shoulder Flashcards
what is the purpose of Apley’s test?
evaluate the ROM of the shoulder joint
exacerbation of pain with Apley’s test indicates?
degenerative tendinitis of one of the tendons of the rotator cuff- MC supraspinatus tendon
what does a positive apprehension test indicate?
anterior shoulder dislocation trauma
what is a + apprehension test?
look of alarm or feeling of apprehension from patient and resistance to further motion
what is the purpose of Codman’s sign/ drop arm?
possible supraspinatus tendon injury (or rotator cuff)
with Codman’s test, if shoulder pain occurs and there is a hunching of the shoulder due to absence of rotator cuff function, the sign is present for?
rotator cuff tear or more specifically rupture of supraspinatus tendon
+ Codman’s indicates?
rotator cuff complex tear
what does Dawbarn’s sign test for?
subacromial bursitis
+ Dawbarn’s happens how?
pain disappears during the abduction of the arm
Duga’s test checks for?
laxity of the shoulder joint and propensity for dislocation
Impingement test causes jamming of what?
greater tuberosity against the anteroinferior acromial surface
what is a + impingement sign?
pain in the shoulder
what is the purpose of the impingement test?
possible supraspinatus or bicepital irritation or DJD
what is the purpose of speed’s test?
evaluate for possible bicepital tendonitis
what is a + speed’s test?
pain in bicepital groove indicating bicepital tendonitis
what is the purpose of the supraspinatus press test?
evaluate for possible supraspinatus tear or rupture
what is a + supraspinatus press test?
patient exhibits pain or weakness
what is the purpose of yergason’s test?
evaluate for possible transverse humeral ligament rupture or bicepital tendonitis
what is a positive yergason’s?
pop over transverse humeral ligament
positive yergasons indicates?
tenosynovitis or involvement of transverse humeral ligament
Pain= bicipital tendonitis
click= torn transverse humeral ligament
what is the purpose of the load and shift test?
instability or loosening of the shoulder
who is the load and shift test reserved for?
patients with a past history of dislocation or medical subluxation or those who are suspected of having generalized joint laxity
which test may have a visible sulcus appear under the acromion with a multi-directional loose shoulder?
load and shift test
what is the purpose of the lift off test?
stress the supporting ligaments of the shoulder joint
what is the function of O’Brien’s test?
stresses the labral region of the shoulder joint
what is a positive O’Brien’s test?
pain increases with thumb down- positive for labral tear