Special Tests for Orthopedic Examination, Fourth Edition

Jeff G Konin, PhD ATC PT FACSM FNATA ; Denise Lebsack, PhD ATC ; Alison R Snyder Valier, PhD ATC FNATA ; Jerome A Isear Jr, MS PT LAT ATC

  • $64.95
  • ISBN 10 1617119822
  • ISBN 13 978-1617119828
  • 448 pp Soft Cover
  • Pub. Date: 2016
  • Order# 49822

First published more than 20 years ago, Special Tests for Orthopedic Examination, now in its Fourth Edition, continues to follow the authors’ initial goals of providing a simple, pocket-sized manual for practical learning purposes.


The Fourth Edition provides critical and invaluable information on the most current and practical special tests used during an orthopedic examination. The efficient user-friendly, spiral-bound format allows for easy access to individualized special tests.


Special Tests for Orthopedic Examination, Fourth Edition includes 160 special tests, 6 of which are new:

  • Ballottement Test

  • Gerber’s Test (Lift-Off Test)

  • Painful Arc Sign

  • Thessaly Test

  • Quad Active Test

  • Lelli Test for Anterior Cruciate Ligament (ACL) Injuries


Inside Special Tests for Orthopedic Examination, Fourth Edition, Jeff G. Konin, Denise Lebsack, Alison R. Snyder Valier, and Jerome A. Isear, Jr. have included a new section on evidence, where the authors have highlighted systematic reviews, meta-analyses, or single articles to address reliability, sensitivity, and specificity of the special tests, where available.


What is new and updated in the Fourth Edition:

  • Includes a video website that provides visually enhanced dimensional and motion analysis of each special test performed

  • Includes 160 special tests, 6 of which are new to this edition

  • Includes information on reliability, sensitivity, and specificity presented in a table format

  • New evidence section highlights systematic reviews, meta-analyses, or single articles for special tests, where available

  • New color images for each test

  • Updated references for all tests


Bonus Material!

Special Tests for Orthopedic Examination, Fourth Edition includes a video website with each new book purchase. This video website offers a unique approach that provides a visually enhanced dimensional and motion analysis of each special test performed. The video segments will help students and clinicians better understand the test motion in order to perform the test accurately during an orthopedic examination.


The simple yet succinct information provided throughout the manual and on the video website will help clinicians make informed decisions during an orthopedic examination, from understanding to performing and evaluating the special tests.


Special Tests for Orthopedic Examination, Fourth Edition will carry on the tradition of past editions as being the premier resource for thousands of students, clinicians, and rehabilitation professionals.





About the Authors


Foreword by Edward G. McFarland, MD

Section 1: Temporomandibular

Chvostek’s Sign

Loading Test

Palpation Test

Section 2: Cervical Spine

Vertebral Artery Test

Foraminal Compression Test (Spurling)

Foraminal Distraction Test

Valsalva’s Maneuver

Swallowing Test

Tinel’s Sign

Section 3: 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

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 (Elevated Arm Stress Test)

Military Brace Position

Gerber’s Test (Lift-Off Test)

Jerk Test (Posterior Stress)

Painful Arc Sign

Section 4: 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 5: 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

Ballottement Test

Section 6: Thoracic Spine

Kernig/Brudzinski Signs

Lateral and Anterior/Posterior Rib Compression Tests

Inspiration/Expiration Breathing Test

Section 7: 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 (Lasègue Test)

Bilateral Straight Leg Raise Test

Well Straight Leg Raise Test (Crossed Straight Leg Raise)

Slump Test

Thomas Test

Spring Test

Trendelenburg’s Test

Stork Standing Test

Section 8: Sacral Spine

Sacroiliac (SI) Joint Fixation Test

Gillet Test

Sacroiliac (SI) Joint Stress Test

Squish Test

Yeoman’s Test

Gaenslen’s Test

Patrick or FABER Test

Long-Sitting Test

Section 9: 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

Ely’s Test

Femoral Nerve Traction Test

Section 10: 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

Thessaly Test

Ober’s Test

Quad Active Test

Lelli Test for Anterior Cruciate Ligament (ACL) Injuries

Section 11: 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 (Squeeze) Test

Long Bone Compression Test

Swing Test

Kleiger’s Test

Tinel’s Sign

Section 12: Contemporary Special Tests

Impingement Reduction Test

Walking Arm Stress (WAS) Test

Finger Extension Test

Flexor Pronator Syndrome Test

Tarsal Twist Test


Financial Disclosures



Jeff G. Konin, PhD, ATC, PT, FACSM, FNATA is a Professor and the Chair of the Physical Therapy Department at the University of Rhode Island in Kingston, Rhode Island. One of the original authors of this textbook, Dr. Konin is recognized as a Fellow by both the American College of Sports Medicine and the National Athletic Trainers’ Association for his contributions.

