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Mulder's sign is a physical exam finding associated with Morton's neuroma, which may be elicited while the patient is in the supine position on the examination table. The pain of the neuroma, as well as a click, can be produced by squeezing the two metatarsal heads together with one hand, while concomitantly putting pressure on the interdigital space with the other hand.
A Buck reflex hammer. A reflex hammer is a medical instrument used by practitioners to test deep tendon reflexes, the best known possibly being the patellar reflex.Testing for reflexes is an important part of the neurological physical examination in order to detect abnormalities in the central or peripheral nervous system.
The patellar reflex, also called the knee reflex or knee-jerk, is a stretch reflex which tests the L2, L3, and L4 segments of the spinal cord. Many animals, most significantly humans, have been seen to have the patellar reflex, including dogs, cats, horses, and other mammalian species.
Gait abnormality is a deviation from normal walking ().Watching a patient walk is an important part of the neurological examination. Normal gait requires that many systems, including strength, sensation and coordination, function in an integrated fashion.
Trendelenburg gait is caused by weakness or ineffective action of the abductor muscles of the lower limb, the gluteus medius muscle and the gluteus minimus muscle. [3]Damage to the motor nerve supply of the lateral gluteal muscles (gluteus medius muscle and gluteus minimus muscle)
An additional test of posterior cruciate ligament injury is the posterior sag test, where, in contrast to the drawer test, no active force is applied. Rather, the person lies supine with the leg held by another person so that the hip is flexed to 90 degrees and the knee 90 degrees. [ 3 ]
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The pain is generally in the front of the knee and comes on gradually. [2] [4] Pain may worsen with sitting down with a bent knee for long periods of time, excessive use, or climbing and descending stairs. [1] [5] While the exact cause is unclear, it is believed to be due to overuse.