Shoulder

Question 1

Impingement Sign

Answer 1

Forward Flexion >90
(+) pain

(Impingement/Rotator Cuff)

Question 1

Jobe Empty Can

Answer 1

Pronate arm, resisted FF in scapular plane

Pain or weakness indicates supraspinatus tear

Question 2

Hawkins Test

Answer 2

FF 90, then IR
Pain

(Impingement/Rotator Cuff)

Question 3

Drop Arm

Answer 3

FF>90, try to maintain it

Inability to hold flexion indicates supraspinatus tear

Question 4

Shoulder Forward Flexion

Answer 4

0-160

Question 5

Shoulder Extension

Answer 5

0-60

Question 6

Shoulder External Rotation

Answer 6

Elbow at side: 30-60

Question 7

Shoulder Abduction

Answer 7

0-160/180

Question 8

TUBS

Answer 8

Traumatic, Unidirectional, Bankart, Surgery

Shoulder Instability

Question 9

AMBRI

Answer 9

Atraumatic, Multidirectional, Bilateral, Rehab, Inferior Shift
(Shoulder Instability)
Generalized laxity, microtrauma due to overuse

Question 10

Shoulder Laxity Tests

Answer 10

Drawer - AP translation

Sulcus - downward pressure, see gap

Question 11

Frozen Shoulder

Answer 11

Normal Xray
Insiduous
Flexion, External Rotation

Question 12

Shoulder Stability Tests

Answer 12

Apprehension - abduct 90, externally rotate, force from behind -> pain

Job Relocation - apply force to anterior shoulder

Question 13

Shoulder Impingement Tests

Answer 13

Impingement Sign

Jobe Empty Can Test

Question 14

ER lag sign

Answer 14

ER shoulder, patient holds it

Inability to maintain ER indicates infraspinatus tear

Question 15

Horn blower’s

Answer 15

resisted ER in slight abduction

weakness indicates rotator cuff tear involving infraspinatus

Question 16

Lift Off

Answer 16

Hand behind back, push backward

weakness indicates subscapularis tear

Question 17

Lift Off Lag Sign

Answer 17

Lift hand off back, patient holds it

Inability to hold hand off of low back indicates subscapularis tear

Question 18

Belly press

Answer 18

Hand on belly, push toward belly

Weakness indicates subscapularis tear

Question 19

Active Compression (O’Brien) Test

Answer 19

FF 90, adduct 10, resisted flexion in pronation then supination

Pain with resisted flexion, greater in pronation indicates SLAP tear; may also suggest AC joint pathology

Question 20

SLAP

Answer 20

Superior Labral Tear from Anterior to Posterior

Question 21

Crank Test

Answer 21

Abduct 90, axial load, rotate

Pain indicates SLAP tear

Question 22

Speed’s Test

Answer 22

Resisted Flexion in scapular plane

Pain indicates biceps lesion or tendinitis

Question 23

Yergason’s Test

Answer 23

Elbow 90, resisted supination

Pain indicates biceps tendinitis

Question 24

Apprehension Test

Answer 24

Abduct, ER Pain or apprehension indicates anterior instability

Question 25

Relocation Test

Answer 25

Abduct, ER, posterior force to arm Relief of pain/apprehension indicates anterior instability

Question 26

Load and Shift Test

Answer 26

Axial Load, ant/post translation Increased translation indicates anterior or posterior instability

Question 27

Jerk Test

Answer 27

Supine, adduct, FF 90, push posterior pain/apprehension/translation indicates posterior instability

Question 28

Sulcus Test

Answer 28

Pull down on adducted arm Sulcus under lateral acromion indicates inferior instability

Question 29

X-body adduction Test

Answer 29

Adduct Arm across body Pain at AC joint indicates AC joint pathology

Question 30

Scapular Winging

Answer 30

Push against wall Winging of scapula indicates nerve palsy or muscle weakness

Question 31

Adson's Test

Answer 31

Palpate pulse, rotate neck Numbness or tingling suggestive of thoracic outlet syndrome

Question 32

Wright's test

Answer 32

Extend arm, rotate neck away numbness or tingling suggestive of thoracic outlet syndrome

Question 33

Spurling's Test

Answer 33

Lateral flex/axially compress neck Reproduction of symptoms indicates cervical neck pathology