SCS Clinical Examination & Diagnosis 3

Question 1

A soccer player has a positive FABER test with groin pain reproduction. Which structure is LEAST likely to be the pain generator identified by this test?

Accepted Answer

Lumbar facet joint

Answer

FABER (flexion, abduction, external rotation) stresses the anterior hip joint, SI joint, and iliopsoas, but does not significantly load the lumbar facet joints.

Question 2

The O'Brien active compression test is performed with the arm at 90° forward flexion, 15° adduction, and internal rotation. A positive result (pain relief with supination) indicates pathology at which location?

Accepted Answer

AC joint or superior labrum (SLAP)

Answer

A positive O'Brien test (pain in IR reduced or eliminated in ER) implicates the AC joint or superior labrum (SLAP lesion) depending on pain location.

Question 3

An overhead athlete demonstrates a GIRD (glenohumeral internal rotation deficit) of 25° compared to the contralateral side. What is the clinical threshold for GIRD that warrants intervention?

Accepted Answer

18°

Answer

A GIRD of ≥18° compared to the contralateral side is the commonly cited threshold associated with increased injury risk and warranting posterior capsule stretching intervention.

Question 4

Which provocative test is most appropriate for identifying a snapping iliopsoas tendon (coxa saltans interna) in a ballet dancer?

Accepted Answer

Active hip flexion to extension arc in slight abduction

Answer

Actively moving from hip flexion to extension in slight abduction and external rotation reproduces the snap as the iliopsoas tendon flicks over the iliopectineal eminence.

Question 5

A tennis player complains of medial elbow pain. Resisted wrist flexion and forearm pronation reproduce pain at the medial epicondyle. Which diagnosis is MOST consistent?

Accepted Answer

Medial epicondylitis (golfer's elbow)

Answer

Medial epicondylitis (golfer's elbow) involves the flexor-pronator mass origin and is reproduced by resisted wrist flexion and pronation at the medial epicondyle.

(SCS) Sports Clinical Specialist Practice Test

(SCS) Sports Clinical Specialist Practice Test

SCS Clinical Examination & Diagnosis 3