Special Tests for Orthopedic Examination / Edition 3

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Special tests are an important part of the evaluation process that includes the status of a subject's range of motion, strength, flexibility, and inert/noninert structures. This book is a clear, concise reference for identifying and performing special tests used during an orthopedic injury examination. It will help students learn to perform thorough injury evaluations, and accurately interpret their findings. In this comprehensive resource, more than 125 special test are explained, including indications, contraindictions, positive findings, and special considerations for each. The book offers an easy-to-understand format for locating special tests used for different regions of the body. The tests are current, descriptive, and supported by photographs illustrating proper clinician and subject positioning.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Christopher J Hughes, PT, PhD, OCS, CSCS (Slippery Rock University)
Description: The authors of this text are now in their 3rd edition. This is indicative of the popularity and need for the information presented.
Purpose: The main purpose of the book is to serve as an easy to access pocket guide for clinicians (athletic trainers, physical therapists etc) to refer to and quickly learn common special orthopaedic tests. According to the authors, the delivery of the information using a spiral-bound binding and crisp diagrams with arrows assist in the practicality of learning the information. The authors also strived to support each clinical test with references describing the reliability and evidence underlying the diagnostic accuracy of each test. Overall, the authors have done an excellent job meeting their objectives.
Audience: Medical professional and allied health practitioners will find that the text is a valuable resource and easily allows them to retrieve and review the information to conduct each test. All four authors are Certified Athletic Trainers and two are also physical therapists. Two authors also hold a PhD.
Features: Eleven major sections cover most of the common clinical tests for each of the major joints including the temporomandibular joint. Section twelve describes five clinical tests that may not be supported in the literature but are helpful in arriving at an accurate diagnosis. The best features of the book are its design (spiral bound) which makes it easy to try each test while still referencing the text. The illustrations are clearly labeled denoting the direction of the patient's movement and the examiner's movement or force application. The text accompanying each test is succinct and headings offer clear and consistent organization. The only shortcoming would be that it is not all inclusive for cataloging the large array of clinical tests that are available. However, the authors support their rationale by only including evidence-based tests where possible.
Assessment: The authors have shown support for publishing a 3rd edition by adding strong improvements to the previous editions. Although not a comprehensive resource it serves the purpose of being a quick easy- to-read resource. I strongly recommend it for anyone wanting to learn each of these clinical tests and also recommend it as a resource of bibliographic information on clinical testing in Orthopaedics.
From the Publisher

"This manual is the premier pocket guide to assist students and practitioners in recalling what has been learned in the academic setting or on the playing field. From the student who is just starting out to the well-seasoned orthopedic expert, this information is easy to access as a quick reference and comprehensive in content. It will help athletic trainers, physical therapists, family physicians and other health care professionals who care for this population."

— Kristen Kwiatkowski-Digwood, Advance for Physical Therapists & PT Assistants

 "This text, authored by both physical therapists and athletic trainers, is intended to provide a condensed guide for the examination of people with orthopedic injuries. In my opinion, this goal has been surpassed…Significant improvements from the first and second edition are evident. The authors have removed tests not supported by the literature and replenished this third edition with relevant, special tests with greater scientific support...The book's new spiralbound design facilitates practical use, allowing the reader to lay the text wide open while performing or practicing a test….This text offers much information to those clinicians with limited experience in orthopedic examination. With the addition of peer-reviewed references for each test and new or contemporary tests, even the experienced orthopedic clinician will find this text useful. Its organization and ease of use are very appealing features. I recommend this text to anyone involved in the examination of orthopedic injury." 

— James W. Bellew, PT, EdD, Physical Therapy

 "This book would be well-suited for an orthopaedic examination course in an athletic training curriculum…the information in this text is helpful for athletic trainers at all levels and would be a nice textbook to have in a clinical setting as a quick reference…this is a valuable resource." 

