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License Prep > Shoulder special tests > Flashcards

Shoulder special tests Flashcards

1
Q

What is Yergason’s test for

A

Integrity of transverse ligament and bicipital tendonitis/tendonopathy

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2
Q

How do you perform Yergason’s test

A

Shoulder at side, elbow at 90*. Resist supination and shoulder ER.

Positive tests is pain or subluxation of LHBT

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3
Q

What is Speed’s test for

A

Bicipital tendonosis/tendonopathy

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4
Q

How do you perform Speed’s test

A

Resisted shoulder flexion from full extension.

Alternate position: shoulder in 90* flexion and push into extension (causing eccentric bicep action).

Positive test is pain in LHBT

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5
Q

What is Neer’s test for?

A

impingement

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6
Q

How do you perform Neer’s test

A

IR and abduct shoulder.

Positive is reproduction of shoulder pain

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7
Q

What is empty can test for

A

tear or impingement of supraspinatus

also suprascapular nerve neuropathy

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8
Q

How do you perform the empty can test

A

Resist shoulder at 90* abduction. Followed by resisting shoulder in 30* horizontal adduction and IR.

Positive test is increased pain in second position

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9
Q

What is the drop arm test for

A

Tear/ full rupture of rotator cuff

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10
Q

How do you perform drop arm test

A

Passively abduct arm to 120*. instruct patient to slowly lower arm.

Positive is inability to control arm back down.

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11
Q

What is the clunk test for

A

glenoid labrum tear

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12
Q

How do you perform clunk test

A

Patient supine, with shoulder fully abducted.
Push humeral head anterior, and ER humerus

Audible “clunk” is a positive test

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13
Q

What is the anterior apprehension sign used for?

A

Identifies history of anterior shoulder dislocation

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14
Q

What is the anterior apprehension sign

A

Patient does not like 90* abduction and ER, or resists efforts to reach position.

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15
Q

What is the posterior apprehension sign used for?

A

Identifies history of posterior shoulder dislocation

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16
Q

What is the posterior apprehension sign

A

90* scaption with scapula stabilized.
Put posterior force through shoulder and IR/horizontal adduct arm

Positive is patient not liking position or resisting efforts to reach it.

17
Q

What is the AC shear test for?

A

Identifying dysfunction of the AC joint (such as arthritis or separation)

18
Q

How do you perform the AC shear test

A

Patient with arm by side.
PT clasps hands over spine of scapula and clavicle and squeezes.

Positive is AC joint pain

19
Q

What is Adson’s test for?

A

Pathology of structures in thoracic inlet

20
Q

How do you perform Adson’s test

A

patient sitting.
Find radial pulse, then rotate head toward extremity, extend and rotate shoulder, and extend head.

Positive is neurologic/vascular s&s

21
Q

What is the costoclavicular syndrome (military brace) test for

A

pathology of thoracic inlet

22
Q

How do you perform the military brace test?

A

Find radial pulse. Move involved shoulder down and back.

Positive is neurologic/vascular s&s

23
Q

What does the Wright (hyperabduction) test for

A

pathology of thoracic inlet

24
Q

How do you perform the Wright test?

A

Find radial pulse.
Maximally ER and ABD shoulder.

Positive is neurologic/vascular s&s

25
Q

What is Roos test for?

A

Pathology of thoracic inlet

26
Q

How do you perform Roos test

A

Standing, shoulders ER, 90* ABD, slight horizontal ABD. Elbows flexed 90*. Open and close hands for 3 min.

Positive is neurologic/vascular s&s

27
Q

What does ULTT1 test ?

A

Median and anterior interosseous nerve

28
Q

What is ULTT1

A

shoulder: depression and 110* abduction
elbow: extension, supination
Wrist/fingers: extension
c/s: contralateral sidebending

29
Q

What is ULTT2

A

Shoulder: depression and 10* abduction-ER
elbow: extension, supination
Wrist/finger: extension
c/s: contralateral SB

30
Q

What does ULTT2 test

A

Median, axillary, and musculocutaneous nerves

31
Q

What does ULTT3 test

A

Radial nerve

32
Q

What is ULTT3

A 
Shoulder: Depression and abduction-IR
Elbow: extension and pronation
Wrist: flexion and ulnar deviation
Fingers and thumb: flexion
c/s: contralateral SB
33
Q

What does ULTT4 test

A

Ulnar nerve

34
Q

What is ULTT4

A 
Shoulder: depression, abduction (hand to ear)
elbow: flexion, supination
wrist: extension and radial deviation
Fingers and thumb: extension
c/s: contralateral SB

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