shoulder assessment II Flashcards

1
Q

name the special test for shoulder anterior dislocation

A

-anterior load and shift
-apprehension (crank) test
-relocation test
-release (surprise) test
-rockwood test

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2
Q

what are the anterior load and shift grades?

A

-mild (0-1 cm translation)
-moderate (1-2 cm translation)
-severe (> 2cm translation)

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3
Q

what indicates a positive anterior load and shift test?

A

excessive anterior shift of the humerus

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4
Q

what is a positive apprehension test?

A

-a look of apprehension in the patients face

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5
Q

what is a positive relocation test?

A

pian decreses

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6
Q

what indicates a positive release test?

A

increased pain

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7
Q

at what degree of abduction is rockwood test most painful?

A

90 degrees of abduction

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8
Q

a positive rockwood test shows ….

A

apprehension with posterior pain at 90 degrees abduction

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9
Q

name all the tests done to diagnose posterior dislocation (posterior shoulder instability)

A

-load and shift test
-push-pull-test
-jerk test (strong clinical value)

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10
Q

how to know a positive load and shift test for posterior shoulder instability

A

posterior translation of the humerus

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11
Q

a positive push-pull test is shown by …..

A

-when there is more than 50% posterior translation
-apprehension on the patients face

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12
Q

what indicates a positvie jerk test?

A

a sudden clunk as the humeral head slides off the back of the glenoid

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13
Q

name the tests for inferior shoulder instability

A

-slucus sign test
-feagin test (for multidirectional instability too)

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14
Q

indications of a positive feagin test

A

-slucus deformity for inferior dislocation
-apprehension for multidirectional istability

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15
Q

name the special test for laberal tears (SLAP lesions)

A

-biceps load test II (excellent for rule in and rule out)
-yergasons test (good for rule in)
-speeds test (weak)

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16
Q

a sign of a positive biceps load test is…

A

apprehension on the patiens face

17
Q

what are the interpretations of the biceps load test? (positvie sign)

A

-tendon pop out (rupture of the transverse humeral ligament)
-pain and tenderness (biceps tendinosis or slap lesion)

18
Q

how is a positive speeds test indicated?

A

pain (could be due to tenosynovitis of biceps tendon or SLAP lesion)

19
Q

what are the tests used for shouder impengement?

A

-neer test (+ve pain)
-hawkins-kennedy test (+ve pain)
-job’s empty can test

20
Q

a positvie job’s empty can test is indicated by?

A

pain and/or weakness