Shoulder OSCE Flashcards

1
Q

ROM for arm

A
Flexion- 180
Extension- 60
Abduction- 180
Arm horizontal adduction- 130-140
Arm horizontal abduction- 130-145
internal and external rotation- 90
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2
Q

Glenohumeral instability tests

A
  1. Apprenhension tests- abduct and flex shoulder to 90. force arm into external rotation
  2. Sulcus sign
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3
Q

Yergason’s test

A

Flex arm to 90. Pt hand is supinated and docs hand grabs wrist.
have pt supinate and ER against resistance.

–> unstable biceptial

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4
Q

Speeds test

A

flex pts arm to 50-90 and flex elbow.

Tell pt to flex shoulder while you resist

+ pain in biceptial groove
indicates biceptial tendonitis of longhead biceps

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5
Q

What tests test rotator cuff part

A
  1. Empty can (esp supraspinatus)

2. Drop arm test (full tear of supraspinatus)

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6
Q

empty can test

A

Rotator cuff pathology- esp supraspinatus

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7
Q

Drop arm test

A

pt abducts arm to 90, then slowly drops arm

+: arm will drop
Indicates: full thickness tear of supraspinatus

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8
Q

Painful arc test

A

+ pain between 60 and 120 degrees of shoulder abduction

Indicates: rotator cuff injury

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9
Q

Neer impingement

A

Stabilize the patient’s shoulder, with the patient’s forearm pronated, passively flex the
shoulder into a fully flexed position

+: pain
indicates: subacromial bursa or rotator cuff impingement

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10
Q

Hawkind test

A

Flex the shoulder and elbow to 90 degrees, passively rotate the humerus into internal
rotation

+ Pain
Indicates: rotator cuff or subacromial bursa impingement

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11
Q

Rotator cuff impingement tests

A
  1. painful arc
  2. Neer impingement
  3. hawkins test
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12
Q

Subscapularis test

A

lift off tests

+ inability to resist (weakness)

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13
Q

AC tests

A

Cross arm test- doc passivly adbucts patients arm across chest
+: pain in AC joint with end range adduction
Indicates: AC joint pathology

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14
Q

Test to check ROM

A

appley scratch test

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