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NMS 3rd Practical > Shoulder > Flashcards

Shoulder Flashcards

1
Q

Positive Apley’s scratch test?

A

Decreased ROM
Pain
Stiffness

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2
Q

Causes of a positive Apley’s scratch test?

A
  • supraspinatus tendinitis (or other rotator cuff)
  • tight pecs
  • hypertoned levator scapulae
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3
Q

Other tests for Apley’s scratch test?

A
  • Dugas test

- supraspinatus press test (empty can)

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4
Q

Positive Apprehension test?

A

Patient shows apprehension/alarm, resists motion

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5
Q

Causes of a positive Apprehension test?

A

anterior shoulder dislocation, trauma

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6
Q

Other tests for Apprehension?

A

Relocation
load and shift
Dugas

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7
Q

Positive Codman’s arm drop test?

A

Shoulder pain, dropping arm

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8
Q

Causes of a positive Codman’s?

A

rupture of supraspinatus tendon

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9
Q

Other tests for Codman’s?

A

Supraspinatus press test (empty can and full can)

Apley’s

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10
Q

Positive Dawbarn’s test?

A

Pain goes away with examiner pressing on the pain in the shoulde

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11
Q

Causes of a positive Dawbarn’s?

A

Subacromial bursitis

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12
Q

Other tests for Dawbarn’s?

A

Impingement test

Apley’s

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13
Q

Positive Dugas?

A

can’t touch chest with elbow

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14
Q

Causes of Dugas?

A

anterior shoulder dislocation

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15
Q

Other tests for Dugas?

A

Apprehension test

Apley’s

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16
Q

Positive Impingement test?

A

Pain from jamming greater tuberosity against anteroinferior acromial surface

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17
Q

Causes of a positive Impingement test?

A

Impingement of tendon or bursa, supraspinatus and/or bicipital irritation as well as DJD

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18
Q

Other tests for impingement?

A

Dawbarn’s

Apley’s

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19
Q

Positive Speeds test?

A

Pain in bicipital groove = bicipital tendinitis

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20
Q

Other tests for speeds?

A

Impingement test

Yergason’s

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21
Q

Positive Supraspinatus Press Test?

A

Weakness or experiences pain = supraspinatus tendon/muscle tear

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22
Q

Other tests for Supraspinatus Press Test?

A

Codman’s sign

Apley’s

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23
Q

Positive Yergason’s test?

A

Pain or a click heard and felt over bicipital groove

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24
Q

Causes of a positive Yergason’s?

A
  • Pain = bicipital tendinitis

- “click” = torn transverse humeral ligament

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25
Q

Other tests for Yergason’s?

A

Speeds

Impingement sign

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26
Q

Positive Load and Shift?

A

Laxity, visible sulcus appearing under acromion= instability

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27
Q

Other tests for Load and Shift?

A

Apprehension

Relocation

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28
Q

Positive O’Brien’s/Cause?

A

Pain increases with thumb down

= labral tear

29
Q

Other tests for O’Brien’s?

A
  • Bicep load test

- supraspinatus press test (empty and full can)

30
Q

Positive Lift off test/Cause?

A

decreased ROM, pain

= subscapularis problem

31
Q

Other tests for the Lift off test?

A

Belly press test

Apley’s

32
Q

Positive Elbow flexion test/Cause?

A

Tingling/paresthesia in ulnar distribution of forearm/hand

= cubital tunnel syndrome

33
Q

Other test’s for Elbow Flexion Test?

A

Tinel’s test at the elbow

Froment’s test

34
Q

Positive Tinel’s Test at the Elbow?

A

hypersensitivity of ulnar or radial nerve

35
Q

Causes of Tinel’s Test at the Elbow?

A

neuritis, neuroma, damage

36
Q

Other test’s for Tinel’s test at the elbow?

A

Elbow flexion test
Froment’s test
Pinch grip test

37
Q

Positive Cozen’s test/cause?

