UE Special Tests Flashcards
What does the Yergason’s Test test?
Integrity of transverse ligament - may identify bicipital tendonosis/tendonpathy
How do you perform Yergason’s Test?
Elbow @ 90.
Resist supination of forearm and ER of shoulder
What does speed’s test test?
ID’s bicipital tendonosos/tendonopathy
How to perform Speed’s test
UE full Extension and forearm supinated.
Resist shoulder Flexion
Where is pain with speed’s test
Bicipital groove
Neer’s imppingement test is done how?
Shoulder passively IR and then fully abducted
Drop arm test tests what?
Tear and or full rupture of rotator cuff
How to perform drop arm
Bring arm up to 120 degrees abduction and instruct patient to slowly bring arm down to side. If patient unable to do this then it is positive.
Posterior Internal impingement test tests for what?
Impingement between rotator cuff and greater tuberosity or posterior glenoid and labrub
How to perform posterior internal impingement test
Pt supine. Move shld into 90 abduction, max ER and 15 horizontal adduction
Clunk test tests for…
Glenoid labrub tear
How to perform clunk test
Pt supine, with shoulder in full abduction, push humeral head anterior while rotating humerus externally
Adson test - how?
Find radial pulse and rotate head toward extremity. Then extend and ER shoulder while extending head
Costoclavicular syndrome test - how
Find radial pulse and move involved shoulder down and back
Wright Test - how
Find radial pulse. Move shoulder into maximal abduction and ER. Taking deep breath and rotating head opposite to side being tested.
Lateral epicondylitis test - how
Resist wrist extension, radial deviation and forearm pronation with fingers fully flexed into a fist
Medial epicondylitis test - how
Passively supinate forearm, extend elbow and extend wrist
Tinel’s sign - what?
Ulnar nerve dysfunction
Where does ulnar nerve pass through in tinnel’s sign?
Cubital tunnel at olecranon
Pronator teres syndrome test test for what?
Medial nerve entrapment in pronator teres
Pronator teres syndrome = how
Resist forearm pronation and elbow extension simultaneously
Finkelstein test - what?
De quervain’s tenosyndovitis
Finkelstein - how
Pt makes fist with thumb in fingers. Passively move wrist into ulnar deviation.
Bunnel-Littler Test shows what?
Tightness in strutures around MCP
Bunnel-Littler test - how?
MCP joint stabilized in slight extension while PIP joint is flexed. Then MCP joint flexed and PIP flexed.
If flexion limited in both cases - capsule is tight
If more PIP flexion wiht MCP flexion, then intrinsic muslces are tight
Tight retinacular test - what?
Tightness around PIP
Tight retinacular test - how
PIP stabilized in neutral while DIP is flexed. Then PIP and DIP are flexed.
If flexion limited in both cases - capsule is tight.
If more DIP flexion with PIP flexion, then retinacular ligaments are tight.
Froment’s Sign tests for what?
Ulnar nerve dysfunction
Froment’s sign what is positive
IP flexion of thumb
Tinel’s sign is what nerve compression?
Median nerve in carpal tunnel
Phalen’s Test is what nerve compression?
Median nerve in carpal tunnel
Phalen’s Test - how
Maximally flexes both wrists holding them against each other for 1 minute
Allen’s Test - what?
Vascular compromise
Allen’s Test - how
Find radial and ulnar arteries at wrist. Have pt open and close fingers quickly and then make a closed fist. Occlude ulnar artery and have pt open hand. Release and observe for vascular iflling.
