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Musculoskeletal > Special Tests--Shoulder > Flashcards

Special Tests--Shoulder Flashcards

1
Q

Drop Arm Test

A

Patient positioned in standing, arm is moved passively into abduction, patient is asked to slowly lower it back to side.

Indications: RTC Tear (specifically Supraspinatus)

Positive Test: Cannot return arm slowly or has severe pain when attempting

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2
Q

Speed’s Test

A

Patient is standing with elbow extended and forearm supinated, asked to resist a downward force

Indicated for Bicipital Tendinitis

Positive finding: Tenderness or pain in bicipital groove

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3
Q

Crank Test (Apprehension Test)

A

Patient is positioned in supine, patient’s arm is abducted to 90 degrees and ER. Place a hand under the GHF and apply a mild anterior force.

Indicated for Anterior Instability of the Shoulder

Positive Finding: Patient looks for feels apprehensive/alarmed.

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4
Q

Posterior Apprehension Test

A

Patient is positioned in supine or sitting

Indicated for Posterior Instability of the Shoulder

Positive Finding: Look of apprehension/alarm on patients face and resistance to move further

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5
Q

Hawkins Kennedy

A

Patient is in sitting or standing.

Indicated for shoulder impingement syndrome.

Positive finding: Pain indicating supraspinatus tendonitis or secondary impingement.

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6
Q

Yergason’s Test

A

Patient is in sitting position

Indicated for torn transverse humeral ligament, bicipital tendonitis/tendinosis

Positive finding is tenderness in the bicipital groove

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7
Q

Empty Can Test

A

Patient is in standing or sitting position

Indicated for supraspinatus tear or neuropathy of suprascapular nerve

Positive finding: Signs of weakness or pain

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8
Q

Neer Impingement Test

A

Patient is in sitting or standing

Indicated for overuse injury of supraspinatus muscle or biceps tendon

Positive finding: Reproduction of pain

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9
Q

Clunk Test

A

Patient is positioned in supine on table

Indicated for Glenoid labrum tear

Positive Findings: Clunk or Grinding sound

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10
Q

O’Brien Test

A

Patient positioned in standing

Indicated for SLAP lesions, type II or superior labral lesions

Positive Finding: Pain or painful clicking inside the shoulder in the first part of the test and eliminated or decreased in the second part

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11
Q

Biceps Load Test

A

Patient positioned in supine with arm at 90* abduction and maximum ER

Indicated for superior labrum lesion

Positive Finding: Apprehension is teh same or shoulder becomes more painful with bicep activatoin

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12
Q

Bicep Load Test II

A

Patient is positioned in supine with arm abducted to 120* and maximum ER

Indicated for SLAP Lesion

Positive Finding is deep pain with shoulder during contraction

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13
Q

Posterior Internal Impingement Test

A

Patient is in supine

Indicated for impingement between RTC and greater tuberosity

Positive finding: Reproduction of pain in posterior shoulder

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14
Q

ER Lag Sign

A

Patient standing with back to PT

Indicated for tear of supraspinatus or infraspinatus tendon

Positive Finding: Unable to maintain position once PT lets go

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15
Q

IR Lag Sign

A

Patient is seated with back to PT

Indicated for subscapularis tear

Positive finding: Unable to maintain position once PT lets go

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16
Q

Adson Maneuver

A

Patient is in sitting

Indicated for TOS secondary to a cervical rib or 1st thoracic rib syndrome

Positive: Disappearance of radial pulse

17
Q

Roos Test

A

Patient is in standing

Indication: TOS secondary to neurovascular compromise

Positive Finding: Unable to keep the arms in the starting position for 3 minutes, ischemic pain, heaviness or profound weakness of the arm, N/T of the hand during 3 minutes

18
Q

Allen’s Test

A

Patient is positioned in sitting

Indicated for patency of blood vessels supplying the hand.

Positive finding: Vascular filling time > 5 seconds.

19
Q

Wright’s Test

A

Patient is sitting and then supine

Indicated for TOS secondary to compression of the costoclavicular space

Positive finding is an absent radial pulse

20
Q

Costoclavicular Syndrome Test

A

Patient is sitting

Indicated for TOS secondary to compression in costoclavicular space

Positive finding is an absent radial pulse

21
Q

Halstead Maneuver

A

Patient is in sitting

Indicated for TOS secondary to anterior scalene syndrome

Positive Finding: Absence or disappearance of the radial pulse when head is rotated away from the test side

22
Q

Sulcus Sign

A

Patient is standing or sitting

Indicated for inferior instability or glenohumeral laxity

Positive finding: Depression more than a finger width between lateral acromion and the head of the humerus

23
Q

Jobe Subluxation/Relocation

A

Patient is positioned in supine

Indicated for superior labral tear

Positive finding: Pain and apprehension

24
Q

Load and Shift Test

A

Patient is sitting without stabilizing the upper trunk

Indicated for atraumatic instability of glenohumeral joint

Positive finding is a posterior translation of 25% or more of the humeral head diameter.

25
Q

Posterior Drawer Test of Shoulder

A

Patient is in supine

Indicated for posterior translation of shoulder, labral tear, or slippage of humeral head over glenoid rim.

Positive finding is increased posterior translation of half or more of humeral head diameter.

26
Q

Anterior Apprehension Test

A

Patient is in supine

Indicated for anterior instability of shoulder

Positive finding is apprehension or alarm from patient and resisting further motion.

27
Q

Anterior Drawer Test of Shoulder

A

Patient is positioned in supine

Indicated for anterior translation or labral tear, slippage of humeral head over the glenoid rim.

Positive finding is movement with accompanying click, apprehension, or both. Increase in laxity and less firm end feel.

28
Q

Acromioclavicular Shear Test

A

Patient is sitting or standing

Indicated for AC joint dysfunction such as arthritis or separation

Positive finding is abnormal movement of the AC joint

29
Q

Crossover Impingement/Horizontal Adduction Test

A

Patient is in sitting

Indicated for AC Joint Dysfunction

Positive Findings: Local pain over the AC joint

30
Q

Special Tests for Anterior Shoulder (Glenohumeral) Instability

A

Apprehension (Crank) Test
Jobe Relocation Test
Anterior Drawer Test
Load and Shift Test

31
Q

Special Tests for Posterior Shoulder (Glenohumeral) Instability

A

Jerk (Jahnke) Test
Load and Shift Test
Posterior apprehension test

32
Q

Special tests for inferior and multidirectional shoulder (GH) instability

A

Sulcus sign

33
Q

Special tests for Anterior Shoulder Impingement

A

Coracoid impingement sign
Hawkins-Kennedy test
Neer test
Supine impingement
Yokum test

34
Q

Special Tests for Labral Lesions

A

Active compression test of O’Brien
Kim Test I/Biceps Load Test II
Porcellini test?

35
Q
A

Musculoskeletal (5 decks)

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