Shoulder Ortho Special Testing Flashcards
ROM Shoulder Flexion
180 degrees
ROM Shoulder Extension
60 degrees (1/3)
Degrees of shoulder ABD
170 - 180 (move arm up from side)
Degrees of shoulder ADD
50 - 75 degrees (move arm behind shoulder)
Degrees Internal shoulder rotation
60 - 100 degrees (90 deg. bent elbow moving arm toward midline)
Degrees External shoulder rotation
80 - 90 degrees (90 deg bent elbow moving arm toward side
Apley’s scratch test is used for
Pt tries to touch opposite shoulder, test to see limited motion
Apley’s test (motion)
- extension - medial rotation - ADDuction
* flexion - lateral rotation - ABDuction
Internal rotators
Subscapularis
External rotators
Infraspinatus & Teres minor
Abduction
Supraspinatus (ABD for the first 20 degrees)
NEER Impingement Test motion
Passive ABDuction of arm 180 degrees to ceiling, w/internal rotation (palm out when arm up)
NEER Impingement Test is positive when
Pain at top of movement - palm has to be out
IF arm is externally rotated (palm in, toward head) and moved toward ceiling creates pain, check _________
AC joint, this is not a positive NEER
Hawkins-Kennedy Impingement Test
motion
Horizontal arm flexion to 90 degrees, bent elbow to 90 degrees, then medial rotation.
Pain at end of ROM
Positive Hawkins-Kennedy Impingement means
Rotator Cuff Impingement
Positive NEER Impingement means
Rotator Cuff Impingement
What tests are attempting to catch supraspinatus tendon insertion against the coracoid process?
- Neer
* Hawkins-Kennedy
Labral Tears? What test is used to diagnose?
O’Brien
O’Brien Test
Horizontal arm flexion to 90 degrees, #straight arm, horizontal ADDuction (move arm toward middle) 10-15 degrees
a) Pronation (thumb down + pressure applied)
b) Supination (palm up + pressure applied)
When is the O’Brien Test positive?
Pronation - thumb down
What is the diagnosis of a positive O’Brien Test?
SLAP lesion
What should be R/O with the O’Brien Test?
AC joint involvmt, biceps tendonitis
What test is used for Acromioclavicular injury?
Passive Cross-Arm test