Achilles Tendon squeeze test (Pg361) Athlete Prone. Leg at 90 degrees. Compress muscles Foot should dorsiflex. If not, positive for Achilles rupture Tinel’s Sign (Pg367) Tap tibial nerve under medial malleolus Pain expressed is a positive sign of tibial nerve entrapment Inversion/eversion of ankle joint Grasp tibia/fibula and invert/evert ankle Compare with opposite side Positive sign is excessive motion Elbow collateral ligaments Apply varus (lateral) and valgus (medial) motion to elbow while supporting wrist Compare with opposite side Positive sign is pain in the collateral ligament or excess motion Hand test for radial nerve injury Thumb to first and second fingers. Test for strength/weakness Compare to opposite hand. Positive if excessively weak Hand test for medial nerve injury Thumb to first, second, and third fingers. Test for strength/weakness Compare to opposite hand. Positive if excessively weak Hand test for ulnar nerve injury Thumb to third and fourth fingers. Test for strength/weakness Compare to opposite hand. Positive if excessively weak Phalen’s Test (Pg 443) Hands inverted at 90 degrees and apply pressure for 60 seconds Produces shooting pain or numbness in the hand Positive for carpal tunnel syndrome Anterior drawer test (knee) Knee flexed, pull tibia anterior Excess motion indicative of ACL tear Posterior drawer test (knee) Knee flexed. Push tibia posterior Excess motion indicative of PCL tear Knee valgus test (full extension) Knee straight, hand under ankle, pressure to lateral knee Pain or excessive movement at medial collateral ligament is positive Knee varus test (full extension) Knee straight, hand under ankle, pressure to medial knee Pain or excessive movement at lateral collateral ligament is positive Knee valgus test (30 degree flexion) Knee bent 30 degrees, hand under ankle, pressure to lateral knee Pain or excessive movement at medial collateral ligament is positive Knee varus test (30 degree flexion) Knee bent 30 degrees, hand under ankle, pressure to medial knee Pain or excessive movement at lateral collateral ligament is positive Aply compression test Athlete prone. Knee flexed 90 degrees. Pressure downward with rotation Pain or popping in knee indicative of meniscus injury Lachman’s test Athlete flexed knee. One hand behind knee, other moves tibia ant & post. Positive for ACL/PCL injury if excessive movement or pain McMurray test Knee bent, hip extended, foot rotated laterally then medially. Extend leg out to 180 degrees and lower leg Pain or popping in knee indicative of meniscus injury Pain on lateral rotation is medial meniscus Pain on medial rotation is lateral meniscus