shoulder orthos

Question 1

tests for subacromial pain syndrome (7)

Answer 1

Apley scratch test (screen)
wall angels (screen)
Hawkins Kennedy (pushes supraspinatus tendon agst corocoacromial lig & coracoid process)
painful arc
Neers (provokes pain if infammation or irritation in r/c tendons, subacromial bursa or acromion process)
RSERT resisted supination ext rot test
Empty can (supraspinatus)
apprehension/relocation
resisted rotation strength test (IR should be stronger)

Question 2

Tests for rotator cuff

Answer 2

empty / full (supra / infra spinatus)
Patte (infr & teres mi)
Resisted ER in scapula plane (infraspinatus & teres minor)
Bear hug
lift off / lift off lag sign (subscapularis)
drop arm test
external rot/ext rot lag sign
Speeds
pec tightness
RENT test

Question 3

Labral pathology (6)

Answer 3

supine
compression rotation test
Crank
Apprehension/ relocation
Biceps load and shift (incl appre highly specific)
seated
Jerk Test- posteroinferior labral tear
Kim’s - posteroinferior labral tear
Obrien’s - pain IR not ER
Speeds
GH internal rotation deficit test
Resisted supination in external rotation test (RSERT)

Question 4

orthopedic tests for shoulder instability

Answer 4

Jobe/apprehension
Load and shift (anterior and posterior)
Jerk (IR arm, fwd flex 90, grasp elbow axially load humerus, stabilize scap. Move arm into horizontal abduction. +ve jerk or clunk as humeral head slides off back of glenoid)
sulcus sign (grasp arm below elbow & pull down)
scapular assistance test (help upward scap rotn pushing inferior medial border laterally & up)
scapular repositioning test (apply pressure to manually inc scap retraction & posterior tilt) +ve inc strength or improved mvmt
punch test (serratus anterior)
pec major tightness

Question 5

AC joint

Answer 5

AC resisted extension test
cross body adduction
Obrien’s (active compression test)
acromioclavicular shear test
AC palpation

Question 6

bicipital

Answer 6

Speeds test
upper cut test
bicipital palpation
Hook test (distal)