Shoulder Special tests

Question 1

Sulcas at 0

Answer 1

Positive: indentation, pseudo locking, pain
Indicates: laxity in in superior GH ligament

Question 2

Sulcas at 90

Answer 2

Positive: indentation, locking, pain
Indicates: laxity in in inferior GH ligament

Question 3

Anterior Load and Shift

Answer 3

Positive: pain, apprehension, painful click, excessive translation
Indicates: laxity in the anterior humeral ligaments/ anterior capsule

Question 4

Posterior Load and Shift

Answer 4

Positive: pain, apprehension, painful click, excessive translaton
Indicates: laxity in the posterior humeral ligaments/posterior capsule

Question 5

Compression/ Rotation

Answer 5

Positive: pain, clicking, pseudolocking
Indicates: SLAP lesion

Question 6

Anterior/ posterior slide

Answer 6

Positive: anterior pain in GH extension or posterior pain in GH flexion
Indicates: SLAP lesion

Question 7

Speeds

Answer 7

Positive: recreation of pain
Indicates: tendonitis of the biceps tendon

Question 8

Obriens

Answer 8

Positve: pain to superior shoulder region while in IR resolved when ER
Indicates: superior shoulder= AC joint
Deep pain= SLAP

Question 9

Yergasons

Answer 9

Positive: snapping in bicipital groove, pain
Indicates: tear or laxity in transverse humeral ligament or bicipital tendinitis

Question 10

Anterior/Posterior Shear

Answer 10

Positive: pain in AC joint or excessive movement
Indicates: AC joint damage or damage to coracoclavicular ligaments

Question 11

Neers

Answer 11

Positive: pain with motion (esp at end)
Indicates: impingement of supraspinatus or long hear of the biceps tendon

Question 12

Hawkins and Kennedy

Answer 12

Positive: pain with motion
Indicates: impingement of the supraspinatus

Question 13

Coracoid

Answer 13

Positive: anterior pain with motion
Indicates: subscapularis and long head of biceps tendon medially or supraspinatus impingement laterally

Question 14

Cross-over

Answer 14

Positive: recreation of pain
Indicates: Anterior=subscap or long head of biceps
Lateral= supraspinatus
Superior= AC joint
Posterior= infraspinatus, teres minor or posterior capsule

Question 15

Drop arm I

Answer 15

Positive: arm drops
Indicates: full thickness tear

Question 16

Drop armII

Answer 16

Positive: arm drops at 90
Indicates: Full thickness rotator cuff tear

Question 17

External Rotation Lag sign

Answer 17

Positive: angular drop greater than 5 degrees
Indicates: Part 1= infraspinatus tear
Part 2= supraspinatus tear

Question 18

90/90 drop sign

Answer 18

Positive: drop occurs
Indicates: infraspinatus

Question 19

Internal Rotation lag sign

Answer 19

Positive: lag occurs
Indicates: subscapularis tear

Question 20

Apprehension sign

Answer 20

positive: apprehension
Indicates: anterior capsule and/or glenoid labrum may be compromised

Question 21

Jobe sublaxation/relocation

Answer 21

Positive: anterior pain in first part followed by reduction of pain during relocation
Posterior pain with subluxation and reduces pain with relocation
Indicates: anterior shoulder microinstibility
OR internal impingement

Question 22

Posterior glide at 90/jerk/ posterior glide at 0

Answer 22

Positive: pain, apprehension, clicking, instability
Indicates: posterior shoulder instibility

Question 23

Clunk I

Answer 23

Positive: pain, click, locking, catch
Indicates: bankhart tear (anterior/inferior labrum)

Question 24

Clunk II

Answer 24

Positive: pain, clunk, locking
Indicates: labral lesion

Question 25

Crank

Answer 25

Positive: pain during IR, ER, or reproduction of pain. Catching, locking
Indicates: Slap