Can we be more specific with our diagnosis than “Non-specific low back pain”? Find out in this systematic review from Han et al 2023 in EClinicalMedicine produced by The Lancet Han CS, Hancock MJ, Sharma S, Sharma S, Harris IA, Cohen SP, Magnussen J, Maher CG, Traeger AC. Low back pain of disc, sacroiliac joint, or facet joint origin: a diagnostic accuracy systematic review. EClinicalMedicine. 2023 May 1;59. | Clinical Edge
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Assessment of shoulder pain patients can be difficult. Are shoulder special tests accurate? Is it important to determine which rotator cuff muscles/structures are affected in shoulder pain patients, and how this will impact exercise selection? It's possible to use your shoulder assessment to get a more specific direction with rehab. Use quick simple tests to help identify shoulder issues, and guide treatment. Jo Gibson and Clinical Edge have put together a series of three practical shoulder asse
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Clinical Edge - FAQs
Clinical Edge - FAQs
Sep 6, 2015
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Finger PIP joint forced flexion, volar (palmar) dislocation and those with difficulty extending the PIP joint need to have their central slip or zone 3 extensor tendon tested. If a central slip lesion is overlooked, the patient will often develop a boutonniere deformity after 2-3 weeks. “Skier’s thumb” with an injury to the UCL with a radial and hyperextension force to the MCP joint, like landing on a ski pole can cause a “Stener lesion” where the UCL is displaced superficial to the adductor apo
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Buddy taping seems like an easy way to manage PIP joint injuries, but can cause a fixed flexion deformity, where the PIP joint is unable to extend. Splints and orthoses for PIP joint injuries are far more effective, help prevent a fixed flexion deformity, are easy to make and provide to your patients, and can be used for immobilisation, and also for your patients exercises. Details on how to make splints, assess and manage patients hand and finger injuries are in Melissa Wallace’s Hand and finge
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Which tests help identify if your patient's ready for return to sport after an ACL reconstruction? This new study by Dutaillis 2025 reveals some clinical tests that you can use. They assessed 30 recreationally active athletes that were having a unilateral ACLR, and they tested a bunch of physical tests and compared that to the KOOS that identifies knee pain and function. And also the ACL-RSI, which is your return to sport index, assesses their readiness for return to sport. They compared the ACL
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What are the most reliable tests for adductor and pubic-related groin pain? Find out in this study by Heijboer et al 2024. Heijboer WM, Weir A, Vuckovic Z, Tol JL, Hölmich P, Serner A. Clinical examination tests for adductor-and pubic-related groin pain in athletes with longstanding groin pain: Inter-examiner reliability and prevalence of positive tests. Physical Therapy in Sport. 2024 Mar 1;66:9-16. | Clinical Edge
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