Shoulder Ortho Special Testing

Question 1

ROM Shoulder Flexion

Answer 1

180 degrees

Question 2

ROM Shoulder Extension

Answer 2

60 degrees (1/3)

Question 3

Degrees of shoulder ABD

Answer 3

170 - 180 (move arm up from side)

Question 4

Degrees of shoulder ADD

Answer 4

50 - 75 degrees (move arm behind shoulder)

Question 5

Degrees Internal shoulder rotation

Answer 5

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

Question 6

Degrees External shoulder rotation

Answer 6

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

Question 7

Apley’s scratch test is used for

Answer 7

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

Question 8

Apley’s test (motion)

Answer 8

• extension - medial rotation - ADDuction

* flexion - lateral rotation - ABDuction

Question 9

Internal rotators

Answer 9

Subscapularis

Question 10

External rotators

Answer 10

Infraspinatus & Teres minor

Question 11

Abduction

Answer 11

Supraspinatus (ABD for the first 20 degrees)

Question 12

NEER Impingement Test motion

Answer 12

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

Question 13

NEER Impingement Test is positive when

Answer 13

Pain at top of movement - palm has to be out

Question 14

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

Answer 14

AC joint, this is not a positive NEER

Question 15

Hawkins-Kennedy Impingement Test

motion

Answer 15

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

Question 16

Positive Hawkins-Kennedy Impingement means

Answer 16

Rotator Cuff Impingement

Question 17

Positive NEER Impingement means

Answer 17

Rotator Cuff Impingement

Question 18

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

Answer 18

• Neer

* Hawkins-Kennedy

Question 19

Labral Tears? What test is used to diagnose?

Answer 19

O’Brien

Question 20

O’Brien Test

Answer 20

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)

Question 21

When is the O’Brien Test positive?

Answer 21

Pronation - thumb down

Question 22

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

Answer 22

SLAP lesion

Question 23

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

Answer 23

AC joint involvmt, biceps tendonitis

Question 24

What test is used for Acromioclavicular injury?

Answer 24

Passive Cross-Arm test

Question 25

Passive Cross Arm test (motion)

Answer 25

Horizontal 90 degree, elbow 90 degrees, rotated toward middle, arm motion horizontal, medial ADDuction

Question 26

Positive Passive Cross Arm test

Answer 26

Medial, horizontal ADDuction creates pain at AC joint

Question 27

Speed’s Test (motion)

Break-test (where?)

Answer 27

Forward flexing a supinated arm, while adding downward pressure to the forearm.
Break-test @ 90 degrees horizontal abduction

Question 28

Positive Speed’s Test

Answer 28

Pain presents on Supination could mean
• biceps tendonitis
• SLAP lesion differentiate with O’Briens

Question 29

Empty Can Test (motion)

Answer 29

Horizontal 90 degrees flexion, 30-45 degrees horizontal ABDuction, thumb pointing down
Break test

Question 30

Positive Empty Can Test

Answer 30

• retinopathy of supraspinatus
• supraspinatus tendinosis
• neuropathy of supra scapular nerve

Question 31

For biceps tendinosis test with

Answer 31

Speed’s

Question 32

For SLAP lesion test with

Answer 32

Speed’s but differentiate with O’Briens

Question 33

For supraspinatus tendonosis test with

Answer 33

Empty Can

Question 34

For neuropathy of supra scapular nerve test with

Answer 34

Empty Can

Question 35

For rotator cuff impingement test with

Answer 35

• Neer

* Hawkins-Kennedy

Question 36

AC joint injury test with

Answer 36

Passive Cross Arm test