Shoulder complaint Flashcards
Arm flexion (ROM and muscles involved)
Anterior deltoid, coracobrachialis
180
Arm extension (ROM and muscle involved)
Latissimus dorsi, teres major
60
Arm aBduction (ROM and muscle involved)
deltoid, supraspinatus
180
Arm horizontal aDduction (ROM and muscle involved)
Pectoralis major, latissimus dorsi
40-50
Arm horizontal aBduction (ROM and muscle involved)
Supraspinatus, mid deltoid
130-145
Arm external rotation (ROM and muscle involved)
Infraspinatus, teres minor
90
Arm internal rotation (ROM and muscle involved)
subscapularis and pectorals minor
90
Apprehension test
Pt seated or supine.
Shoulder aBducted to 90 and elbow flexed to 90.
Block shoulder linkage and force arm into external rotation.
+ test= patient apprehensive of repeat dislocation
Indicates: glenohumeral instability
Empty can test
Flex pt shoulders to 90 while horizontally abducting to 45. Internally rotate both arms so thumbs are down. Press down on forearms while patient resists.
+ test= pain or weakness
Indicates: rotator cuff pathology (specifically supraspinatus)
Drop arm test
Patient abducts arm to 90 them slowly drops arm.
+ test= arm will drop or gentle tap on wrist will cause arm to drop.
Indicates: full thickness tear of supraspinatus
Painful arc test
Pt abducts arm starting at their side.
+ test: pain is elicited within 60-120 degrees of shoulder abduction.
Indicates: subacromial impingement and or rotator cuff injury
Neer Impingement
Stabilize pt shoulder. With forearm pronated, passively flex shoulder to fully flexed position.
+ test= pain
Indication: subacomial bursa or rotator cuff impingement
Hawkins test
Flex shoulder and elbow to 90, passively rotate humerus into internal rotation.
+ test= pain
Indication: rotator cuff or subacromial bursa impingement
Cross arm test
Passively adduct pts arm across chest and rest hand on opposite shoulder.
+ test= pain in AC joint with end range adduction
Indications: AC joint pathology