Dr. Konin has previously held the positions of Director of Athletics at Eastern Connecticut State University, Faculty and Vice Chair of Orthopaedics and Sports Medicine at the University of South Florida (USF), Executive Director of the Sports Medicine and Athletic Related Trauma (SMART) Institute at USF, Director of the Graduate Athletic Training Program at USF, and Health Sciences Faculty and Assistant Athletic Director for Sports Medicine at James Madison University. Dr. Konin is also founding partner in The Rehberg Konin Group, a firm providing consulting in the areas of sport safety and education, and a founding member of Sport Safety International, specializing in the delivery of sport safety educational resources.

Dr. Konin’s published work and invited presentations have focused in the area of sports medicine with a particular interest in injury prevention and sport safety. He has shared his expertise at professional conferences throughout the United States, as well as in Australia, New Zealand, Italy, Norway, Romania, England, and Austria. His experiences have included serving on the medical staff for the 1996 Olympic Games and as a medical coordinator for the USA Wheelchair Rugby Paralympic Team.

Denise Lebsack, PhD, ATC has been an Associate Professor of Athletic Training in the School of Exercise & Nutritional Sciences at San Diego State University (SDSU) since 1994. During much of that time she has served as the Athletic Training Program Director, and has coordinated 3 separate Self Study Reports for the Athletic Training Education Program’s accreditation. As part of that process and her role as an athletic training educator, Dr. Lebsack has developed a philosophy that seeks to optimize student learning and educational outcomes. Her goal is to provide students with educational tools that aid in the learning process and that instill academic inquiry and understanding. When Dr. Konin first approached her with the original book idea, she immediately knew it was a project that fit perfectly with her educational philosophy and goals for her students.

In keeping with these goals, Dr. Lebsack was also an author for a 2-disc CD-ROM series on special tests used during the injury evaluation process that incorporated video demonstration and anatomical representation of a positive test result. Her interest in instructional technology led to several published articles evaluating the effectiveness of technology in the classroom. Given her research and experience as an educator, she was invited to be a Guest Editor for the Journal of Athletic Training’s Special Issue on “Athletic Training Education” (2002;37[4]). She has also coauthored the textbook The Athletic Trainer’s Guide to Strength and Endurance Training.

Dr. Lebsack currently spends her time focused on the classroom and engaging students in the learning process. She serves as a faculty advisor for the SDSU student organization Future Athletic Trainers’ Society, and actively promotes athletic training education in the community. She has become a big proponent and spokesperson for mental health awareness for both student-athletes and athletic training students. Outside of work, her time is spent enjoying the adventures of raising her 2 teenagers, Annamarie and EJ.

Alison R. Snyder Valier, PhD, ATC, FNATA is a Professor for the Post-Professional Athletic Training Program and Doctor of Athletic Training Program at A. T. Still University (ATSU) in Mesa, Arizona. She also serves as the Assistant Director of Research Support through Research, Grants, and Information Technology Systems, as well as a research faculty in the School of Osteopathic Medicine–Arizona, at ATSU.

Dr. Valier received her BA degree in psychology and physical education from Whitman College (Walla Walla, Washington) and her MS in exercise physiology at the University of Toledo (Toledo, Ohio). In addition, she received her PhD in exercise science from the University of Toledo, where she majored in applied physiology and completed a minor in human anatomy. Dr. Valier completed a Post-Doctoral Research Fellowship in Clinical Outcomes Research, with emphasis on the evaluation of patient-reported outcomes instruments and epidemiology, awarded to her by the National Athletic Trainers’ Association Research and Education Foundation (NATA REF). Her fellowship has shaped her teaching and research emphasis, with most of her focus on clinical outcomes assessment, patient-reported outcome measures, health-related quality of life, sports injury epidemiology, and quality improvement. She presents and publishes on these topics regularly and is a Fellow of the NATA. Over the years, Dr. Valier has served the profession in many ways, including being a member of the NATA Pronouncements Committee, NATA REF Research Committee, and the Rocky Mountain Athletic Trainers’ Association (RMATA) Programming Committee. She also serves as the Co-Chair of the Arizona Athletic Trainers’ Association Governmental Affairs Committee and served as the Chair of the Free Communication program for the RMATA for several years. Dr. Valier lives in Gilbert, Arizona, with her husband, Sean, and son, Albert.


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