— Jill M. Thein-Nissenbaum, MPT, SCS, ATC, NATA News

"The best features of the book are its design (spiral bound) which makes it easy to try each test while still referencing the text...The authors have shown support for publishing a 3rd edition by adding strong improvements to the previous editions…I strongly recommend it for anyone wanting to learn each of these clinical tests and also recommend it as a resource of bibliographic information on clinical testing in Orthopaedics." 

— Chris Hughes, PT, PhD, OCS, CSCS, Slippery Rock University, Doody's Book Review Service

"…why should you buy it (especially if you have an earlier edition)? The answer is that the authors have really 'stepped it up' this go-round. The new edition features an evidence-based approach including current and historical references." 

— From the Foreword, Mark. D. Miller, MD, University of Virginia, VA

 "The photographic illustrations of how each test is performed are very useful, and have been improved from previous editions by the addition of arrows to denote patient or therapist direction of movement. The authors should be congratulated on producing an excellent, reasonably priced, reference book that would be useful to have in any clinic that uses orthopedic examination."

— Elizabeth Mason & Carol Doyle, Primary Care Musculoskeletal Research Centre, Keele University, Keele UK, Physiotherapy

From The Critics
Konin (James Madison U.), Denise L. Wiksten (San Diego State U.), and Jerone A. Isear, Jr. (Carolinas Physical Therapy Network) offer coverage of 150-plus special tests for sports-related and non athletic orthopedic injuries, description of each test component (positioning, action and positive findings), and photographs illustrating the proper subject and clinician positioning. Tests are organized by regions of the body, and the commentary provides clinical insight and discussion of implications. Spiral binding. Annotation c. Book News, Inc., Portland, OR
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Product Details

  • ISBN-13: 9781556427411
  • Publisher: SLACK, Incorporated
  • Publication date: 1/1/2006
  • Format: Spiral Bound
  • Edition description: Third
  • Edition number: 3
  • Pages: 400
  • Sales rank: 197,525
  • Product dimensions: 6.40 (w) x 8.50 (h) x 0.70 (d)

Table of Contents

Acknowledgments, Third Edition
Acknowledgments, Second Edition
Acknowledgments, First Edition
Foreword, Third Edition
Foreword, Second Edition
Foreword, First Edition
Preface, Third Edition
Introduction, Third Edition

Section I: Temporomandibular
Chvostek’s Sign
Loading Test 
Palpation Test 

Section II: Cervical Spine
Vertebral Artery Test
Foraminal Compression Test (Spurling)
Foraminal Distraction Test
Valsalva’s Maneuver
Swallowing Test 
Tinel’s Sign

Section III: Shoulder
Empty Can (Supraspinatus) Test 
Yergason Test 
Speed’s Test
Ludington’s Sign
Drop Arm Test
Lateral Scapular Slide Test (LSST) 
Apley’s Scratch Test
Cross-Over Impingement Test 
Posterior Impingement Test 
Neer Impingement Test
Hawkins-Kennedy Impingement Test 
Sternoclavicular (SC) Joint Stress Test
Acromioclavicular (AC) Joint Distraction Test 
Acromioclavicular (AC) Joint Compression Test (Shear) Piano Key Sign 50
Apprehension Test (Anterior) 
Apprehension Test (Posterior)
Sulcus Sign
Anterior Drawer Test 
Posterior Drawer Test
Jobe Relocation Test 
Surprise Test (Active Release Test) 
Feagin Test
Load and Shift Test
Grind Test
Clunk Test
Crank Test 
O’Brien Test (Active Compression)
Brachial Plexus Stretch Test
Adson’s Maneuver
Allen’s Test
Roos Test
Military Brace Position
Pectoralis Major Contracture Test

Section IV: Elbow
Resistive Tennis Elbow Test (Cozen’s Test) 
Resistive Tennis Elbow Test 
Passive Tennis Elbow Test 
Golfer’s Elbow Test
Hyperextension Test 
Elbow Flexion Test 
Varus Stress Test 
Valgus Stress Test 
Tinel’s Sign
Pinch Grip Test 

