Shoulder Ortho Special Testing Flashcards

1
Q

ROM Shoulder Flexion

A

180 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

ROM Shoulder Extension

A

60 degrees (1/3)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Degrees of shoulder ABD

A

170 - 180 (move arm up from side)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Degrees of shoulder ADD

A

50 - 75 degrees (move arm behind shoulder)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Degrees Internal shoulder rotation

A

60 - 100 degrees (90 deg. bent elbow moving arm toward midline)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Degrees External shoulder rotation

A

80 - 90 degrees (90 deg bent elbow moving arm toward side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Apley’s scratch test is used for

A

Pt tries to touch opposite shoulder, test to see limited motion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Apley’s test (motion)

A
  • extension - medial rotation - ADDuction

* flexion - lateral rotation - ABDuction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Internal rotators

A

Subscapularis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

External rotators

A

Infraspinatus & Teres minor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Abduction

A

Supraspinatus (ABD for the first 20 degrees)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

NEER Impingement Test motion

A

Passive ABDuction of arm 180 degrees to ceiling, w/internal rotation (palm out when arm up)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

NEER Impingement Test is positive when

A

Pain at top of movement - palm has to be out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

IF arm is externally rotated (palm in, toward head) and moved toward ceiling creates pain, check _________

A

AC joint, this is not a positive NEER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Hawkins-Kennedy Impingement Test

motion

A

Horizontal arm flexion to 90 degrees, bent elbow to 90 degrees, then medial rotation.
Pain at end of ROM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Positive Hawkins-Kennedy Impingement means

A

Rotator Cuff Impingement

17
Q

Positive NEER Impingement means

A

Rotator Cuff Impingement

18
Q

What tests are attempting to catch supraspinatus tendon insertion against the coracoid process?

A
  • Neer

* Hawkins-Kennedy

19
Q

Labral Tears? What test is used to diagnose?

20
Q

O’Brien Test

A

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)

21
Q

When is the O’Brien Test positive?

A

Pronation - thumb down

22
Q

What is the diagnosis of a positive O’Brien Test?

A

SLAP lesion

23
Q

What should be R/O with the O’Brien Test?

A

AC joint involvmt, biceps tendonitis

24
Q

What test is used for Acromioclavicular injury?

A

Passive Cross-Arm test

25
Passive Cross Arm test (motion)
Horizontal 90 degree, elbow 90 degrees, rotated toward middle, arm motion horizontal, medial ADDuction
26
Positive Passive Cross Arm test
Medial, horizontal ADDuction creates pain at AC joint
27
Speed's Test (motion) | Break-test (where?)
Forward flexing a supinated arm, while adding downward pressure to the forearm. Break-test @ 90 degrees horizontal abduction
28
Positive Speed's Test
Pain presents on Supination could mean • biceps tendonitis • SLAP lesion differentiate with O'Briens
29
Empty Can Test (motion)
Horizontal 90 degrees flexion, 30-45 degrees horizontal ABDuction, thumb pointing down Break test
30
Positive Empty Can Test
* retinopathy of supraspinatus * supraspinatus tendinosis * neuropathy of supra scapular nerve
31
For biceps tendinosis test with
Speed's
32
For SLAP lesion test with
Speed's but differentiate with O'Briens
33
For supraspinatus tendonosis test with
Empty Can
34
For neuropathy of supra scapular nerve test with
Empty Can
35
For rotator cuff impingement test with
* Neer | * Hawkins-Kennedy
36
AC joint injury test with
Passive Cross Arm test