Shoulder Special Tests

Question 1

What special test assesses the integrity of the transverse ligament?

Answer 1

Yergason’s

Question 2

What test does this description describe:
Pt sitting w/ elbow flexed to 90/stabilized against thorax/forearm pronated while resisting supination and shoulder ER

Answer 2

Yergason’s

Question 3

What is a positive result of Yergason’s test?

Answer 3

tendon of LHB will pop out of groove, tenderness in bicipital groove without dislocation may indicated tendinosus

Question 4

What test ID’s bicipital tendinosus/tendinopathy?

Answer 4

Speed’s test

Question 5

What test is described below:
Upper limb in full extension/forearm supination. Begin by resisting shoulder flexion then alternate and place limb in 90deg flexion and push upper limb into extension

Answer 5

Speed’s

Question 6

What is a positive test for Speed’s

Answer 6

pain in LHB tendon/increased tenderness in biciptial groove

Question 7

What test assesses for impingement of supraspinatus and biceps tendon

Answer 7

Neer’s

Question 8

What test is described below:
pt’s arm passively and forcibly elevated in scaption w/ arm in IR by examiner

Answer 8

Neer’s

Question 9

What is a positive result of Neer’s?

Answer 9

reproduction of pain/symptoms in shoulder

Question 10

What special test ID’s tear/impingement of supraspinatus tendon of suprascapular nerve neuropathy?

Answer 10

Empty can/Jobe test

Question 11

What special test is described below:
pt’s arm ABD to 90 and neutral rotation and examiner provides resistance
then shoulder IR and angled 30deg forward so that pt’s thumbs point toward floor in scaption and perform again

Answer 11

Empty Can/Jobe test
tip: differentiate if pain is present between 2 positions

Question 12

What is considered a positive test for Empty can/Jobe test

Answer 12

reproduction of pain in supraspinatus tendon or weakness in empty can position

Question 13

What test will identify tear/full rupture of RTC

Answer 13

Drop arm test/Codman’s test

Question 14

What test is described below:
examiner ABD pt’s shoulder to 90 and then asks them to slowly lower arm to the side in same arc of movement

Answer 14

Drop arm test/Codman’s test

Question 15

what is a positive result for drop arm test/codman’s test

Answer 15

pt is unable to return arm to side slowly or has severe pain when attempting to do so

Question 16

What test ID’s subacromial impingement

Answer 16

Hawkins-Kennedy

Question 17

What test is described below:
pt’s arm is passively flexed to 90 in scaption and arm is stabilized while forearm is forced into IR

Answer 17

Hawkins-Kennedy

Question 18

What is a positive result of Hawkins-Kennedy

Answer 18

pain indicates positive for supraspinatus tendinosus or secondary impingement

Question 19

What test can ID RTC tear involving teres minor

Answer 19

Horn Blower’s Sign/Patte test

Question 20

What test is described below:
pt’s arm supported at 90 deg of scaption with elbow flexed to 90. pt is asked to rotate forearm against resistance of clinicans hand into ER

Answer 20

horn blower’s sign/Patte test

Question 21

what is a positive result for horn blower’s sign/Patte test

Answer 21

pt is unable to ER shoulder

Question 22

What test can ID SLAP (Type II) or superior labral tear

Answer 22

Obrien’s (both)
Biceps load test (superior labral tear)

Question 23

What test is described below:
pt holds arm in 90 deg flexion, 10 deg horiz. ADD and max IR with elbow extended and clinician resists in downward direction
repeat test with arm in max ER

Answer 23

Obrien’s

Question 24

what is a positive test for Obrien’s

Answer 24

pain on joint line or painful clicking produced inside shoulder first part of test > second part of test (or eliminated)

Question 25

What test is described below: pt is in supine w/ shoulder ABD 120 deg, shoulder ER and elbow flexion to 90 deg w/ forearm supination pt resists therapist pulling on wrist

Answer 25

biceps load testW

Question 26

what is a positive test

Answer 26

if apprehension dec w/ resistance = neg for SLAP if apprehension remains same/inc w/ resistance = pos for SLAP

Question 27

What test both teres minor and infraspinatus integrity

Answer 27

ER lag sign/Spring back

Question 28

What test is described below: pt's arm by side w/ elbow flexed to 90 then therapist ABD arm to 90 deg in scaption and ER to end range where pt is asked to hold

Answer 28

ER lag sign/Spring back

Question 29

What is a positive for ER lag sign/Spring back

Answer 29

pt cannot hold position and hand springs back anteriorly toward midline

Question 30

What test can assess for subscapularis

Answer 30

Abdominal Compression/Belly Press/Napoleon test Lift off sign/Gerber's test

Question 31

What test is described below: examiners hand under pt's hand on abdomen and pt is asked to press as hard as they can into the stomach while attempting to bring elbow forard to scapular plane