Section V: Wrist and Hand 
Tap or Percussion Test 
Compression Test
Long Finger Flexion Test
Finkelstein Test
Phalen Test
Reverse Phalen Test
Tinel’s Sign 
Froment’s Sign
Wrinkle Test
Digital Allen’s Test 
Bunnel Littler Test
Murphy’s Sign 
Watson Test
Valgus Stress Test
Varus Stress Test

Section VI: Thoracic Spine 
Kernig/Brudzinski Signs 
Lateral and Anterior/Posterior Rib Compression Tests
Inspiration/Expiration Breathing Test 

Section VII: Lumbar Spine 
Valsalva’s Maneuver 
Stoop Test
Hoover Test
Kernig/Brudzinski Signs 
90-90 Straight Leg Raise Test 
Bowstring Test (Cram Test)
Sitting Root Test 
Unilateral Straight Leg Raise Test (Lasegue Test) 
Bilateral Straight Leg Raise Test 
Well Straight Leg Raise Test
Slump Test 
Thomas Test
Spring Test 
Trendelenburg’s Test 
Stork Standing Test

Section VIII: Sacral Spine 
Sacroiliac (SI) Joint Fixation Test
Gillet Test 
Sacroiliac (SI) Joint Stress Test 
Squish Test 
Yeoman’s Test 1
Gaenslen’s Test
Patrick or FABER Test 
Long-Sitting Test 

Section IX: Hip 
Hip Scouring/Quadrant Test 
Craig’s Test 
90-90 Straight Leg Raise Test
Patrick or FABER Test
Trendelenburg’s Test
Ober’s Test 
Piriformis Test
Thomas Test
True Leg-Length Discrepancy Test
Apparent Leg-Length Discrepency Test 
Ely’s Test
Femoral Nerve Traction Test 

Section X: Knee 
Patella Tendon/Patella Ligament Length Test 
Patellar Apprehension Test
Ballotable Patella or Patella Tap Test
Sweep Test (Wipe, Brush, Bulge, or Stroke Test)
Q-Angle Test
Medial-Lateral Grind Test
Bounce Home Test
Patellar Grind Test (Clarke’s Sign)
Renne Test
Noble Test
Hughston’s Plica Test
Godfrey 90/90 Test
Posterior Sag Test (Gravity Drawer Test) 
Reverse Pivot Shift (Jakob Test)
Anterior Lachman’s Test
Anterior Drawer Test
Slocum Test With Internal Tibial Rotation
Slocum Test With External Tibial Rotation
Pivot Shift Test 
Jerk Test
Posterior Drawer Test 
Hughston Posteromedial Drawer Test
Hughston Posterolateral Drawer Test 
Posterior Lachman’s Test
External Rotation Recurvatum Test
Dial Test (Tibial External Rotation Test)
Valgus Stress Test
Varus Stress Test
McMurray Test 
Apley Compression Test
Steinman’s Tenderness Displacement Test 

Section XI: Ankle and Foot 
Homans’ Sign
Anterior Drawer Test
Talar Tilt Test (Inversion)
Talar Tilt Test (Eversion) 
Thompson Test
Tap or Percussion Test
Feiss Line
Interdigital Neuroma Test 
Compression Test
Long Bone Compression Test
Swing Test
Kleiger’s Test 
Tinel’s Sign

Section XII: Contemporary Special Tests 
Impingement Reduction Test
Walking Arm Stress (WAS) Test 
Finger Extension Test
Flexor Pronator Syndrome Test 
Tarsal Twist Test 


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Customer Reviews

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Sort by: Showing all of 4 Customer Reviews
  • Posted August 6, 2009

    good refrence

    good book, pictures help alot, only problem is pictures are often time shown after the instructions are given.

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  • Anonymous

    Posted November 25, 2008

    No text was provided for this review.

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    Posted January 15, 2010

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    Posted July 27, 2009

    No text was provided for this review.

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