Rangę of motion (Continued) of toes, 274-277, 275, 276, 277, 278 of wrist, 122-123 passive, 8
Rectal examination, 189, 189 function of nerve roots and, 352 Rectus abdominis muscle(s), 163, 345 Rectus capitis major muscle, 309 Rectus capitis minor muscle, 309 Rectus femoris muscle, 165, 191, 193,
194,203
Reflex examination, of cervical and thoracic spinał nerves, 321-322, 322 of lumbar spinał nerves, 352-355 Reflexes, grading of, 323-324 Relocation test, 52-53, 54 Resting position, in dislocation of hip, 174 Retrocalcaneal bursa, 251,258, 283 Retrocalcaneal bursitis, 283 Rheumatoid arthritis, collateral ligaments of metacarpophalangeal joints in, 150, 150 dorsal tcndons of wrist and, 133 extensor digitorum communis tendon rupture in, 120, 120 flexor digitorum tendons and, 136-137 of hand and wrist, 157t subacromial bursa in, 22, 22 ulnar deviation of joints of fingers in,
116, 118
wrist deformities in, 106, 108, 121 Rheumatoid nodules, of elbow, 72, 72 Rhomboid muscles, 25 pain in, 39 testing of, 41, 42
Rib prominence, in scoliosis, 299-300, 300 Rocker bottorn foot, 259, 264, 267 Roos test, 61, 63 Rostral, definition of, 3 Rotation, external, 8 internal, 8
of hip, assessment of, 183-185,184, 185 of lumbar spine, 343, 344 of shoulder and upper arm, external, at side, 30-32, 32 in 90' abduction, 31-32,33 internal, at side, 32, 34 in 90* abduction, 32, 33 passive, of shoulder and upper arm, 49, 52 Rotation lag sign, external, 46, 48 Rotation simulation maneuver, of spinał nerves, 332, 332 Rotational alignment, 3 Rotational malalignment, of lower limbs, 168 Rotator cuff, disorders of, in subscapularis injury, 47-49, 49
special tests for, 44-49, 47, 48, 49, 50 impingement syndrome of, 38, 45-47, 47,48
droparm test of, 46, 47 dropping sign of, 46, 48 Hawkins impingement reinforcement test of, 46, 47
Hornblower sign of, 46,47, 48 Neer sign in, 46, 47 Neer test of, 46 pain in, complaints of, 511 tear of. See Rotator cuff, impingement of.
Rotator cuff, disorders of, in subscapularis injury (Continued) testing of, 41-42, 43 torn irregular, 49
Rotators, humerał adductor/internal, 41-43, 43, 44
Rotatory instability test, posterolateral, 97, 98 Ruptures, biceps, 39 Ryder method, for measuring femoral anteversion, 176
S
51 nerve root, motor examination of,
351-352, 353
reflex examination of, 355, 355 reinforcement of, 355, 355 sensory examination of, 347, 350 straight-leg raising test and, 356
52 nerve root, motor function of, testing
of, 352
sensory examination of, 347, 350
53 nerve root, 347
motor function of, testing of, 352
54 nerve root, 347
motor function of, testing of 352
55 nerve root, 347 Scapholunate ligament, 133 Sacral dermatomes, 347, 348, 349 Sacral nerve roots, motor function of, 352 Sacroiliac joint, 345
dysfunction of, 199t palpation of, 188, 188 Sacrospinalis, 335, 336, 344 Sacrum, 165, 167, 189 Saphenous nerve, 290 Saphenous vein, 253 Sartorius muscle, 161, 168, 170, 187, 191 Scalene muscles, 312 Scaphoid bonę, 109,133 fracture of, 125t tubercle of, 135
Scaphoid shift test, 151-152, 152 Scaphoid shuck test, 152, 152 Scapholunate capilate joint, 133 Scapholunate ligament, injury of, 125t injury to, test of, 151-152, 152 instability of, 157t Scaphotrape/.iotrape/.oid joint, 133 Scapula, and snapping scapula syndrome, 34,40, 40
inspection of, 22-25, 24 lateral border of, 24, 25 medial border of, 25, 25, 26 palpation of, 39-40 protraction of, 33-34, 37 retraction of, 33-34, 36 shrugging of, 29, 30 spine of, 24, 25
stabilizing muscles of, testing of, 40^11 superior border of, 25 winging of, 25, 26, 40, 41 Scapulohumeral rhythm, 29 Scheuermam^s disease, 301, 302 Schober test, moditied, 306-307, 308,342 Sciatic nerve, 190-191, 194, 355 injury to, 289
Sciatic notch, palpation of, 188, 188
Sciatica, 188, 339 Scoliosis, 299-300, 300 adolescent idiopathic, 300, 300-301 lumbar, 337, 338
Semimembranosus hamstring, 166, 168, 208-209
Semimembranosus tendon, 206, 222, 222 Semitendinosus hamstring, 166, 168,169, 208-209
Semmes-Weiss filaments, 13 Sensation testing, in hip, 192,192-193 in physical examination, 12-14, 13 of hand and wrist, 145-146, 146 of knce, 225, 225
of shoulder and upper arm, 44, 46 Sensory dermatomes, 316-319,317, 318 Sensory dysfunction, glove or stocking distribution of, 315 Sensory examination, of cervical and thoracic spine, 314-319 of lumbar spine, 347, 348, 349-350 Sensory loss, in spinał nerves, patterns of, 314-319
Sensory nerves, of leg, ankle, and foot,
290, 291
Serratus anterior, inspection of, 26, 27 testing of, 40-41 Sesamoids, 285 Severs disease, 281
Sharp-dull discriniination, 13, 315, 315 Shin splints, 283
Shoes, painful, complaints of, evaluation in, 286t
Short head biceps tendon, 22 Short leg gait, 268
Shoulder. See also Shoulder and upper arm. motion(s) of, 8, 9
in deflcient forearm rotation, 80, 81 sliding out of joint, complaints of, 5 lt voluntary dislocation of, 56-58, 60 Shoulder and upper arm, 17-67 alignment of, 27-28, 28 anatomyof, 17
anterior aspect of, palpation of, 35-39 conditions of, physical findings in,
62-63,64t
lateral aspect of, palpation of, 39, 40 surface anatomy of, 22, 23 manipulation of, 40-63 medial aspect of, palpation of, 40 surface anatomy of, 27, 28 motion in, 8, 9 muscle testing of, 40-44 normal, 27 palpation of, 34-40 passive rotation of, 49, 52 posterior aspect of, palpation of, 39-40, 40 surface anatomy of, 22-27 rangę of motion of, 17, 28-34 abduction in, 29, 30, 31 adduction in, 32-33, 35 extension, 33-34, 36, 37 forward flexion in, 29-30,31 rotation in, 30-32, 32, 33, 34 total active elevation in, 30 sensation testing of, 44, 46 soft spot, 40