Special Tests Flashcards
Purpose of Yergason’s
Test integrity of Transverse Ligament
Result of Yergason’s
Long head of biceps tendon pops out of bicipital groove, tenderness in the groove (tendinosis possible)
Yergason’s
Purpose of Speed’s Test
Identify bicipital tendonosis/ tendinopathy
Speed’s Test
Result of Speed’s test
Pain in LHB tendon and tender in bicipital groove
Purpose of Neer’s
Impingement of supraspinatus and biceps tendon
Neer’s Impingement Test
Result of Neer’s
Reproduction of pain in Shoulder
Purpose of Empty Can
Identify tear/impingement of supraspinatus tendon or supraspinatus nerve neuropathy
Empty Can
Result of Empty Can
Reproduction of pain in supraspinatus tendon or weakness in empty can position
Purpose of Drop Arm Test
Identify tear or full rupture of RTC
Drop Arm Test
Result of Drop Arm Test
Pt unable to slowly lower arm or severe pain with doing so
Purpose of Posterior Internal Impingement Test ***
Identify impingement btwn RTC and greater tuberosity or posterior glenoid and labrum
Posterior Internal Impingement Test **
Result of Posterior Internal Impingement Test
Reproduction of pain in posterior shoulder
Purpose of Hawkin’s Kennedy Impingement Test
Identify sub-acromial impingement
Hawkins Kennedy Impingement
Result of Hawkins Kennedy
pain= positive test for supraspinatus tendinosis or secondary impingement
Purpose Horn Blower’s sign (Patte)
detect RTC tears involving teres minor
Result of Horn Blower’s sign (Patte)
unable to ER shoulder
Purpose of Active Compression Test (O’Briens)
detect SLAP (Type II) or superior labral lesions
Result of Active Compression Test (O’Briens)
pain on jt line or pnful clicking inside shoulder in first part of test and is eliminated or decreased in 2nd part of test
Purpose of Biceps Load Test
check integrity of superior labrum
Result of Biceps Load Test
If apprehension decreases or pt feels more comfy= neg for SLAP lesion
If apprehension remains same or worse= pos for SLAP lesion
Purpose of ER Lag Sign
test teres minor and infraspinatus
Result of ER Lag Sign
pt cannot hold position and hand springs anteriorly towards midline
Purpose of Abdominal Compression Test (Belly Press Test)
Check subscapularis muscle
Result of Abdominal Compression Test (Belly Press Test)
-Pt unable to maintain pressure on examiner’s hand while moving elbow forward
-posteriorly flexes wrist or extends shoulder
= tear of subscap
Purpose of Lift off Sign (Gerber’s Test)
detect lesion of subscap mm
Result of Lift off Sign (Gerber’s Test)
Inability to lift hand away from back= lesion of subscap mm
Purpose of Jerk Test
Test recurrent posterior instability
Result of Jerk Test
production of sudden jerk or clunk (humeral head subluxing off back of glenoid)
-when moved back to original 90 deg abd positon, may feel 2nd jerk (reduction)
Purpose of Sulcus Sign
test for inf shoulder instability
Result of Sulcus Sign
inferior instability or glenohumeral laxity = only if symptomatic
Purpose of Pectoralis Major Contracture Test
identify tightness of pec major m
Result of Pectoralis Major Contracture Test
elbows don’t reach table= short pec major m
Purpose of Halstead Maneuver
identify pathology of structures passing through the thoracic inlet
Result of Halstead Maneuver
absence or disappearance of pulse= positive for TOS
Purpose of Clunk Test
identify glenoid labrum tear
Result of Clunk Test
audible clunk= glenoid labrum tear
Purpose of Anterior Apprehension/Crank Test
identify past anterior dislocation of shoulder
Result of Anterior Apprehension/Crank Test
Pt doesn’t allow or like to move shoulder into direction to stimulate anterior dislocation
Purpose of Apprehension Sign
identify past history of posterior shoulder dislocation
Result of Apprehension Sign
