Shoulder and Hip tests Flashcards
What is the Log Rolling test?
While patient lays flat, roll the leg side to side.
What is the log rolling test checking for?
suspected hip fx
What is the compression test at the foot?
Done by hitting the balls of the feet to transmit pressure toward the hip while the leg is lifted and kept strait
What is the compression test at the foot checking for?
suspected hip fx
What is the compression test at the knee?
done by tapping at the knee, again transmitting pressure toward the hip
What is the compression test at the knee checking for?
suspected hip fx
What should you test for if your patient complains of anterior (sometimes anterior and lateral) thigh pain?
Meralgia Paresthetica
How do you test for meralgia paresthetica?
check for decreased sensation in the anterior thigh. patient will c/o burning/paresthesia
How to test for greater trochanter bursitis?
ask the patient to lay on the side (painful side up) and palpate over the greater trochanter. Tenderness should be appreciated.
How to test for external snapping hip?
With patient on their side (painful side up) grab the whole leg then flex and extend the leg while palpating the iliotibial tendon (near the greater trochanter) and felling for a popping or snapping that may be assoc. with pain
How to test for Piriformis Syndrome?
Keeping the leg straight flex the hip up to 90 degrees, looking for pain in the posterior/buttocks region
flex the knee and adduct the knee across the body of the patient looking for pain in the posterior/buttocks region
What is piriformis syndrome?
occurs when the piriformis muscle compresses the sciatic nerve.
What test examine the supraspinatus tendon?
90* abduction and 30* flexion test
Empty Can test
How to do the 90* abduction and 30* flexion test?
ask the patient to abduct the arms to 90* and then bring them anteriorly with a 30* flexion. From this position ask the patient to push the arms upward against resistance. any pain or reduced strength, especially if unilateral, will indicate supraspinatus tendon injury.
How to do the Empty Can test?
From the position for the 90* abduction 30* flexion test, ask the patient to turn their thumbs down. ask the patient to push up against resistance. any pain or reduced strength, especially if unilateral, will indicate supraspinatus tendon injury.
How to test for infraspinatus tendon and teres minor injury?
Ask the patient to flex the forearms at 90* with palms supinated. From this position, we will have the patient externally rotate the shoulders by moving the forearms laterally, against our resistance. Any pain and/or weakness will indicate an injury of one of these tendons.
How to test for Subscapularis tendon tear?
first have the patient bring the hand on the back at the level of the lumbar spine. Then passively separate the hand from the back until full internal rotation of the shoulder is achieved. Ask the patient to actively keep the hand away from their back. If the patient is unable to do so, this is evidence of the subscapularis tendon tear.
What is the gerbers lift off test?
Ask patient to internally rotate the shoulder bringing the hand behind the back at the lumbar region with the dorsum of the hand facing the lumbar spine. then ask the patient to move the hand away from the back against your resistance. if pain or weakness is elicited the test is considered positive for subscapularis tear.
How to test for functional deficit of the serratus anterior muscle?
ask the patient to do a standing push-up off against the wall. if we observe winging of a scapula this indicates weakness of this muscle on that side.
Tests to check for Shoulder impingement?
Neer’s test
Empty can test
Hawkins-kennedy test
What is the Neers test?
Ask patient to fully pronate the forearm, then we passively flex the arm until its over the patient’s head. This maneuver reduces the subacromial space and reproduces pain if shoulder impingement is present.
What is the Hawkins-Kennedy Test?
Both the elbow and shoulder should be flexed at 90*, the examiner must support the arm of the patient at the level of the elbow so that the upper extremity can be as much relaxed as possible. then the examiner has to internally rotate the shoulder while at the same time perform a cross-body adduction of the arm. The test is positive if pain is elicited.
Test to check for biceps tendonopathy?
Speeds test
Yergason’s test
How to do the speeds test?
Extend the elbow and fully supinate the forearm. Then the patient is asked to flex the shoulder forward against resistance of the examiner. At the same time the examiner should palpate the anterior joint line for any tenderness. Any pain elicited indicates biceps tendinopathy.
