upper extremity special test

Question 1

patient’s hand rests on top of his or her opposite shoulder
active: elbow depression
+ LOM c pain
indicates dislocation s reduction

Answer 1

DUGAS TEST

Question 2

supine
shoulder in abduction 90 degrees and LR
passive
fulcrum : therapist's hand is placed under GH jt.
to put anterior force 
\+ apprehension
relocation: push GH jt. posteriorly
\+ decrease apprehension
indicates: traumatic GH instability

Answer 2

APPREHENSION TEST (CRANK)

Question 3

sitting  c shoulder abduction 
45 + uneasiness
90 apprehension
120 uneasiness
passive: repeatedly
laterally rotate (shoulder)
indicates: anterior instability

Answer 3

ROCKWOOD TEST

Question 4

supine 
60-100 SH ABD.
90 SH LR
90 elbow flexion
passive: SH horizontal ADD, c MR
push elbow posteriorly
thumb push HH posteriorly
\+ HH slips posteriorly
indicates: posterior instability

Answer 4

NORWOOD STRESS TEST

Question 5

standing c SH. ABD (patient’s hand rests on top of therapist’s SH)
passive: pull arm anteriorly and inferiorly
+ sulcus (above coracoid process)
indicates: anteroinferior shoulder instability

Answer 5

FEAGIN

Question 6

elbow extended
therapist’s resists SH forward flexion c FA supinated and pronated
+ tenderness in bicipital groove
indicates: tendinosis

Answer 6

BICEPS TEST/SPEED’S TEST/STRAIGHT ARM TEST

Question 7

elbow flexion and forearm pronation 
therapist resist FA supination and SH LR
palpate long head of biceps
\+ tendon pops out
indicates torn THL

Answer 7

YERGASON

Question 8

patient’s hands are placed on top/ behind his or her head
ask patient to contract and relax the bicep’s
palpate: long head of biceps
+ no palpable tendon
indicates: ruptured long head of biceps

Answer 8

LUDINGTON

Question 9

elbow flexed and FA pronated 
resist elbow flexion 
\+ supination "heuter sign"
- supination
indicates: disrupted distal biceps

Answer 9

HEUTER SIGN

Question 10

fist
wrist extended
radial deviation
pronation
active resist
\+ pain = LA tennis elbow

Answer 10

LATERAL EPICONDYLITIS

M1 COZEN’S TEST

Question 11

wrist flex
elbow extended
pronation 
passive
\+ pain = LA tennis elbow

Answer 11

M2 MILL’S TEST

Question 12

mid finger extended
active resist
+ pain = LA tennis elbow

Answer 12

M3 MAUDLEY’S

Question 13

supination
wrist and elbow extended
\+ pain 
passive
golfer's

Answer 13

MEDIAL EPICONDYLITIS TEST

Question 14

tap area between olecranon process and medial epicondyle
tingling sensation (ulnar nerve distribution)
ax regeneration of sensory fibers of nerve

Answer 14

TINEL SIGN ELBOW

Question 15

full elbow flexion 
wrist extension 
SH ABD
SH depression 
hold 3-5 mins 
\+ paresthesia (ulnar n distribution)
indicates: cubital tunnel syndrome

Answer 15

ELBOW FLEXION TEST

Question 16

passive: finger abduction
active: finger adduction
+ little finger remains abducted
indicates: ulnar neuropathy

Answer 16

WARTENBURG SIGN

Question 17

elbow flexion and FA supinated
resists pronation and elbow extension 
\+ tingling sensation
(med. nerve distribution)
indicates: Pronator  teres syndrome

Answer 17

TEST FOR PRONATOR TERES SYNDROME

Question 18

hold wrist flexion
resists finger extension
\+ pain
indicates: radiocarpal instability
inflammation
scaphoid instability
kienbock's disease

Answer 18

FINGER EXTENSION TEST/SHUCK TEST