UE special tests Flashcards

1
Q

What is a painful arc sign test?

A

Patient actively elevates arm in the flexion or abduction plane

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2
Q

What is a + painful arc sign?

A

pain or deviation from normal movement pattern in the 60-120 degree range of motion

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3
Q

How do you perform a drop arm test?

A

Arm brought passively to 90 deg; pt tries to lower arm slowly

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4
Q

What structures are assessed with a drop arm (codman) test?

A

supraspinatus

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5
Q

When do you have a clinical finding with drop arm test?

A

IF pt is unable to lower arm slowly, arm drops to side

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6
Q

How do you perform an Empty Can Test?

A

Horizontal adduction to 30 degrees and IR. Resist active abduction

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7
Q

What structures do the Empty Can Test assess?

A

supraspinatus tendon

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8
Q

How do you perform a dropping sign (infraspinatus muscle test)?

A

With pt arm at side, elbow flexed to 90 degrees, examiner applies a force towards internal rotation (pt engages ER)

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9
Q

What structures are assessed with the infraspinatus muscle test?

A

infraspinatus muscle-tendon

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10
Q

What is a + infraspinatus muscle test?

A

pain or weakness in the infraspinatus muscle-tendon

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11
Q

How do you perform the Hornblower test?

A

With pt’s shoulder in 90 degreees abduction and elbow flexed so that the hand comes to the mouth

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12
Q

What structures do the horn blower test assess?

A

Teres minor muscle-tendon

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13
Q

What is a positive Hornblowers test?

A

reproduction of pain and/or inability to maintain UE in ER

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14
Q

How do you perform a Rent Sign test?

A

Pt’s UE in full extension, examiner ER/IR UE while palpating anterior GH joint

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15
Q

What structures are assessed with a Rent Sign test?

A

Rotator cuff tendon

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16
Q

What is a positive Rent Sign?

A

presence of a palpable defect

17
Q

What is the loose packed position of GH joint?

A

55°ABD, 30°horizontal ADD

18
Q

What is the close packed position of the GH joint?

A

max ABD and ER

19
Q

What is the capsular pattern for GH joint?

A

ER > ABD > IR

20
Q

What is capsular pattern for GH joint with diabetic patient?

A

IR > ABD > ER (opposite!)

21
Q

What is painful arc?

A

pain through or at end AROM

22
Q

GH painful arc?

A

between 60-120* of ABduction

23
Q

AC painful arc?

A

end of ROM (felt at the AC)