Lateral Compression Test |
Examination type |
Bony
integrity; joint stability |
Patient & Body Segment Positioning |
Standing
in an anatomical position
Lying
on lateral trunk
side
Supine
with legs flat
and arms by sides
Short Sitting
in an upright position
|
Examiner Position |
With patient
standing or sitting, examiner should stand behind patient with
one hand on each side of the patient’s lateral trunk (each side
of the rib cage). With the patient lying supine, examiner
should stand beside the patient with one hand on each side of
the patient’s lateral trunk (each side of the rib cage). With
the patient lying on his side, examiner should stand beside the
patient with both hands on the patient’s lateral trunk (side of
the rib cage) that is up. |
Tissues
Being Tested |
Ribs and
costal cartilage |
Performing the Test |
With patient
standing, sitting, or lying supine, use both hands to compress
the lateral sides of the rib cage inward towards the sternum.
With the patient lying on their side, use both hands on the
lateral side of the rib cage that is facing upward to compress
the ribcage towards the table. |
Positive Test |
Positive if
pain or guarding is elicited. |
Interpretation |
Positive
test indicated possible rib fracture. |
Common errors in
performing exam |
Not
compressing with enough force; not asking about location and
type of pain if elicited; not examining in all possible
positions |
Factors possibly
resulting in misinterpretation |
Localized
pain may indicate a rib fracture, but diffuse pain may be
indicative of something else. |
Related tests |
Anterior/Posterior Chest Compressions |
References |
Magee.
Orthopedic Physical Assessment. 4th Ed. 2002. |
Links: |
http://www.ncemi.org/cse/cse0502.htm |
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