Shoulder Flashcards
• Pt. Seated
• Examiner palpates over subacromial bursa
• If painful then passively abducts arm & repalpate
for tenderness
Dawburn’s test for Subacromial Bursitis
Abduction & external
rotation most limited
and soft End feel
Adhesive Capsulitis
Frozen Shoulder
3 causes of Impingement Syndrome
according to Neer
- Edema & Hemorrhage
- Thickening & Fibrosis
- Tears or Ruptures
Patient presents with…
• Painful arc
• Tenderness: AC joint, greater tuberosity
•Weakness abduction & external rotation
•Difficult sleeping on side
Impingement Syndrome
Supraspinatous lesion
postive drop-arm indidcates
rotator cuff tear
painful arc is significant for
supraspinatus tendinitis
arm pronated and flexed fully
Neer’s test for impingement
- Forward flex the arm to 90º with the elbow bent to 90º.
- Support elbow & forcibly internally rotate shoulder
Impingement Signs
Hawkin’s Test
Yergason’s is testing for
biceps tendinitis
labrum frayed and degenerated but remains
intact to the glenoid; the biceps anchor is also intact.
Type I SLAP lesion
Superior Labrum Ant Post
• Arm flexed to 90° with the elbow fully extended and then
adduct the arm 10-15° medial
• Arm is then maximally internally rotated and the patient resists the examiner’s downward force. The procedure is
repeated in supination.
O’Brien
Active compression
detachment of labrum & biceps anchor from
superior glenoid.
Type ll SLAP lesion
Superior Labrum Ant Post
bucket-handle tear. Labrum torn away,
however the biceps anchor and remaining labrum are still attached to the glenoid.
Type III SLAP
bucket-handle tear of labrum extends into
the biceps anchorq
Type IV SLAP