Shoulder Evaluation

Question 1

Extension

Answer 1

Latissimus Dorsi
Teres Major
60

Question 2

ABduction

Answer 2

Supraspinatus
Mid-Deltoid
180

Question 3

Horizontal Abduction

Answer 3

Supraspinatus
Mid-Deltoid
40-55 or 130-145

Question 4

ADduction

Answer 4

Pectoralis Major
Latissimus Dorsi
180

Question 5

Horizontal ADduction

Answer 5

Pectoralis Major
Latissimus Dorsi
40-50 or 130-140

Question 6

External Rotation

Answer 6

Infraspinatus
Teres Minor
90

Question 7

Internal Rotation

Answer 7

Subscapularis
Pectoralis Minor
90

Question 8

AC Joint

Axial Roation

Answer 8

10

Question 9

Empty Can Test

Answer 9

Flex patient’s shoulders to 90 while also abducting approximately to 45. Internally rotate both arms thumbs down.
Press down on forearms while patient resists
(+) test= pain or weakness
Rotator cuff pathology

Question 10

Drop-Arm Test

Answer 10

Abduct arms to 90-180. Slowly drop arm.
(+) test= arm drops. Gentle tap on wrist causes arm to drop.
Indicates full thickness tear of supraspinatus

Question 11

Apprehension Test

Answer 11

Patient seated or supine. Shoulder abducted to 90 and elbow flexed to 90. Stabilize shoulder with one hand and force arm into external rotation with other hand.
(+) test= pt apprehensive of repeated dislocation
glenohumeral instability

Question 12

Sulcus Sign

Answer 12

Grasp pts elbow and apply inferior force
(+) test= indentation appears in area beneath the acromion
Glenohumeral instability

Question 13

Yergason Test

Answer 13

Pt arm at side with elbow flexed to 90. Use one hand to palpate bicipital groove. Other had grabs pt wrist. Have pt supinate and externally rotate against resistance.
(+) test= pain or tendon subluxation out of groove
Indicates unstable bicipital tendon/tendonitis

Question 14

Speed’s test

Answer 14

Pt arm forward flexed (50-90) at the shoulder with hand supinated. Slightly flex pt elbow. Resist at forearm while pt further flexes shoulder
(+) test= pain in bicipital groove
Indicates bicipital tendonitis of longhead of biceps

Question 15

Neer Impingement

Answer 15

Stabilize pt shoulder. Forearm pronated. Passively flex shoulder to fully flexed position.
(+) test= pain
Subacromial bursa or rotator cuff impingement

Question 16

Hawkins Test

Answer 16

Flex shoulder to 90. Elbow to 90. .Slightly adduct. Passively rotate humerus into internal rotation. Opposes the rotator cuff against coracoacromial ligament and acromion
(+) test= pain
Rotator cuff or subacromial bursa impingement

Question 17

Apley scratch test

Answer 17

Upper: pt abducts arm placing palm of hand behind their neck with palm facing toward the body. PT attempts to scratch the lowest possible vertebrae. (coupled external rotation and abduction)

Lower: pt places arm behind their back with palm facing outward and dorsum of hand resting on their midback. Pt tries to scratch highest possible vertebrae (internal rotation and adduction)

Question 18

Lift off test

Answer 18

Pt in internal rotation and adduction. Dorsum of hand in contact with lumbar region of vertebrae. Pt extends arm into doctor’s resistance
(+) test= weakness
Indicates subscapularis weakness

Question 19

Flexion

Answer 19

Anterior Deltoid
Coracobrachialis
180