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Ortho tests > Shoulder > Flashcards

Shoulder Flashcards

1
Q

What does Speeds test

A

Bicep tendinopathy, impingement syndrome, labral lesion, bursitis, SLAP lesion

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2
Q

Speeds technique

A

Pt seated
Forearm ext + sup, arm at side
Stabilise shoulder + wrist
Pt flexes arm to 120 (swing forward)
Resist
Whilst palpating bicipital groove (deltoid contraction will hide bicipital tendon)

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3
Q

+ve Speeds

A

P

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4
Q

Specificity of Speeds

A

11-100

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5
Q

Sensitivity of Speeds

A

4-100

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6
Q

What does Yergasons test

A

Bicep tendinopathy, glenoid labrum pathology, torn trans humeral lig

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7
Q

Yergasons test

A

Palpation over bicipital groove
Pt seated, elbow flex to 90
Forearm pronated + gripped
Door handle + open
Resist movement

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8
Q

+ve Yergasons

A

P in bicipital groove- bicep tendinopathy
P in shoulder- glenoid labrum pathology
Tendon slipping out of groove- torn transverse humeral ligament

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9
Q

Specificity of Yergasons

A

Bicep- 88

SLAP- 87

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10
Q

Sensitivity of Yergasons

A

Bicep- 32

SLAP- 12

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11
Q

What does Hawkins-Kennedy test

A

Supraspinatous impingement/lesion

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12
Q

Hawkins-Kennedy techniques

A

Pt seated
Put hand on hip, move hand off hip
Apply force through elbow, move forward + back

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13
Q

+ve Hawkins-Kennedy

A

Increased local P- ant-lat GH
Crepitus may be OA

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14
Q

Specificity of HK

A

59

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15
Q

Sensitivity of HK

A

79

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16
Q

What does empty can test

A

Injury/lesion to supraspinatous

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17
Q

Empty can technique

A

Pt standing or seated
Actively raises straight arm (palm up) to 120 in scapula plane
At the top- PT IR arm (thumb down= empty can)
Then lowers arm IR slwoly to body

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18
Q

+ve Empty can

A

Irritation + P- may be injury to muscle which produces IR (pec major, ant delt, lats)

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19
Q

Empty can spens/sens

A

Sens- 44-89
Spec- 50-90

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20
Q

What does painful arc test

A

Sub-acromion impingement
Rotator cuff or AC patio

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21
Q

Painful arc technqiue

A

Normal active abduction

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22
Q

+ve Painful arc

A

60-120 local P to subacromial/rotator cuff
170-180 pathology to AC

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23
Q

Painful arc sens/spec

A

Sens- 33-98
Spec- 10-81

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24
Q

What does Nears test

A

ER- bicep long head impingement
IR- supraspinatous impingement, subacromial bursitis

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25
Nears technique
Depress scapula ER arm, bring to maximal flex Repeat for IR
26
+ve Nears
ER- P IR- P
27
Specificity of Nears
60
28
Sensitivity of Nears
72
29
What does Cranks test
Labral tears
30
Cranks test technique
Pt seated Abd + ER elbow at 90 Apply pressure into elbow ‘Brush hair’ Rotate humerus int/ext
31
+ve Cranks
If P is over AC test is -ve Shoulder P and crepitus- labral
32
Specificity of Cranks
93
33
Sensitivity of Cranks
46-91
34
What does Obriens test
Labral tears, SLAP lesions, Ac pathology, bicep long head tendinopathy
35
Obriens technique
Pt seated Shoulder flexed to 90, arm add (10-20) Pt attempts to maintain position whilst you apply force on forearm 1. Arm IR, thumb down 2. Arm ER, thumb up Apply downward pressure ask Pt to resist
36
+ve Obriens
IR- P- labral or SLAP lesion, AC pathology ER- bicep long head tendinopathy
37
Specificity of Obriens
98
38
Sensitivity of Obriens
90
39
What does Clunks test for
Labral lesion
40
Clunks techniques
Pt supine One hand under GH, other supporting above elbow Shoulder abducted to 150 Apply translation under GH, other hand ER humerus
41
+ve Clunks
Clunk or grinding sound- trapping of torn labrum between glenoid + humeral head
42
Clunks spec/sens
Spec- 69 Sens- 44
43
What does Kims test for
Labral lesion (posterior glenoid) Ant instability
44
Kims technique
Pt seated Back support ]stand on injured side Abd to 90 Apply force through shoulder Other hand on deltoid Elevate their arm upwards, whilst apply downward force
45
+ve Kim
P (in post shoulder) + clicking
46
Specificity of Kims
94
47
Sensitivity of Kims
80
48
AC Shear technique
Pt seated, examiner cups hands over clavicle and spine of scar Apply compressive force
49
+ve AC Shear
P or abnormal movement --> AC Jt patio, AC ligament sprain
50
Ant Apprehension Test
Pt seated or supine Shoulder abducted to 90, elbow flexed 90 Examiner applies P-A pressure over the humerus Observe for signs of apprehension or discomfort
51
Ant Apprehension test- for?
Ant GH instability
52
Ant apprehnsion test +ve
Excessive ant translation, dislocation or Pt apprehension
53
Ant drawer procedure
Pt supine Examiner grasps the Pts arm with one hand and palpates with other hand over coracoid process and post scapula (trying to stabilise) Examiner applies long axis distraction to humerus
54
What does Ant drawer test
Ant GH instability - inc motion or apprehension Rotator cuff ligament damage - local P
55
Ant slide test procedure
Pt seated and supine Hands on hips so thumb is posterior Examiner stabilises shoulder Applies an ant-sup force to ipsilateral olecranon + asks Pt to resist action
56
What does ant slide test
SLAP lesion - ant shoulder P GH OA - crepitus
57
Ant slide sensitivity/specificity
8-78 84-93
58
Apleys procedure
Pt seated or standing Examiner instructs Pt to place hand behind back and touch mid back inferiorly then superiorly (over shoulder)
59
What does Apleys test
Rot cuff patho (bicipital or supraspin tendonitis)- P and inability to perform motion Ext GH rotator tightness or patho Labral pathology AC arthritis Capsular/muscle contracture
60
Bicep load test
Pt supine or seated Shoulder abducted- 120 and flexed to 90 Examiner fully ER shoulder then asks Pt to flex elbow while resisting action
61
What does bicep load test
SLAP lesion- if ant shoulder P
62
Bicep load validity
High validity for testing SLAP - bicep tendon attaches to superior labrum - when resistive force to elbow flexion, biceps contracts and pulls on injured labrum Specificity- 97 Sensitivity- 90
63
Arm drop test procedure
Pt seated Examiner passively abducts shoulders to 90 suddenly let go and ask Pt to catch themselves
64
What does arm drop test
Bursitis, rotator cuff strain or tear, tendonitis/impingement- P/weakness or 'racheting' movement Grade 3 cuff strain= unable tp catch themselves, less than 3/5 muscle strength
65
Drop arm sens/spec
Sens- 8-27 Spec- 88-100
66
Full can procedure
Pt seated Actively raises straight arm (palm up) to 120 in scapular plane At top examiner applies downward pressure and notes Pt strength
67
Full can interpretation
P or weakness- injury or lesion of supraspinatus
68
Full can spec/sens
Sen- 86 Spec- 57
69
Post apprehension procedure
Pt supine Shoulders flexed 90 + IR Elbow flexed 90 Examiner applies A-P pressure voer elbow while palapting GH
70
Post apprehension interpretation
Post GH instability- apprehension/inc motion Rotator cuff ligament/tendon damage- local P

Ortho tests (15 decks)

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