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Difficulty: EasyPhysical Examination Findings

During a musculoskeletal evaluation, various provocative physical maneuvers are utilized to isolate specific anatomical structures. Match each physical examination maneuver to the specific musculoskeletal pathology it is primarily used to identify.

  • Finkelstein testDe Quervain tenosynovitis
  • McMurray testMeniscal tear
  • Lachman testAnterior cruciate ligament tear
  • Empty can (Jobe) testSupraspinatus tendon tear

Answer

The correct matches are: Finkelstein test with De Quervain tenosynovitis; McMurray test with Meniscal tear; Lachman test with Anterior cruciate ligament tear; and Empty can (Jobe) test with Supraspinatus tendon tear.
Each physical examination maneuver accurately aligns with the specific musculoskeletal pathology it was designed to isolate based on anatomic and biomechanical principles.

Step-by-Step Solution

1
Analyze the Finkelstein test mechanism.
Recognize that it stretches the first dorsal compartment of the wrist.
Pain with this stretch points to De Quervain tenosynovitis.
2
Analyze the McMurray test mechanism.
Recognize that it compresses and rotates the knee joint line.
A click or catch during this motion is classic for a meniscal tear.
3
Analyze the Lachman test mechanism.
Recognize that it tests the anterior-posterior stability of the knee at 30 degrees of flexion.
This is the most sensitive physical exam finding for an anterior cruciate ligament (ACL) tear.
4
Analyze the Empty can test mechanism.
Recognize that internal rotation and abduction in the scapular plane isolates specific rotator cuff muscles.
This positioning specifically tests the integrity of the supraspinatus tendon.

Key Concept

Musculoskeletal Provocative Testing
Estimated Time:1m 0s
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Topics

Physical Examination Findings

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