Lab: Shoulder

Question 1

Range of Motion:

Answer 1

flexion= 180
extension= 60
abduction= 180
adduction= 50
ext. rotation= 90
int. rotation= 70
scapular elevation
scapular retraction
scapular protraction

Question 2

Dugas Test:

Answer 2

pos. = inability to touch the opposite shoulder and/or inability of the elbow to touch the chest
ind. = acute dislocation of the shoulder (glenohumeral joint)

Question 3

Anterior Apprehension Test:

Answer 3

pos. = Patient will have a noticeable look of apprehension or alarm on their face with possible pain
ind. = chronic anterior dislocation of the shoulder (glenohumeral joint)

Question 4

Posterior Apprehension Test:

Answer 4

pos. = Patient will have a noticeable look of apprehension or alarm on their face with possible pain
ind. = chronic posterior dislocation of the glenohumeral joint

Question 5

Drop Arm Test (AKA- Codman Drop Arm Test):

Answer 5

pos. = Patient will not be able to lower the arm slowly or the arm drops suddenly
ind. = rotator cuff tear, usually supraspinatus

Question 6

Dawbarn Test:

Answer 6

pos. = Decrease in pain and/or tenderness

ind. = subacromial bursitis

Question 7

Yergason Test:

Answer 7

1-pos.= localized pain and/or tenderness at the bicipital groove
1-ind.= bicipital tendinitis 
2-pos.= Audible click or the biceps tendon subluxes or dislocates 
2-ind.= instability of the biceps tendon possibly associated with a torn transverse humeral ligament

Question 8

Abbott-Saunders Test:

Answer 8

pos. = palpable and/or audible click
ind. = subluxation or dislocation of the biceps tendon (rupture of the transverse humeral ligament, or tendon subluxation beneath subscapularis muscle belly)

Question 9

Speed Test:

Answer 9

pos. = pain and/or tenderness in the bicipital groove

ind. = bicipital tendinitis

Question 10

Apley Test:

Answer 10

pos. = exacerbation of pain

ind. = degenerative tendinitis of rotator cuff tendons (usually supraspinatus)

Question 11

Impingement Sign:

Answer 11

pos. = pain in the shoulder

ind. = overuse injury to the supraspinatus and possibly biceps tendon

Question 12

Bony Palpation:

Answer 12

sternoclavicular articulation
clavicle
acromioclavicular articulation
acromion
spine of the scapula
body of the scapula
scapulothoracic articulation

coracoid process
greater tuberosity of the humerus
bicipital groove
lesser tuberosity of the humerus

Question 13

Soft Tissue Palpation:

Answer 13

supraspinatus
infraspinatus
teres minor
subscapularis

sternocleidomastoid
biceps
anterior, middle, posterior deltoid
trapezius
rhomboid minor and major

pectorals major
serratus anterior 
axillary lymph nodes
latissimus dorsi
bicipital tendon

subacromial bursa
subdeltoid bursa