Synopses & Reviews
Now in its Fifth Edition, this Photographic Manual of Regional Orthopaedic and Neurologic Tests describes in step-by-step fashion how to perform these tests. Each chapter begins with a decision tree of the orthopaedic examination of an anatomic area, followed by a brief description of the anatomic area, usually with an accompanying drawing. The presentation of each test begins with a clinical description and a box of clinical signs and symptoms, followed by a brief description of the procedure with a photograph demonstrating the position of the clinician and the patient. The author then presents a brief rationale for the test and suggests diagnostic imaging procedures where appropriate.
A companion Website features over 40 minutes of streaming video.
Synopsis
In its Fourth Edition, this popular National Board of Chiropractic Examiners reference text is updated and contains 125 more illustrations. Designed to teach correct evaluation and performance of basic orthopaedic and neurological tests, chapters are organized by region starting with the upper extremities progressing to lower extremities. Each test is presented on one page or two facing pages with photographs that demonstrate the performance of the test. Also includes anatomical drawings. Information discovered by these and other diagnostic tests allows the chiropractor to obtain patient diagnosis and hone logical examination patterns for accuracy in the determination of mechanisms of injury.
Table of Contents
CONTENTS
PREFACEivACKNOWLEDGMENTSvINTRODUCTION TO EVIDENCEBASEDVALIDITY AND RELIABILITYOF PHYSICAL EXAMINATIONPROCEDURESvii1PROTOCOLCLINICAL ASSESSMENT1Patient History2Observation/Inspection4Palpation4Range of Motion Evaluation5Special Physical, Orthopaedic, andNeurological Testing8Diagnostic Imaging and other SpecializedStructural Testing9Functional Testing132POSTURAL ASSESSMENT 15by Steven P.Weiniger, DCWhy Posture Is Important16Architectural versus Adaptive PosturalChanges: Body Types, Injury, andHabit16Posture Evaluation: Methods andObservations19Posture Types25Postural Syndromes26Other Postural Distortions, Adaptations,and Pathologies283TESTSCERVICAL ORTHOPAEDIC39Cervical Orthopaedic ExaminationFlow Chart40Cervical Palpation41Cervical Range of Motion47Cervical Resistive Isometric MuscleTesting52Vertebrobasilar CirculationAssessment56Subclavian Artery Compromise68Differential Diagnosis: Strain versusSprain 70Cervical Fractures72Cervical Instability 76Space-Occupying Lesions80Cervical Neurological Compression andIrritation824LESIONSCERVICAL NERVE ROOT92C596C698C7100C8102T11045TESTSSHOULDER ORTHOPAEDIC106Shoulder Orthopaedic ExaminationFlow Chart107Shoulder Palpation108Shoulder Range of Motion116Impingement Syndrome(Supraspinatus)122Tendinitis (Bicipital)125Bursitis129Anterior GlenohumeralInstability132Posterior GlenohumeralInstability139Multidirectional ShoulderInstability142Labral Tears (Slap Lesions) 145Rotator Cuff Instability 149Biceps Tendon Instability151Thoracic Outlet Syndrome156Brachial Plexus Irritation1626TESTSELBOW ORTHOPAEDIC168Elbow Orthopaedic ExaminationFlow Chart169Elbow Palpation170Elbow Range of Motion178Lateral Epicondylitis(Tennis Elbow)181Medial Epicondylitis(Golfer’s Elbow)185Ligamentous Instability186Neuropathy/CompressionSyndromes1897TESTSWRIST ORTHOPAEDIC195Wrist Orthopaedic ExaminationFlow Chart196Wrist Palpation197Carpal Tunnel Syndrome207Ulnar Tunnel Syndrome212Stenosing Tenosynovitis213Carpal Instability2148HAND ORTHOPAEDIC TESTS 217Hand Palpation218Joint Instability222Joint Capsule Tests224Tendon Instability2269TESTSTHORACIC ORTHOPAEDIC230Thoracic Orthopaedic ExaminationFlow Chart231Palpation232Thoracic Range of Motion239Scoliosis/Kyphosis Screening242Thoracic Fractures245Nerve Root Lesions247Costovertebral Joint Ankylosis25010TESTSLUMBAR ORTHOPAEDIC252Lumbar Orthopaedic ExaminationFlow Chart253Palpation254Lumbar Range of Motion260Joint Dysfunction Tests263Lumbar Fractures267Lumbar Nerve Root and SciaticNerve Irritation/CompressionTests268Space-Occupying Lesions289Differential Diagnosis: Lumbar versusSacroiliac Involvement29211LESIONSLUMBAR NERVE ROOT298T12, L1, L2, L3299L2, L3, L4305L4307L5309S131312TESTSSACROILIAC ORTHOPAEDIC316Sacroiliac Orthopaedic ExaminationFlow Chart317Palpation318Sacroiliac Sprain320Piriformis Syndrome325General Sacroiliac JointLesions32813TESTSHIP JOINT ORTHOPAEDIC333Hip Joint Orthopaedic ExaminationFlow Chart334Palpation335Hip Range of Motion341Congenital Hip Dysplasia347Hip Fractures350Hip Contracture Tests352General Hip Joint Lesions35714TESTSKNEE ORTHOPAEDIC362Knee Orthopaedic ExaminationFlow Chart363Palpation364Knee Range of Motion375Meniscus Instability377Plica Tests388Ligamentous Instability391Patellofemoral Dysfunction401Knee Joint Effusion40515TESTSANKLE ORTHOPAEDIC408Ankle Orthopaedic ExaminationFlow Chart409Palpation410Ankle Range of Motion420Ligamentous Instability424Tarsal Tunnel Syndrome428Achilles Tendon Rupture43016TESTSMISCELLANEOUS ORTHOPAEDIC434Peripheral Arterial Insufficiency435Deep Vein Thrombosis437Somatosensory AmplificationAssessment438Meningeal Irritation andInflammation446Leg Measurements44917CRANIAL NERVES 451Olfactory Nerve (I)453Optic Nerve (II)454Ophthalmoscopic Examination457Oculomotor, Trochlear, and AbducensNerves (III, IV, VI)459Trigeminal Nerve (V)462Facial Nerve (VII)465Auditory Nerve (VIII)468Glossopharyngeal and Vagus Nerves(IX, X)474Spinal Accessory Nerve (XI)477Hypoglossal Nerve (XII)47818REFLEXES 480Pathological Upper ExtremityReflexes481Pathological Lower ExtremityReflexes485Superficial Cutaneous Reflexes49019TESTSCEREBELLAR FUNCTION493Upper Extremity494Lower Extremity499INDEX 503