Pt doesn’t allow or like to move shoulder into direction to stimulate posterior dislocation
Purpose of Acromioclavicular Shear Test
identify dysfunction of AC jt such as arthritis, separation
Result of Acromioclavicular Shear Test
Reproduction of pain in AC jt
Purpose of Adson’s Test
identify pathology of structures that pass through thoracic inlet
Result of Adson’s Test
a disappearance of the pulse
Purpose of Costoclavicular Syndrome Test
identify pathology of structures that pass through thoracic outlet
Result of Costoclavicular Syndrome Test
absence of a pulse implies TOS
Purpose of Hyperabduction (Wright) Test
identify pathology of structures that pass through thoracic outlet
Result of Hyperabduction (Wright) Test
neurological/ vascular sx (disappearance of pulse)
Purpose of ROOS test
identify pathology of structures that pass through thoracic inlet
Result of ROOS test
pt unable to hold position for 3 mins, has ischemic pain, heaviness, profound arm weakness, N/T of hand= positive for TOS
Purpose of ULNT1
Median n, AIN, C5/C6/C7
Purpose of ULNT2
Median n, Musculocutaneous n, Axillary n
Purpose of ULNT3
Radial n
Purpose of ULNT4
Ulnar n, C8/T1 nerve roots
Purpose of Ligament Instability Test (Elbow)
identify ligament laxity or restriction
Result of Ligament Instability Test (Elbow)
laxity, pain
Purpose of Lateral Epicondylitis Test (Cozen’s)
identify epicondylopathy
Result of Lateral Epicondylitis Test (Cozen’s)
sudden severe pain in lateral epicondyle area of elbow
Purpose of Mill’s Test
identify lateral epicondylopathy
Result of Mill’s Test
Pain over lateral epicondyle of humerus
Purpose of Maudsley’s Test
identify epicondylopathy
Result of Maudsley’s Test
pain over lateral epicondyle of humerus
Purpose of Elbow Flexion Test
identify cubital tunnel syndrome
Result of Elbow Flexion Test
tingling or parasthesia in ulnar n distribution in forearm and hand
Purpose of Medial Epicondylitis (Golfer’s Elbow) Test
identify medial epicondylopathy
Result of Medial Epicondylitis (Golfer’s Elbow) Test
pain over medial epicondyle of humerus
Purpose of Tinel’s Sign (elbow)
Identify dysfunction of ulnar nerve at olecranon
Result of Tinel’s sign (elbow)
tingling in ulnar n distribution of forearm & hand
Purpose of Pronator Teres Syndrome Test
identify median n entrapment within pronator teres m
Result of Pronator Teres Syndrome Test
tingling or parasthesia in the median n distribution of forearm and hand
Purpose of Finkelstein’s Test
determine presence of DeQuervain disease (peritonitis of the thumb)
Result of Finkelstein’s Test
pain over abductor pollicis longus and extensor pollicis brevis tendons @ wrist
Purpose of Bunnel-Littler Test
identify tightness in structures around MCP jt
Result of Bunnel-Littler Test
inability to flex PIP jt = tight intrinsic m or contracture of joint capsule
Purpose of Tight Retinacular Test
identify tightness around PIP jt
Result of Tight Retinacular Test
-DIP jt doesn’t flex = retinacular (collateral) ligaments or PIP capsule is tight
-PIP jt flexed and DIP flexes easily= retinacular ligaments are tight & the capsule is normal
Purpose of Ligament Instability Test (Finger)
identify ligament instability, medial or lateral
Result of Ligament Instability Test (Finger)
results compared to uninvolved hand for laxity
Purpose of Froment’s Sign
identify ulnar n dysfunction
Result of Froment’s Sign
-terminal phalanx of thumb flexes when paper is pulled away= paralysis of adductor pollicis m= ulnar nerve paralysis
-MCP jt hyperextends= ulnar nerve paralysis
Purpose of Wartenberg Sign
identify ulnar nerve neuropathy
Result of Wartenberg Sign
inability to squeeze little finger to the rest of hand = ulnar neuropathy
Purpose of Hoffman’s Sign
test for UMN dysfunction