Shoulder Special Tests Flashcards
AC Compression Test
o Tests AC/SC joint
o One hand on clavicle and one hand on scapula
o Push together to check for laxity
Anterior Apprehension Test
o Tests Glenohumeral joint
o Patient laying down with arm bent at 90 degrees with elbow on knee
o Pull arm back to force humeral head anteriorly
Anterior/Posterior Load and Shift Test
o Tests Glenohumeral joint
o Load humeral head into the glenohumeral fossa
o Shift anterior/posterior looking for laxity
Posterior Apprehension Test
o Tests Glenohumeral joint
o Patient lays in supine position
o Arm is laid across chest with elbow pointing up
o Pressure placed downward, pushing humeral head posteriorly
Sulcus Sign
o Tests Glenohumeral joint
o Patient is standing arm is pulled distally.
o Looking for a dip under the acromion or feeling of sublaxation
Compression Rotation Grind Test
o Test for glenoid labrum
o Push humerus up into glenoid fossa and rotate humerus
Neers Impingement Test
o Shoulder impingement test
o Scapula is depressed with one hand
o Internally rotate the arm and perform maximal passive flexion in the GH joint pulling arm until straight up
o Positive test is reproduction of pain
Empty Can Test
o Shoulder impingement test
- Tests supraspinatus
o Arm is raised and internally rotated in emptying can motion
o Pressure placed downward at the forearm on resisting arm
o Positive test is reproduction of pain
Speeds Test
o Shoulder impingement test at bicep tendon
o Arm in supinated position at 60 degrees and downward pressure is placed against flexing arm
o Puts pressure on biceps
o Looking for pain in bicipital groove
Adsons Test
o Thoracic outlet syndrome test
o External rotation and slight abduction and palpate the pulse
o Patient extends and laterally rotates head towards affected side
Patient holds breath
o Looking for abolition of radial pulse or reproduction of symptoms
Costoclavicular Test
o Thoracic outlet syndrome
- Subclavian artery is being obstructed
- Patient is standing
- Radial pulse is palpated while pulling arm into extension