Answer 31

Abdominal Compression/Belly Press/Napoleon test

Question 32

What is a positive result for: Abdominal Compression/Belly Press/Napoleon test

Answer 32

inability to maintain pressure on examiner's hand while moving elbow forward posteriorly flex wrist or extend shoulder

Question 33

What test is described below: pt place back of hand on back against mid-lumbar spine and then lifts hand away from back

Answer 33

Lift off sign/Gerber's test

Question 34

What is considered a positive for lift off sign/gerber's test

Answer 34

inability to lift off

Question 35

What test can assess for posterior instability

Answer 35

Jerk

Question 36

What test is described below: pt sits w/ arm in IR and forward flexion to 90 examiner graps elbow and axially loads and moves arm across body

Answer 36

Jerk

Question 37

What is a positive result for Jerk

Answer 37

production of sudden jerk/clunk when arm returns to original position a second jerk is felt

Question 38

What test assesses for inferior shoulder stability

Answer 38

Sulcus sign

Question 39

What test is described below: pt stand with arm resting by side examiner pulls forearm below the elbow distally

Answer 39

Sulcus sign

Question 40

What is a positive result for sulcus sign

Answer 40

presence of sulcus sign and only considered for pathology if symptomatic

Question 41

What test is described below: pt supine w/ hands clasped together behind the head and then arms are lowered until elbows touch table

Answer 41

Pec Major contracture test

Question 42

What is a positive result for pec major contracture

Answer 42

elbows do not reach the table

Question 43

What test ID's TOS

Answer 43

Halstead maneuver Adson's test Costoclavicular Syndrome/Military Brace test Wright test/Hyperabduction test Roo's test/Elevated arm stress test

Question 44

What test is described below: examiner find radial pulse and applies downward traction to UE while pt's neck hyperextended and rotated away

Answer 44

Halstead maneuver

Question 45

What is a positive result for Halstead maneuver

Answer 45

absense or disappearance of pulse

Question 47

What test ID's anterior shoulder instability

Answer 47

Anterior Apprehension test/Crank test

Question 48

What test is described below: pt supine, examiner ABD to 90 and ER pt slowly

Answer 48

Anterior Apprehension/Crank test

Question 49

What is considered a positive test for Anterior Apprehension/Crank test

Answer 49

pt does not allow/like to move shoulder in that direction

Question 50

What test ID's AC joint dysfunction

Answer 50

AC Shear test

Question 51

What test is described below: exmainer cup hands over deltoid w/ one hand and spine of scapula with other and squeeze heels of hands together

Answer 51

AC Shear test

Question 52

What is a positive result for AC Shear test

Answer 52

reproduction of AC joint pain

Question 53

What test is described below: examiner locate radial pulse pt's head rotated towards shoulder while extending head examiner then extend and ER shoulder during test pt is holding breath

Answer 53

Adson's test

Question 54

What is a positive result for Adson's test

Answer 54

disappearance of pulse

Question 55

What test is described below: examiner palpate radial pulse and then draws pt's shoulder down and back

Answer 55

Costoclavicular Syndrome/Military Brace test

Question 56

What is a positive result for Costoclavicular Syndrome/Military Brace test

Answer 56

absense of pulse *Tip: use for pts w/ symptoms while wearing backpack/heavy coat

Question 57

What test is described below: locate radial pulse and move shoulder into max ABD and ER take a deep breath and rotate head away

Answer 57

Wright test/hyperabduction test

Question 58

What is a positive result for Wright test/hyperabduction test

Answer 58

neuro/vascular symptoms like disappearance of pulse reproduced

Question 59

What test is described below: pt stand and ABD arms to 90 deg, shoulder ER, and elbows flexed to 90 deg slightly behind frontal plane pt open/close hands slowly for 3 min

Answer 59

Roos test/elevated arm stress test

Question 60

What is a positive result for Roos test/elevated arm stress test

Answer 60

pt unable to keep arms in starting position for 3 min has ischemic pain, heaviness, or profound weakness numbness/tingling in hand during test

Question 61

What nerve is biased below: shoulder depression/abd 110deg elbow extension forearm supination wrist and fingers and thumb extension cervical contralateral side flexion

Answer 61

median nerve, anterior interosseus nerve C5-7

Question 62

What nerve is biased below: shoulder depression and ABD 10deg elbow extension forearm supination wrist and fingers and thumb extension shoulder ER cervical contralateral side flexion

Answer 62

median nerve, musculocutaneous nerve, axillary nerve

Question 63

What nerve is biased below: shoulder depression, IR, abd (40deg), and extension (25deg) elbow extension forearm pronation wrist flexion and UD fingers and thumb flexion shoulder IR cervical contralateral side flexion

Answer 63

radial nervw

Question 64

What nerve is biased below: shoulder depression/abd (10-90 deg) elbow flexion forearm pronation wrist extension and RD fingers and thumb extension shoulder ER cervical contralateral side flexion

Answer 64

ulnar nerve