Orthopedics Book

Ankle Disorders

Approach

Cervical Spine Disorders

Cervicobrachial Disorders

Elbow Disorders

Foot Disorders

Hand Disorders

Hip Disorders

Infectious Disease

Knee Disorders

Lumbar Spine Disorders

Miscellaneous

Shoulder Disorders

Thoracic Spine Disorders

Wrist Disorders

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Low Back Sitting ExamAka: Sitting Low Back Exam

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  1. See Also
    1. Low Back Pain
    2. Low Back Exam
    3. Standing Low Back Exam
    4. Supine Low Back Exam
  2. Complete Neurologic Evaluation
    1. Motor Strength
    2. Sensation
    3. Reflexes
      1. Hyperactive reflexes with abnormal Babinski
        1. Suggests Bilateral pyramidal tract dysfunction
        2. Spinal cord compression
        3. Cervical Spondylosis
        4. Tumor
        5. Central DIsc herniation
      2. Hypoactive reflexes
        1. Bilateral
          1. Normal
          2. Spinal shock
          3. Myopathy
        2. Unilateral
          1. Peripheral Nerve: Ankle (S1), Knee (L3,L4)
  3. Measure thighs and calves (signs of muscle atrophy)
    1. Significant Discrepancy
      1. Thigh difference: >1/2 inch
      2. Calf difference: >1/4 inch
  4. Sitting root test (Sitting Straight Leg Raise)
    1. Observe discrepancy between supine and sitting SLR
      1. Discrepancy suggests Malingering
    2. Not as sensitive as standard supine SLR

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