Percussion Test











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It is our mission to challenge sports and orthopedic physical therapists to become clinical experts by providing residency level education. • Follow us! • ✮ EMAIL: [email protected] • ✮ BLOG: https://www.thestudentphysicaltherapi... • ✮ INSTAGRAM:   / tsptofficial   • ✮ FACEBOOK:   / tsptofficial   • ✮ INSIDER ACCESS: https://insider.thestudentphysicalthe... • For more advanced information, check out the Insider Access Page at www.thestudentphysicaltherapist.com • Percussion Test • Purpose: To assess for a fracture in the lower extremity. • Test Position: Supine. • Performing the Test: The patient should not be wearing shoes. The examiner then strikes the heel of the patient. A positive test is reproduction of the patient's worst pain. • Diagnostic Accuracy: Unknown. • Importance of Test: Our bones are covered by a layer of tissue known as the periosteum. It is highly innervated and very sensitive to injury. When a bone is fractured, the periosteum is more easily stimulated and thus pain is experienced. By striking the heel of the foot, a large vibratory/compression force is sent through the limb that stimulates the injured site. It should be noted that the percussion test can produce pain in non-musuloskeletal ailments as well, such as psoas abscess, appendicitis, etc. It is important to utilize your subjective history, tests and measures, and general systems screenings to triangulate your findings.

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