Shoulder Evaluation Flashcards
Extension
Latissimus Dorsi
Teres Major
60
ABduction
Supraspinatus
Mid-Deltoid
180
Horizontal Abduction
Supraspinatus
Mid-Deltoid
40-55 or 130-145
ADduction
Pectoralis Major
Latissimus Dorsi
180
Horizontal ADduction
Pectoralis Major
Latissimus Dorsi
40-50 or 130-140
External Rotation
Infraspinatus
Teres Minor
90
Internal Rotation
Subscapularis
Pectoralis Minor
90
AC Joint
Axial Roation
10
Empty Can Test
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
Drop-Arm Test
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
Apprehension Test
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
Sulcus Sign
Grasp pts elbow and apply inferior force
(+) test= indentation appears in area beneath the acromion
Glenohumeral instability
Yergason Test
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
Speed’s test
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
Neer Impingement
Stabilize pt shoulder. Forearm pronated. Passively flex shoulder to fully flexed position.
(+) test= pain
Subacromial bursa or rotator cuff impingement
Hawkins Test
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
Apley scratch test
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)
Lift off test
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
Flexion
Anterior Deltoid
Coracobrachialis
180
