Shoulder T 4

Question 1

Answer 1

Kim’s T.

Ex: like foto axial and distal dorce an do diagonally upward movement (flexion & horiz. Adduction)

Pos: suden posterior shoulder pain and a click

Question 2

Answer 2

Jerk T.

Ex: axial force and hor. Add

Pos: posterior shoulder pain and click in the shoulder. (Predictor of failure of conservative treatment).

Question 3

Answer 3

Porcelini T.

Ex: stabilize scapula and do isometric resistance

Pos: The test is considered positive if pain (with or without weakness) noted during the first phase is reduced or eliminated during the second phase. If pain persists in both phases, it may suggest acromioclavicular (AC) joint pathology.

Question 4

SLAP Lesions

Answer 4

Cluster for SLAP
Passive Distraction T.
Active Compression T. of O’Brien
Bicipital Palpation for Tenderness

Question 5

Answer 5

Active Compression Test of O’Brien

Ex : 90 Fl, 10 Hor Add, InRot –> then resistance
The same with Ext. Rotation

Pos: if the pain provoked in the first step is reduced in the second.

Question 6

Answer 6

Passive Distraction T.

Ex: 150 Fl, ellbow Ext, forearm supination and stabilize for no GH rotation –> then do forearm pronation

Pos : pain deep in GH Joint anteriorly or posteriorly

Question 7

Answer 7

Bicipital Palpation for Tenderness

Pos: tenderness upon palpation of the long head of the biceps

Question 8

Ac Joint

Answer 8

AC Joint Pain Cluster
AC Resisted Extension
Porcellini Test
Painful Arc

Question 9

Answer 9

AC Resisted Ext. Test.

Ex : 90 Fl, resistance of hor. Abduction

Pos: pain on the top of the Shoulder in the AC Joint

Question 10

AC Joint Pain Cluster

Answer 10

1. Repetitive mechanism of pain onset
2. Absence of referred pain below the elbow
3. Thickened or swolleb AC Joint
4. Absence of typical pain provocation during passive GH abduction
5. -//- external rotation in 90 abduction

Pos : 3 pos = more likely
4 pos = very likely
Number 2 pos? = rule out AC

Question 11

Frozen Shoulder

Answer 11

Shoulder Shrug T.
Coracoid Palpation T.

Question 12

Answer 12

Coracoid Palpation Test

Ex: 1. Palpate AC Joint
2. Palpate subacromial space
3. Coracoid process

–> for each on record VAS

Pos : Significant pain on palpation of the coracoid process, much higher than pain over the AC joint or subacromial area.

Usually rated as 7/10 or more (vs <3/10 in other sites).

Especially suggestive in the early phase of frozen shoulder (high irritability, capsular inflammation).

Question 13

Answer 13

Shoulder Shrug T.

Question 14

Answer 14

Dawbarn T.

Ex: Ελαφριά πίεση στον υπακρωμιακό χώρο κατα της παθητική απαγωγή του ώμου.

Θετικό: Ο πόνος μειώνεται με την απαγωγή, διότι ο Δελτοειδής καλύπτει τον υπακρω. χώρο.

Question 15

Answer 15

Buristis sign T.

Τοπικός πόνος τύπου πίεσης δείχνει ευαισθησία του ορογόνου θύλακα ή του στροφικού πετάλου