Page 445 - 2021 IDMT Digital

28 Apley’s Compression With the patient prone and - Pain elicited with
Test the knee flexed to 90 degrees compression and rotation is a
positive test that indicates a
Alternately externally and meniscal tear; (medial
internally rotate foot meniscus – external rotation
of the foot, lateral meniscus –
If the patient doesn’t have internal rotation of the foot)
any pain, then push
downward on the patient’s
alternately internally and
externally rotating the foot
Lower Leg, Foot, Ankle
29 Anterior Drawer Test Instruct patient to sit on the Must evaluate bilaterally
exam table
An increase in forward
With one hand, grasp the translation of at least 3mm
patient’s leg just proximal to versus the opposite ankle is a
the ankle joint to stabilize it positive test and indicates
instability due to prior
With the free hand, grasp the anterior talofibular ligament
patient’s heel and pull injury
forward while pushing
posteriorly on the leg
30 Morton’s Test Instruct the patient to sit on Must evaluate bilaterally
the exam table
Pain or a palpable click
Grasp the heads of the first (Mulder’s click) is a positive
and fifth metatarsals and test and suggests a Morton’s
compress them together neuroma
Further irritation may be
reproduced by moving the
first and fifth metatarsals up
and down in opposite
directions
31 Thompson Test Instruct the patient to lie Must evaluate bilaterally
prone on the exam table
Absence of ankle
With both feet dangling over plantarflexion is a positive
the end of the exam table, test and suggests a complete
grasp the patient’s calf with achilles tendon rupture
one or both hands and gently
squeeze the muscle

TOTAL POINTS /31

Preceptor Comments:
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