Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NPTE > UE Special Tests > Flashcards

UE Special Tests Flashcards

1
Q

Yergason’s Test

A

Purpose: integrity of transverse ligament

Position: sitting, 90 elbow flexion, forearm pronation, arm stabilized against thorax

Test: resist supination of forearm and ER of shoulder

+ tendon of long head of biceps will pop out of groove
+ tenderness in bicipital groove (without dislocation) – bicipital tendinosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Speed’s test

A

Purpose: bicipital tendinosis

Position: full extension of arm, forearm supination OR 90 deg of flexion (push into extension)

Test: resist shoulder flexion

+ pain in long head of biceps tendon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Neer’s impingement test

A

Purpose: impingement of supraspinatus and biceps tendon

Position: passive arm elevation (in scapular plane), passive medial rotation

+ pain in shoulder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Empty can (Jobe) test

A

Purpose: impingement/tear of supraspinatus tendon or suprascapular neuropathy

Position: 90 abd, neutral rotation

Test: resisted abduction, passive medial rotation, angled 30 deg forward (thumbs pointing to the floor in scapular plane)

+ pain in supraspinatus tendon or weakness in empty can position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Drop arm test

A

Purpose: tear/full rupture of RC

Position: 90 abd

Test: patient slowly lowers arm

+ unable to return arm to side slowly, or has severe pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Posterior Internal Impingement Test

A

Purpose: impingement between RC and greater tuberosity or posterior glenoid and labrum

Position: supine

Test: passive abduction to 90, 110, with 15-20 deg of extension and max ER

+ reproduction of posterior shoulder pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Hawkin’s Kennedy Impingment Test

A

Purpose: subacromial impingement

Position: passive flexion to 90 deg in scapular plane, forearm forced into IR

+ pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Horn Blower’s Sign

A

Purpose: detect RC tears involving teres minor

Position: sitting/standing, arm supported at 90 deg abd in scapular plane, 90 deg elbow flexion

Test: pt asked to rotate the forearm externally against resistance

+ unable to ER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

O’brien Active Compression

A

Purpose: SLAP lesion or superior labral lesion

Position: standing, 90 deg flexion, 10 deg horizontal add, max IR, elbow extension. Resists downward force on distal arm. Test is repeated with max ER

+ pain on the joint line, painful clicking inside shoulder with first position and eliminated with second position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Biceps Load Test

A

Purpose: superior labral integrity

Position: supine or seated, 120 deg abduction, ER, 90 deg elbow flexion, forearm supination

Test: passively fully laterally rotate arm, hold position if apprehension occurs. Patient is asked to flex elbow against resistance.

  • Decreased apprehension
    + Apprehension remains the same or shoulder pain increases
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Lateral Rotation Lag Sign

A

Purpose: Teres minor and infraspinatus

Position: seated or standing, arm by side, 90 elbow flexion

Test: passively abduct arm to 90 deg in scapular plane, ER shoulder to end range, ask pt to hold position

+ cannot hold position, hand springs back anteriorly toward body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Abdominal compression test

A

Other names: belly press, napoleon test

Purpose: subscapularis mm

Position: standing, hand on abdomen below xiphoid, pushes into abdomen as hard as possible, trying to bring elbow forward into scapular plane (causing IR)

+ unable to maintain pressure on abdomen, or posteriorly flexes the wrist, or extends the shoulder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Lift off sign

A

Other names: Gerber’s test

Purpose: subscapularis muscle

Position: dorsum of hand against mid lumbar spine, lifts hand away from back

+ unable to lift off back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Jerk Test

A

Purpose: posterior instability

Position: sitting, IR, 90 deg flexion

Test: axial load humerus (through elbow), move arm horizontally across body

+ sudden jerk/clunk (sublux)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Sulcus Sign

A

Purpose: inferior shoulder instability

Position: standing, arm by side, relaxes, examiner grasps forearms below elbow and pulls distally

+ sulcus sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Pectoralis Major Contracture Test

A

Purpose: tightness of pec major

Position: supine, hands together behind head, arms lowered until elbows touch table

+ elbows do not reach the table

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Halstead Maneuver

A

Purpose: thoracic inlet pathology (TOS)

Position: sitting, neck hyperextension, contralateral cervical rotation. Radial pulse in found, downward traction applied to extremity

+ absence of pulse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Clunk Test

A

Purpose: glenoid labrum tear

Position: supine, full abd, humeral head pushed anteriorly while rotating humerus externally

+ audible clunk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Anterior apprehension test

A

Other names: crank test

Purpose: anterior dislocation of shoulder/instability

Position: supine, 90 deg abd, shoulder is slowly ER

+ apprehension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Posterior apprehension sign

A

Purpose: posterior shoulder dislocation/instability

Position: supine or sitting, shoulder elevated to 90 deg in scapular plane, scapula stabilized, posterior/axial force applied to elbow, maintain force and horizontally adduct and IR arm

+ does not allow/like to move shoulder in that direction

21
Q

Acromioclavicular shear test

A

Purpose: AC joint dysfunction

Position: sitting, cup hands over deltoid muscle (sitting laterally from pt), squeeze hands

+ pain

22
Q

Adson’s Test

A

Purpose: TOS

Position: seated, head rotated ipsilaterally, radial pulse palpated, cervical extension, passive ER and extension of shoulder

+ absent pulse

23
Q

Costoclavicular syndrome test

A

Purpose: TOS

Position: Seated, radial pulse palpated, passive shoulder extension

+ absent pulse

24
Q

Wrist (hyperabduction) test

A

Purpose: TOS

Position: seated, radial pulse palpated, passive shoulder max abd and ER, rotate head contralaterally