A

pain in lateral epicondyle = lateral epicondylitis

38
Q

Other tests for Cozen’s Test?

A

Lift test

Mill’s test

39
Q

Positive Golfer’s Elbow Test/ cause?

A

Pain over medial epicondyle = medial epicondylitis

40
Q

Other tests for Golfer’s Elbow Test?

A

Lift test

Ligamentous instability test

41
Q

Positive Lift test/causes?

A

Pain on extension = lateral epicondylitis, pain on flexion = medial epicondylitis

42
Q

Other tests for Lift Test?

A

Cozens test

Golfer’s elbow test

43
Q

Positive Ligament Instability test?

A

Laxity, decreased mobility, altered pain

44
Q

Causes of positive ligament instability test?

A

MCL/UCL sprain/strain

45
Q

Varus/Adduct?

A

LCL

46
Q

Valgus/Abduct?

A

MCL

47
Q

Other test for Ligament Instability Test?

A

Cozen’s test

golfer’s elbow test

48
Q

Positive Mill’s test/cause?

A

Elbow pain increases at lateral epicondyle = lateral epicondylitis

49
Q

Other tests for Mill’s test?

A

Cozen’s test

lift test

50
Q

Positive Tinel’s Test at the Wrist/ cause?

A

tingling into thumb, index finger, middle finger, lateral half of ring finger
= carpal tunnel syndrome (median N entrapment)

51
Q

Other tests for Tinel’s Test at the Wrist?

A

Phalen’s test
reversed Phalen’s test
pinch grip test

52
Q

Positive Phalen’s/Reversed Phalen’s test?

A

Tingling into thumb, index finger, middle finger, and lateral half of the ring finger

53
Q

Causes of a Positive Phalen’s/Reversed Phalen’s test?

A

carpal tunnel syndrome (median nerve prob)

54
Q

Other tests for Phalen’s/Reversed Phalen’s test?

A

Tinel’s sign at the wrist

Pinch grip test

55
Q

Positive Froment’s?

A

terminal phalanx of thumb goes into flexion

56
Q

Causes of a positive Froment’s test?

A

paralysis of Adductor Pollicis = ulnar nerve injury

57
Q

Other tests for Froment’s test?

A

Tinel’s test at the elbow

Elbow flexion test

58
Q

Positive Pinch Grip Test?

A

patient pinches the pulp of the finger and thumb together (froments)

59
Q

Causes of a positive Pinch Grip Test?

A

entrapment of the Anterior Interosseous nerve (of the Median nerve) between pronator teres

60
Q

Other tests for Pinch Grip test?

A

Phalen’s test

Tinel’s test at the elbow

61
Q

What is the Bunnell-Littler Test?

A

Dr. passively moves MCP joint into extension and then tries to flex the PIP joint

62
Q

Positive Bunnell-Littler Test?

A

PIP joint that cannot be flexed

63
Q

Causes for a positive Bunnell-Littler Test?

A

tight intrinsic muscle or contracture of joint capsule = osteoarthritis

64
Q

Other tests for Bunnell-Littler Test?

A

Finkelstein’s test

Pinch grip test

65
Q

Positive Finkelstein’s test?

A

Sharp pain in area of constriction-over the Abductor pollicis longus and Extensor pollicis brevis

66
Q

Causes of a positive Finkelstein’s test?

A
  • tenosynovitis of the thumb
  • De Quervain’s
  • Hoffman’s diseases
67
Q

Other test for Finkelstein’s test?

A

Froment’s test

Pinch grip test

68
Q

What is the Mannkopf’s test?

A

Dr. establishes patient’s resting pulse, then applies firm pressure to area of pain and continues palpating pulse

69
Q

Positive Mannkopf’s/ Cause?

A

Increase in the pulse rate of 10 bpm or more = non-organic pain
- TOS

NMS 3rd Practical (3 decks)

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