Shoulder

Question 1

empty can test-muscles

Answer 1

Supraspinatus, deltoid, some general RTC

Question 2

Jobe/full can test-muscles

Answer 2

supraspinatus, deltoid, but less painful than empty

Question 3

Patte test-muscles

Answer 3

Infraspinatus, teres minor

Question 4

Patte test-how

Answer 4

support pt elbow in 90deg forward elevation. Pt tries to laterally rotate arm (compare sides)

Question 5

Jobe/full can test-how

Answer 5

abduct arms at 90 deg and neutral, externally rotate shoulder so thumbs up, examiner pushes down

Question 6

Drop arm test-how and muscles

Answer 6

E abducts shoulder to 90. Pt to slowly lower it in same arc movement. + if severe pain or can’t slowly. Supraspinatus, rotator cuff

Question 7

Lift off

Answer 7

subscapularis )ifi can’t-SS tendon tear)

Question 8

Lift off lag sign

Answer 8

subscapularis-Seated. pt’s hand (on side of pain) is placed at lumbar region. E passively lifts to internally rotate shoulder. If can’t maintain = +

Question 9

bear hug test

Answer 9

subscapularis. hurt side-cross that shoulder over, holds onto other. Try keep it there while E pulls it off.

Question 10

Yergason’s

Answer 10

biceps tendon, supination sign

Question 11

Yergasons-how to do

Answer 11

flex elbow to 90 in front of pt. E tries to pronate while Pt tries supinate

Question 12

Scapular assistance test

Answer 12

tests strength of scapular stabilizers (&scap/acromial involvement in subacromial impingement) Shoulder abducted, elbow flexed to 90 whie E holds stability on scapula and rotating inf. border of it as arm moves. If this helps reduce impingement sx, means focus on therapy. Not scientifically proven

Question 13

Speed’s test

Answer 13

bicepital tendon. Flex shoulder against resistance w/elbow extended, forearm supinated. + if pain in biciptal groove

Question 14

Neer sign-how do

Answer 14

passive forward flex arm (and E holds stable at scapula)–> typically + around 120 deg when RC hits superior glenoid (also “A/C painful arc” + with other problems too

Question 15

Neer sign-what

Answer 15

subacromial bursitis,RC pathology, partial/full RC tears

Question 16

Hawkins

Answer 16

fwd flex arm ~90, slowly internally roatate. Examiner pulles downward at forearm. Pain is in ant. or lat shoulder (not specific_

Question 17

Apprehension test

Answer 17

anterior shoulder instability

Question 18

Posterior shoulder instability

Answer 18

posterior drawer test, jerk test, post. apprehension sign

Question 19

Hawkins scale-

Answer 19

tests joint laxity, used in anterior drawer test

Question 20

anterior shoulder instability

Answer 20

anterior drawer test, apprehension test

Question 21

inferior shoulder instability

Answer 21

sulcus sign, hyperabduction test

Question 22

sulcus sign

Answer 22

E pulls down on upper arms on a seated pt, See how much the humeral head is displaced. Tells inferior shoulder instability.

Question 23

labral pathology tests

Answer 23

O brien, biceps load tests I and II, pain or painful clicking in glenohumeral joint , Crank test, dynamic shear test, clunk test

Question 24

O’ Brien test (active compression)

Answer 24

labral pathology, AC joint pathology. . + if pain with first maneuver and improved with second. pain localized to AC joint-AC joint prob, pain/click in GH joint-labral abnormality

Question 25

O brien test-how do it

Answer 25

(active compression test) 1. Pt standing w/ shoulder flexed 90 and adducted 10d, thumb down. E places downward F. 2. Repeat but this time hand facing up. Pain should decrease if + test.

Question 26

Tests of acromioclavicular joint

Answer 26

crossed-arm adduction (Apley scarf) test, Active com), Resistend arm extension