ONE Shoulder

Question 1

Apley’s Scratch Test

Answer 1

Asses: shoulder muscle imbalance, restricted movement
• Procedure: Patient seated.
• Place hand of affected shoulder behind head to touch superior angle of opposite scapula.
• Tests: abduction, external rotation, upward rotation.
• Note location
• Place hand behind back to touch inferior angle of opposite scapula
• Tests: adduction, internal rotation, protraction. Note height
• +Pain indicates tendinitis of the tendons of the rotator cuff, usually the supraspinatus tendon
• + notable differences between each arm

Question 2

Anterior/Posterior Apprehension Test

Answer 2

Glenohumeral joint instability, history on anterior humerus dislocation
• Patient supine. Abduct the affected arm to 90°
• Externally rotate it slowly while stabilizing the posterior aspect of the shoulder with the opposite hand.
• ** Proceed slowly with caution
• +Local pain indicates chronic anterior dislocation
• May elicit a look of apprehension on the patient’s face
• Test may feel the same when shoulder was dislocated •→relocation test

Patient supine.
• Forwardly flex and internally rotate the shoulder
• Apply posterior pressure on the elbow
• +Local pain or discomfort
• Look of apprehension on the patient’s face
• Chronic posterior shoulder instability
• Patient may report that the test feels the same as when the shoulder was dislocated`

Question 3

Clunk Test

Answer 3

Anterior unstable shoulder test*****

The Clunk Test is used to identify a superior anterior and posterior glenoid labral tear of the shoulder joint.
The patient lies in supine position with affected shoulder slightly over the edge of the bed.
The examiner places one hand on the posterior aspect of the GH joint while the other hand holds the bicondylar aspect of the humerus above the elbow.[1]
the examiner then fully abducts the arm over the patient’s head while pushing anteriorly on the humeral head and simultaneously externally rotating the arm.[2]

Question 4

Supraspinatus Test know all names

Answer 4

Empty Can Test
rotator cuff test
Patient seated. Abduct the arm to 90° with the arm between abduction and forward flexion.
• Thumb down
• Abduct against resistance
• +Pain or weakness with resistance – supraspinatus tendinopathy
• +Pain over the deltoid may indicate a strained deltoid muscle
• +LI15, jianneiling pain (midway between end of axillary fold & LI15)

Question 5

Hawkins-Kennedy

Answer 5

Impingement Test!!!!!!!!!!!!
the space is being impinged on. chronic tendinitis makes the tendon bigger and subacromial bursitis makes the space smaller, too

Supraspinatus tendinopathy, long head biceps • Passive anterior glenohumeral joint flexion
• Passive flex elbow 90
• Action: Internally rotate glenohumeral joint
• Pain LI15 – inflamed supraspinatus tendon attachment • Pain anterior shoulder – long head of bicep

Question 6

Speed’s Test

Answer 6

this test if for bicep tendonitis

bicep groove=intertubicular groove

Bicep long head tenosynovitis
• Patient seated with elbow extended, supinated
• shoulder flexed forward to 45°
• Place your fingers in the bicipital groove and your opposite hand on the patient’s wrist.
• Hands over daijianzhen, taijian, bicipital long head.
• Instruct patient to elevate the arm forward against resistance
• +Pain or tenderness in the bicipital groove.