Kuenze, PhD, ATC, Mary Catherine Minnig, MS, Ali Mobasheri, BSc, MSc, DPhil (Oxon), Adam Naylor, EdD, Connie B. Golightly, PT, MS, PhD, Matthew Harkey, PhD, ATC, Christopher M. Callahan, PhD, Bruce Cohen, PhD, CSCS, Madison Franek, PT, DPT, Yvonne M. Ambrose, MS, Shelby Baez, PhD, ATC, Nicholas Beresic, EdD, CSCS, David J. Osteoarthritis Action Alliance, Secondary Prevention Task Group, Jeffrey B. Jeffrey B Driban, PhD, ATC, CSCS, Heather K Vincent, PhD, Thomas H Trojian, MD, Kirsten R Ambrose, MS, Shelby Baez, PhD, ATC, Nicholas Beresic, EdD, CSCS, David J Berkoff, MD, Leigh F Callahan, PhD, Bruce Cohen, PhD, CSCS, Madison Franek, PT, DPT, Yvonne M Golightly, PT, MS, PhD, Matthew Harkey, PhD, ATC, Christopher M Kuenze, PhD, ATC, Mary Catherine Minnig, MS, Ali Mobasheri, BSc, MSc, DPhil (Oxon), Adam Naylor, EdD, Connie B Newman, MD, Darin A Padua, PhD, ATC, Brian Pietrosimone, PhD, ATC, Daniel Pinto, PT, PhD, Hayley Root, PhD, MPH, ATC, Matthew Salzler, MD, Laura C Schmitt, PT, MPT, PhD, Lynn Snyder-Mackler, PT, ATC, ScD, Jeffrey B Taylor, PT, DPT, PhD, CSCS, Louise M Thoma, PT, DPT, PhD, Kevin R Vincent, MD, PhD, Elizabeth Wellsandt, PT, DPT, PhD, Monette Williams After the test, radiographs were taken and interpreted by the attending orthopaedic physician to confirm or rule out the presence of a fracture. Diminished or absent sound from the injured limb as compared with the uninjured limb constituted a positive result. For example, if the fibula was the injured bone, the vibrating tuning fork was placed on the distal tip of the lateral malleolus and the stethoscope's conical bell was placed on the fibular head ( Figure). I listened for a clear tone created by the tuning fork in the uninjured bone and compared it with the sound arising from the injured bone. I then listened to the sound arising from the bone via the stethoscope for approximately 6 to 8 seconds. I struck the tuning fork against a rubber pad and then placed the vibrating tuning fork on the bone distal to the injury site. The tuning fork was placed on the bone distal to the suspected fracture, and the stethoscope's conical bell was placed proximal to the injury site on the same bone. The test was performed on the uninjured limb first. The procedure was conducted as described by Misurya et al, 6 except that the conical bell of a stethoscope was used instead of a pediatric stethoscope. The author administered the tuning fork test to all participants.
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