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Difficulty: MediumPhysical Examination Findings

Match each physical examination maneuver with the specific musculoskeletal or neurological pathology it is most commonly used to diagnose.

  • Finkelstein testStenosing tenosynovitis of the first dorsal compartment of the wrist
  • Phalen maneuverCompression of the median nerve within the carpal tunnel
  • Empty can (Jobe) testTear or tendinopathy of the supraspinatus muscle
  • Lachman testRupture of the anterior cruciate ligament

Answer

Finkelstein test matches with stenosing tenosynovitis of the first dorsal compartment. Phalen maneuver matches with compression of the median nerve. Empty can test matches with supraspinatus tear or tendinopathy. Lachman test matches with anterior cruciate ligament rupture.
Each provocative physical examination maneuver is meticulously designed based on biomechanics to isolate and stress a single tendon, ligament, or nerve. Recognizing these specific clinical correlations allows for rapid bedside diagnosis before imaging is obtained.

Step-by-Step Solution

1
Analyze the anatomical target of the Finkelstein test.
Matches with stenosing tenosynovitis of the first dorsal compartment of the wrist.
The test stretches the tendons in the first dorsal extensor compartment (abductor pollicis longus and extensor pollicis brevis).
2
Analyze the anatomical target of the Phalen maneuver.
Matches with compression of the median nerve within the carpal tunnel.
The maneuver mechanically compresses the carpal tunnel space to elicit median nerve symptoms.
3
Analyze the anatomical target of the empty can (Jobe) test.
Matches with tear or tendinopathy of the supraspinatus muscle.
Internal rotation and elevation specifically isolate the supraspinatus tendon of the rotator cuff.
4
Analyze the anatomical target of the Lachman test.
Matches with rupture of the anterior cruciate ligament.
Anterior translation of the tibia specifically stresses the anterior cruciate ligament for integrity.

Key Concept

Clinical application and anatomical basis of provocative musculoskeletal and neurological physical examination maneuvers.
Estimated Time:1m 0s
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Physical Examination Findings

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