Special Tests - Upper Extremity Flashcards
What is the Apprehension Test (Anterior) testing for?
What indicates a positive test?
Describe the test
- For shoulder instability or dislocations
- Positive test is indicated by a facial grimace or a look of apprehension for both
What is the Apprehension Test (Posterior) testing for?
What indicates a positive test?
Describe the test
- For shoulder instability or dislocations
- Positive test is indicated by a facial grimace or a look of apprehension for both
What is the Sulcus Sign testing for?
What indicates a positive test?
Describe the test
- Inferior instability at shoulder
- Positive test is a depression seen between the acromion and humeral head
What is the Ludington’s Test testing for?
What indicates a positive test?
Describe the test
- Rupture at the long head of the biceps
- Positive test is indicated by an absence of movement in the biceps tendon
What is the Speed’s Test testing for?
What indicates a positive test?
Describe the test
- Bicipital Tendonitis or SLAP tear (Superior Labrum Anterior to Posterior)
- Positive test is indicated by pain or tenderness in the bicipital groove region or deep in the shoulder
What is the Yergason’s Test testing for?
What indicates a positive test?
Describe the test
- Bicipital Tendonitis
- Positive test is indicated by pain or tenderness in the bicipital groove region
What is the Drop Arm Test testing for?
What indicates a positive test?
Describe the test
- Rotator Cuff Tear
- A positive test is indicated by the patient failing to slowly lower the arm to their side or by the presence of severe pain
What is the Hawkins-Kennedy Test testing for?
What indicates a positive test?
Describe the test
- Shoulder impingement involving the supraspinatus tendon
- A positive test is indicated by pain
What is the Infraspinatus Test testing for?
What indicates a positive test?
Describe the test
- Infraspinatus strain / tear
- A positive test is indicated by pain or weakness
What is the Lateral Rotation Lag Sign testing for?
What indicates a positive test?
Describe the test
- Infraspinatus or Supraspinatus pathology
- A positive test is indicated by the patient being unable to hold the position (shoulder moves into internal rotation)
What is the Lift Off Sign testing for?
What indicates a positive test?
Describe the test
- Subscapularis lesion
- A positive test is indicated by being unable to hold the position
What is the Neer Impingement Test testing for?
What indicates a positive test?
Describe the test
- Shoulder impingement involving the supraspinatus tendon
- Positive test is indicated by a facial grimace or a look of apprehension
What is the Supine Impingement Test testing for?
What indicates a positive test?
Describe the test
- Shoulder impingement
- Positive test is indicated a significant increase in pain with internal rotation
What is the Supraspinatus Test testing for?
What indicates a positive test?
Describe the test
- A tear of the supraspinatus tendon, impingement or subscapular nerve involvement (Empty Can Test)
- Positive test is indicated by weakness or pain
What is the Allen Test testing for?
What indicates a positive test?
Describe the test
- Thoracic Outlet Syndrome
- Positive test is indicated by an absent or diminished pulse when the head is rotated away from the test shoulder
What is the Costoclavicular Syndrome Test testing for?
What indicates a positive test?
Describe the test
- Thoracic Outlet Syndrome
- Positive test is indicated by an absent or diminished radial pulse caused by compression of the subclavian artery between the first rib and clavicle
What is the Roos Test testing for?
What indicates a positive test?
Describe the test
- Thoracic Outlet Syndrome
- Positive test is indicated by inability to maintain the test position, weakness of the arms, sensory loss, or ischemic pain.
What is the Wright Test testing for?
What indicates a positive test?
Describe the test
- Thoracic Outlet Syndrome
- Positive test is indicated by an absent or diminished radial pulse
What is the Acromioclavicular Crossover Test testing for?
What indicates a positive test?
Describe the test
- AC joint injury
- Positive test is indicated by pain over the AC joint with horizontal adduction
What is the O’Brien’s Test testing for?
What indicates a positive test?
Describe the test
- Superior Labral Tear
- Positive test is indicated by the patient experiencing pain when the shoulder is internally rotated but has decreased pain with external rotation
What is the Glenoid Labrum Tear Test testing for?
What indicates a positive test?
Describe the test
- Glenoid Labrum Tear
- Positive test is indicated by a clunk or grinding sound
What is the Jerk Test testing for?
What indicates a positive test?
Describe the test
- Posterior Instability at the shoulder joint
- Positive test is indicated by a sudden clunk or jerk as the humeral head subluxes posteriorly.
A second clunk may be hears when the shoulder is returned to the starting position as the humeral head reduces.
What is the Valgus Stress Test testing for?
What indicates a positive test?
Describe the test
- MCL sprain at elbow
- Positive test is indicated by increased laxity at the medial collateral ligament when compared to the contralateral limb, apprehension or pain.
What is the Varus Stress Test testing for?
What indicates a positive test?
Describe the test
- LCL sprain at elbow
- Positive test is indicated by increased laxity at the lateral collateral ligament when compared to the contralateral limb, apprehension or pain.
What is the Adson Maneuver testing for?
What indicates a positive test?
Describe the test
- Thoracic Outlet Syndrome
- Positive test is indicated by an absent or diminished radial pulse
