Shoulder and upper arm (Continued) special tests of, 44-63 for acromiocIavicular joint injury, 49,52
for SLAP lesions, 49-51,53 stability testing, 51-58, 54, 55, 57, 58, 59,60
surface anatomy of, 17-27 Shrugging of shoulder, 29,30 Shuck test, 151, 151
Side pinch, 101, 102
Silver fork deformity, 106, 108
Sinding-Larsen-Johansson disease, 219t,
220,221
Sinding-Larsen-Johansson disease, 204 Single leg hyperextension test, 357-358, 359 Single-leg stance, forces across hip d u ring, 178
Sinus tarsae, 251-253, 255 Sinus tarsi, 281 Skier s thumb, 108, 131, 157t Skin, abnormalities of, in lumbar region, 337-338
lesions of, on back, 301 ofhand, 105, 106, 111, 112 moisture and, 135 Slap foot gait, 304
SLAP lesions, tests of, biceps load test, 51, 53 0’Brien test, 49-51, 53 Slew-footed stance, 4,212 Slump test, 357, 358-359 Snapping hip syndrome, 186, 187 Snapping scapula syndrome, 34, 40, 40 Sniffing position, 301, 302 Snuffbox, anatomie, 109, 110, 133 Soft spot, of elbow, 73-74, 75 of shoulder and upper arm, 40 Soleus muscle, 251,253, 258, 262, 270 Speed test, 59, 60 Spinał accessory nerve, 41 Spinał cord, compression of, broad-based gait in, 304
Spinał nerves, sensory loss in, patterns of, 314-319
Spinał stenosis, 360t
Spine. See also Cervical spitie; Lumbar spitie; Thoracic spine. functions of, 297 lateral structures of, 299 list of, 299, 299 structure of, 297
Spinous processes, of cervical spine, 297, 298 assessment of, 309
of lumbar spine, 335, 336, 343-344, 344 Splayfoot, 261
Splenius capitis muscles, 299, 309 Splenius ccrvicus muscles, 299 Spondylitic myelopathy, cervical, physical findings in, 333t
Spondylolisthesis, 338, 338, 344, 360 Spondylolysis, 339,357, 360 Spondylosis, lumbar, 360t Sprengelsdeformity, 27-28, 28, 299 Spurlings test, 331, 33i Squinting patellae, 212, 212
Stability testing, in physical examination, 14
of shoulder and upper arm, 51-58, 54, 55,
57)58,59,60
single leg, 5 slew-footed, 4, 212 Standing limb alignment, 211,211 Standing position, normal, 176 Step-off deformity, of lumbar spine, 338, 344 Step-up-step-down test, 238, 239
Sternal notch, 19, 79 Sternoclavicular joint, arthritis of, 19 inspection of, 18, 19,19 palpation of, 36 posterior dislocation of, 19, 20 Sternocleidomastoid muscles, 302, 303 testing of, 311, 311-312, 312 Sternum, 304
StinchfiekTs test, 190-191, 191, 197 Stingers, 39
Straight-leg raising test, 355-356, 356 Strain, low-back, 360t Stress fracture(s), of fibula, 281 of metatarsals, 280, 295t tibial or fibular, 295t Stress test(s), inversion, 291-292, 292 pelvic, 196-197 pubie symphysis, 197, /97 Styloid, radial, 133
Subacromial bursa, hypertrophied, 49 in rheumatoid arthritis, 22, 22 inspection of, 18, 22 palpation of, 38, 38 Subacromial bursitis, 38 Subcutaneous bursa, 283 Suboccipital muscles, 309 Suboccipital nerve, 309 Subscapularis lag sign, 47-48, 50 Subscapularis liftoff test, 47, 49 Subscapularis muscle, injury of, 47—49, 49,50
testing of, 41-42, 43
Subtalar joint, inversion and cversion of, 272-273, 273, 274 Sulcus sign, 56, 58 Superficialis tendon, laceration of, 111-112, 113 Superior, definition of, 3 Supination, 4 of forearm, 80, 81 Supinator muscle, 88 Suprascapular nerve, 41 Supraspinatus isolation test, 41,43 Supraspinatus muscle, 24, 25 inspection of, 25-26, 26 testing of, 41,43 Supscapularis liftoff test, 41 Sural nerve, 283, 290, 291 Swan neck deformity, 116, 119 Swayback deformity, 338-339, 339 Sweating, loss of, testing for, 146, 146 ofhand, 135
Swelłing, of shoulder, pathology related to, 17
Symphysitis, pubie, 186
T
T4 dermatome, 319 T10 dermatome, 319 Tl ncrve root, 321
329-330
T2 nerve root, sensory examination of, 318, 319
Tailor’s bunion, 249,250,280 Talofibular ligament, anterior, 281 assessment of, 290-291,291
Talus, head of, 283 Tarsal coalition, 272-273,273, 274 Tarsal dome, palpation of, 279, 279 Tarsal navicular, 279 Tarsal tunnel, 284 Tarsal tunnel syndrome, 284, 284 anterior, 279
Tarsometatarsal joint, 249,280 Tendinitis, Achilles, 251-253, 255, 283 biceps, 38-39
tests of, 58-61, 60 extensor carpi ulnaris, 134 extensor origin, 84,95 physical findings in, 98t flexor-pronator, 85-86, 95 physical findings in, 98t screening for, 86, 86 gluteus maximus, 189, 199t gluteus medius, 187, 199t of deltoid, 22
of hip, screening for, 194-196 of iliotibial band, 223, 223 patellar, 204, 219t, 220, 221 peroneal, 295t
piriformis, 187-188, 189, 190, 199t posterior tibial, 295t provocative tests for, 94-96, 95, 96 triceps, 83
Tcndonitis, extensor carpi ulnaris, 126t Tendon(s). See also specific tendons.
of fingers, ruptures of, 119-120,120 Tennis elbow, 84 medial, 85-86 revcrse, 85-86 Tennis leg, 282-283 Tenodesis effect, 123, 123 Tenosynovitis, DeOueryaii^s, 125t, 133, 155, 155,157t
Tension tests, nerve, 355-357
upper limb, 326-330, 327, 328, 329-330 median nerve dominant variation of, 326, 328
radial nerve dominant variation of, 326-328, 329
ulnar nerve dominant variation of,
328-330, 329-330
Tensor fascia lata, 163, 164, 165, 190 Teres minor muscle, 24, 25 testing of, 41
Tests, special, terms to report results of, 14
Thenar eminence, 113, 135 Thenar space(s), 112 infcction of, 135