Tests for the Shoulder

Question 1

Apley’s Test (Apley’s Scratch Test)

Answer 1

touch middle of back from above and below

+ = degenerative tendonitis

Question 2

Apprehension test

Answer 2

internal rotation of flexed arm (posterior dislocation)
external rotation of flexed arm (anterior dislocation)
+ = resistance or apprehension = previous trauma

Question 3

Codman’s sign (Drop arm test)

Answer 3

patient holds arm in air after Dr. lets go from abduction

+ = supraspinatus tendon injury

Question 4

Dawbarn’s sign

Answer 4

deep palpation of shoulder to find painful area, arm abducted keeping pressure on pain, pain disappears
+ = subacromial bursitis

Question 5

Dugas’ Test

Answer 5

pt. holds opposite shoulder with hand and tightly touches elbow to chest
+ = propensity for dislocation

Question 6

Impingement sign

Answer 6

with arm slightly abducted/extended it is flexed

+ = supraspinatus overuse and/or bicipital irritation

Question 7

Speed’s test

Answer 7

Dr. resistance to flexion of the shoulder by pt.

+ = pain in bicipital groove = bicipital tendonitis