T

Tabes dorsalis 247

Talipes see Club foot: Flat foot

Talipes calcaneus 276

Talipes equinovarus see Club foot

Talocalcaneal synostosis 305

Talonavicular joint, dislocation 302

Talus avascular necrosis 269 congenital vertical 302 osteochondritis 259, 266 see also Ankle Tape measure 8-9 Tarsal tunnel syndrome 281, 295-296 Tarsometatarsal movements 273 Taylor-Pelmear scale 111 Technetium bone scan 8 Tenderness acromioclavicular joint 59

ankle 261

clavicle 59

foot 293-294.296

forefoot 294

great toe 296

heel 293

joint examination 4 knee 221-222 patella 235 patellar ligament 222 quadriceps 222

sacroiliac joint 148 sternoclavicular joint 59 tibia 222.250 Tendinitis 258 Achilles 258 biceps 56, 64

calcifying supraspinatus 53-54. 68 insertional 258 palpation 58 quadriceps 206 Tendinopathy 264 Tendinosis 258 Tendo calcaneus 258, 259-260 acute traumatic rupture 258 shortening 259-260 tendinopathy 258,264 Thomson test 265 Tendon hammer 9 Tendon injuries, hand 123 Tendon sheath infections, hand 114 Tendon sheath lesions, hand 111-112 Tennis elbow 75 examination 81-82 palpation 80 Tenosynovitis abductor pollicis longus/extensor pollicis brevis 91 acute frictional 91 ankle 258-259.265-266 extensor (wrist) 91 see also De Quervain's disease Thenar space infections 114.125 Thigh, lateral cutaneous nerve 32 Thomas's test (hip) 182 Thomsen's test (elbow) 82 Thomson test (ankle) 265 Thoracic motor root dysfunction 153 Thoracic nerve, long 65 Thoracic outlet syndrome 35, 40

examination 40-41 Thoracic spine 129-164 ankylosing spondylitis 136 arthritis 140

Calve's disease 136. 156. 161 cord compression, testing 153 curvature 133, 155 kyphosis see Kyphosis scoliosis see Scoliosis disc calcification 155 disc prolapse see Prolapsed intervertebral disc (PID) DISH (diffuse idiopathic skeletal hyperostosis) 46, 136-137 fixed curvature 135 flexion 149-150 inspection 146 lateral flexion 51 movements 131 normal convexity angle 135 Paget's disease 137 pyogenic osteitis 138-139 radiography 156 rotation 150

Scheuermann's disease 135-136. 155. 161

spina bifida 140-141. 147, 156, 157, 164 tuberculosis see Tuberculosis (TB) see also Back pain: specific conditions Thrombophlebitis 247

Thumb 113 abduction 122 avulsion fracture 127 gamekeeper's 121. 127 mallet 111,115 movements 122

assessment 119,121 trigger 112 Z deformity 116 see also Finger(s) Tibia 245-254 anterior compartment syndrome 246 avulsion of tuberosity 205 condylar subluxations 208

assessment 231 deformities 247-248, 252 bowing 247 kyphosis 247 tibia vara 225. 243 displacement at knee 225 Ewing's tumour 253 fracture 251.252 infections 251 inspection 249

medial tibial syndrome (shin splints) 247 myositis ossificans 253 osteitis 246, 252, 253 osteoclastoma 253 Paget's disease 251,252 pathology 252-253 pseudarthrosis 247-248,251 radiography 251 -25 3 screening tests 250 stress fracture 246-247 swelling 249 tabes dorsalis 247 tenderness 222, 250 torsion 247,249-250 tubercle, tenderness 222 tumours 246,251,253 Tibial condylar subluxations 208, 231 Tibial nerve (medial popliteal) 30, 31 Tibial torsion 247, 249-250 Tibia vara 225, 243 Tinel's sign 18,100,295 Toe(s) 275 claw 280, 288 curling 280, 288, 290 great ("big") toe see Great toe hallux rigidus see Hallux rigidus hallux valgus see Hallux valgus hammer 280, 288 ingrowing nails 296 inspection 286-287, 287-288 intoeing 276, 289 mallet 280, 288 movements 299 Torticollis 38

Tourniquet test, tarsal tunnel syndrome 296 Transient synovitis 168 Trapezoid ligament, tear 56 Trauma fractures see Fracture(s) plexus lesions 14, 17 Trendelenburg lurch 186 Trendelenburg's test 186 Trick movement 4 Trigger finger/thumb 112 Trochlea 74

Tuberculosis (TB) ankle 259, 268 elbow 77, 86 hand 114 hip 169, 176 knee 205,215,242 shoulder 55. 70

spine 137-138, 155. 157. 160. 162 clinical/radiological features 138 extrinsic causes 137-138 increasing incidence 137 intrinsic causes 138 investigations 138 onset 137 treatment 138 wrist 91, 93. 96. 106 Tumours hand 113-114.118.126 hip 171, 176 knee 242

prostate carcinoma 69 shoulder 69 spine 37, 139 tibia 246,251,253 see also specific tumours u_____

Ulna 74

prominence, on inspection 94 Ulnar nerve 74 examination 22-24, 82 motor distribution 21 neuritis 76 palsy 75-76 sensory distribution 21 sites affected 21 Ulnar tunnel syndrome 76, 92-93

examination 96, 101 Ultrasound 8 Uncovertebral joints fractures 36 osteophytes 45

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