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Snapping hip
Snapping hip Snapping hip is a condition in which the patient feels a snap ping sensation or hears a popping sound in their hip when they walk, get up from a chair or swing their leg around. The snapping sensation occurs when a muscle or tendon (the strong tis...
153 - Pages 3801-3825
Special tests Achilles tendon
Special tests Achilles tendon Feel the gastrocnemius and soleus bellies and the whole length of the tendon for gaps (rupture), tenderness or swelling. Also Patrik Haglund , 1870–1937, Swedish orthopaedic surgeon. Theodore Campbell Thompson , 1902–1986, Americ...
154 - Pages 3826-3850
Special tests and diagnoses
Special tests and diagnoses
155 - Section 16 Cardiovascula r disorder
Special tests
Special tests /uni25CF Trendelenburg test ( Figure 35.29 ). Face the patient and ask them to place their hands on the palm of your hands for support. Then ask them to stand first on one leg, then the other. Increased pressure from the opposite hand as they tak...
156 - Pages 3876-3900
Subtalar joint ( Figures 35.38 and 35.39 )
Subtalar joint ( Figures 35.38 and 35.39 ) Hold the talar neck and ask the patient to move their heel from side to side. Repeat using a hand on the heel to move the joint and apply a varus and valgus stress while feeling for movements of the talus. Holding th...
157 - section 16 Cardiovascular disorders
Subtalar joint flexibility
Subtalar joint flexibility Ask the patient to stand on their toes and observe the heel from behind; the heel moves normally from valgus to varus, indicating flexibility . The Coleman block test is used to assess the flexibility of the subtalar joint. Ask the pat...
158 - Pages 3926-3950
Take a history
Take a history /uni25CF Presenting complaint . Start with an open-ended question. Ask the patient to ‘explain what the problem is’ in their own words and ask the patient what their hopes and expectations are from the interview . /uni25CF History of the presen...
159 - Pages 3951-3975
Tarsometatarsal joint stability
Tarsometatarsal joint stability Stability can be assessed by pushing each joint up and down. Standing lateral radiographs may be used in addition.
160 - Pages 3976-4000
Tarsometatarsal joint
Tarsometatarsal joint Hold the midfoot and manipulate each metatarsal up and down to estimate the passive range of movement. (b) Figure 35.37 (a) Ankle dorsi /f_l exion and (b) ankle plantar /f_l exion.