Shoulder Joint Flashcards
Cross Arm
Physician passively adducts patient’s arm across their chest and rests patient’s hand on their opposite shoulder
Positive = Pain
Acromial Clavicular joint
Aprehension Test
Raise are up by side (like an L), and move wrist back.
Positive = patient apprehension
Glenohumeral joint instability
Sulcus test
Grab acromian and pull arm down
Positive test = Indention appears in area beneath the acromion
Glenohumeral instability
Empty Can Test
Have patient “empty a can” and move against downward force
Positive = pain or weakness
Supraspinatus injury
Drop Arm Test
Have the patient raise arms up from side to side and bring them back down, with light taps.
Positive test = Arm will drop
Full thickness tear of Supraspinatus
Yergason’s Test (Think Yager)
Place thumb in bicepital groove. Have patient Supinate and externally rotate against resistance on wrist
Positive = Pain and/or tendon subluxation out of groove
Unstable bicipital tendon
Speed’s Test
Patient’s arm flexed (50°-90°) at the shoulder with hand supinated. Slightly flex patient’s elbow. Resist at forearm while patient flexes shoulder.
Positive test = Pain in bicipital groove
Long head of the biceps brachii
Lift off test
Place arm behind back and have patient push away
Positive = weakness or discomfort
Supscapularis Weakness
Painful Arc
Have patient adduct arms
Pain between 60 and 120 degrees = Positive
Subacromial bursa or rotator cuff impingement
Neer’s test
Stabilize patient’s shoulder. With forearm pronated, passively flex shoulder to fully flexed position.
(+) Test: Pain
Indicates: Subacromial bursa or rotator cuff impingement
Hawkin’s Test
Flex shoulder to 90°, flex elbow to 90°, and passively rotate the humerus into internal rotation. This opposes rotator cuff against coracoacromial ligament and acromion
(+) Test: Pain
Indicates: Rotator cuff or subacromial bursa impingement
Apply scratch test
Have patient do the movement on both ways, make comparison.