+ neurological/vascular symptoms reproduced (loss of sensation, loss of pulse)

25
Q

ROOS test

A

Alternate name: elevated arm stress test

Purpose: TOS

Position: standing, abduct arms to 90 deg, ER shoulder, 90 deg elbow flexion, open and close hands for 3 minutes

+ Unable to keep arms in starting position, ischemic pain, heaviness, profound weakness, numbness/tingling

26
Q

Radial n neurodynamic

A

Shoulder depression, IR, abd, ext
Elbow extension
Forearm pronation
Wrist flexion + ulnar dev
Finger/thumb flexion
Contralateral neck lateral flexion

27
Q

Ulnar n neurodynamic

A

Shoulder depression, abd, hand to ear
Elbow flexion
Forearm supination or pronation
Wrist extension + radial dev
Finger/thumb flexion
Contralateral lateral flexion

28
Q

Median n neurodynamic

A

Shoulder depression, abd
Elbow extension
Forearm supination
Wrist extension
Finger/thumb extension
Contralateral lateral flexion

29
Q

Ligament instability (elbow)

A

Purpose: ulnar or radial collateral ligament instability

Position: sitting or supine, 0-20 deg elbow flexion, valgus or varus force applied

+ laxity and possible pain

30
Q

Lateral epicondylitis test

A

Other names: tennis elbow test, cozen’s test

Purpose: lateral epicondylopathy

Position: sitting, 90 deg elbow flexion, actively makes a fist, pronates forearm, radially deviates, and extends wrist - examiner resists all motions (activating wrist extensors)

+ sudden severe pain over lateral epicondyle

31
Q

Mill’s test

A

Purpose: lateral epicondylopathy

Test: passive pronation, wrist flexion, elbow extension (stretching extensor mm)

+ pain over lateral epicondyle

32
Q

Maudsley’s test

A

Purpose: lateral epicondylopathy

Test: resisted extension of third digit, distal to PIP (stresses extensor digitorum mm and tendon)

+ pain over lateral epicondyle

33
Q

Elbow flexion test

A

Purpose: cubital tunnel syndrome

Test: actively fully flex elbow with wrist extension, hold position for 3-5 min

+ tingling or paresthesia in ulnar n distribution

34
Q

Medial epicondylitis test

A

Other names: golfer’s elbow test

Purpose: medial epicondylopathy

Test: palpate medial epicondyle, passively supinate forearm and extend elbow and wrist

+ pain over medial epicondyle

35
Q

Tinel’s sign

A

Purpose: ulnar n dysfunction at olecranon

Test: tap ulnar n in groove

+ tingling sensation in ulnar distribution of forearm and hand

36
Q

Pronator teres syndrome test

A

Purpose: median n entrapment within pronator teres

Test: 90 deg elbow flexion, resists pronation and extends elbow

+ tingling or paresthesia in median n distribution

37
Q

Finkelstein’s test

A

Purpose: de Quervain’s disease (thumb paratenonitis)

Test: make fist with thumb inside fingers, stability forearm and deviate write to ulnar side

+ pain over abductor pollicis longus and extensor pollicis brevis tendons

38
Q

Bunnel-Littler test

A

Purpose: tightness in structures surrounding MCP joint

Test: MCP joint held slightly extended, moving the proximal IP joint into flexion

+ inability to flex proximal IP joint – tight intrinsic muscle or contracture of the joint capsule

39
Q

Tight retinacular test

A

Purpose: tightness around PIP joint

Test: PIP held in neutral, DIP is flexed by examiner

+ DIP does not flex – collateral ligaments of PIP capsule are tight

40
Q

Ligament instability test (of hand/finger)

A

Purpose: medial or lateral collateral instability

Test: fingers are stabilized, valgus or varus force applied

+ laxity in involved hand

41
Q

Froment’s sign

A

Purpose: ulnar n dysfunction

Test: attempt to grasp a piece of paper between thumb and index finger, examiner pulls paper away

+ terminal phalanx of thumb flexes due to paralysis of adductor pollicis

42
Q

Wartenberg sign

A

Purpose: ulnar n neuropathy

Test: hands rest on table, passively spread fingers and ask pt to bring them together again

+ inability to squeeze little finger to remainder of hand

43
Q

Hoffman’s sign

A

Purpose: UMN

Test: briskly flicks distal phalanx of middle finger

+ Hand forms ok sign

44
Q

Thumb grind test

A

Purpose: degenerative disease of MCP

Test: holds pt hand, grasps thumb below MCP joint, applies axial compression and rotation

+ pain

45
Q

Murphy’s sign

A

Purpose: lunate dislocation

Test: patient makes fist

+ head of third metacarpal is level with second and fourth metacarpals (should project beyond)

46
Q

Tinel’s sign (carpal tunnel)

A

Purpose: carpal tunnel compression of median n

Test: taps over carpal tunnel

+ tingling or paresthesia into thumb, index finger, middle and lateral half of ring finger

47
Q

Phalen’s test

A

Purpose: carpal tunnel compression of median n

Test: flex wrists maximally, hold dorsal hands together for 1 min

+ production of patient’s symptoms

48
Q

Allen’s test

A

Purpose: vascular compromise

Test: open and close hand several times and quickly as possible and then squeeze hand tightly. Examiner compresses radial and ulnar aa. Open hand and release pressure of artery and see if hand flushes

NPTE (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions