PHYSICAL EXAMINATION OF THE UPPER EXTREMITY MUSCULOSKELETAL SYSTEM Flashcards
True or False
Normal shoulder movement is a composite movement that couples glenohumeral motion with movement of the scapula on the thorax
True
Scapular movement is derived from the motion of what two joints?
- Acromioclavicular
2. Sternoclavicular
When assessing shoulder strength pain with flexion may indicate what?
biceps tendinitis
What special test of the shoulder is used to diagnose shoulder impingement or rotator cuff tears?
This maneuver compresses the greater tuberosity against the anterior acromion
Neer’s impingement sign
What special test of the shoulder reinforces a positive Neer sign for impingement and when the patient has pain to the subacromial space, it is indicative of rotator cuff tears or tendinitis?
Hawkin’s impingement sign
A positive sign of what test would be pain focal to the middle aspect of the subacromial space?
Empty can test
What special test of the shoulder detects tears in the rotator cuff (supraspinatus), and if there are tears in the rotator cuff the arm will drop to the side from a position of about 90 degrees?
Drop arm test
What special test of the shoulder is used to evaluate the teres minor, weakness indicating a positive sign?
Hornblower’s test
What special test of the shoulder tests bicep strength and is helpful in diagnosing biceps tendonitis?
Patient will be positive if they have pain in the bicipital groove
Speed’s test
What special test of the shoulder is used to test subscapularis strength and possible tendon rupture?
Gerber lift off test
A positive sulcus sign suggests that the patient has what?
inferior shoulder instability
Patients with anterior instability may be APPREHENSIVE during what special test of the shoulder because of impending dislocation?
Apprehension sign
A positive relocation test of jobe would be if there is a relief of pain and apprehension occurs and suggests what kind of instability?
anterior glenohumeral instability
What special test of the elbow is used to asses the stability of the medial ligamentous structures, primarily the ulnar collateral ligament?
Valgus stress test
What special test of the elbow is used to assess the stability of the lateral collateral ligament in the lateral capsule?
Varus stress test
Tingling, numbness and paresthesia in the ulnar nerve distribution during the elbow flexion test means the patient is positive for what?
Cubital tunnel (ulnar nerve) syndrome
During the long finger test pain to the lateral epicondyle means the patient is positive for what?
Lateral epicondylitis
A positive tinel sign suggests what?
ulnar nerve entrapment
A positive tinel sign suggests what syndrome?
Carpal Tunnel syndrome
True or False
Pain at the dorsoradial aspect of the wrist during the finklestein test indicates a stenosing tenosynovitis of the abductor pollicis longus and extensor brevis
True
A recreation of tingling and numbness during the Phalen maneuver suggests what ?
Carpal tunnel syndrome
If the adductor pollicis muscle appears to be weak during the test for Froments sign it suggests what?
ulnar nerve paralysis
