pubis, 1Ó3
Pump bump, 251,258 Push-off, 5, 6 Pyramidalis muscle, 163
Q
Quadratus femoris muscle, 165 Quadriceps, testing strength of, 12, 12 Quadriceps complex, 203 Quadriceps contusion, 187, 199t Quadriceps muscle(s), 163-165, 187 function of, assessment of, 349, 35/ strain of, 187, 1991 testing of, 224,224-225 Quadriceps tendinitis, 220, 221 Quadriceps tendon, 203 rupture of, 221, 244t
R
Radial, definition of, 3 Radial artery, 114
Allen’s test of, 156, 158-159 dorsal branch of, 133 pulsations of, 135, 136 Radial collateral ligament, 150 Radial head, 73, 74 fracture of, 84 palpation of, 84, 86
Radial nerve, 22,88, 141-142, 145-146 compression syndromes involving, 92-93 digital, sensation testing of, 146, 146 of hand, sensory distribution of, 90, 91 Radial tunnel syndrome, 84 physical findings in, 98t testing for, 93, 93 Radicular sensory loss, 314-315 Radiculopathy(ies), ccrvical, physical findings in, 313t, 333t lumbosacral, physical findings in, 347t thoracic, physical findings in, 313t Radiocarpal joint, 122 Radioscaphoid arthritis, 125t Radioulnar joint, distal, 134
instability of, tests of, 153, 153-154, 154 Radius, 84
distal, fracture of, 125t palpation of, 84, 85 Rangę of motion, 5-10 abduction-adduction, test of, 193,
193-194, 194 active, 8
of elbow and forearm, 78-82 of fingers, 123-127 of foot and ankle, 269-277 of hand,121-122 of hip, 180-185
of knee, assessment of, 2/6, 216-217, 217 of lumbar spine, 340, 340-343, 342, 343 of pelvis, 179-180, 180 of shoulder and upper arm, 17,28-34