Upper Extremity Tenderpoints

Question 1

Posterior Acromioclaviular Joint (PAC)

Answer 1

Posterior aspect of AC joint

Question 2

Anterior Acromioclavicular Joint (AAC)

Answer 2

Anterior aspect of AC joint

Question 3

Supraspinatus (SUP)

Answer 3

Belly of supraspinatus m.

Question 4

Infraspinatus

Answer 4

Low –> medial margin, 5cm inferior to scapular spine

Upper –> running just below scapular spine starting 3cm lateral to the medial border of the scapula

Question 5

Teres Minor

Answer 5

Lateral border of scapula under arm (back of humeral head)

Question 6

Teres Major

Answer 6

Posterior surface of scapula at inferior angle

Question 7

Medial Coracoid

Answer 7

Supero-medial surface of front of coracoid process

Question 8

Subscapularis

Answer 8

Anterior surface of scapula (deep in belly)

Question 9

Latissimus Dorsi

Answer 9

Medial of center of anterior humerus on tendon of latissimus dorsi m.

Question 10

Short Head of biceps (SH)

Answer 10

Inferolateral aspect of coracoid process

Question 11

Long Head of biceps (LH)

Answer 11

Tendon of biceps long head in bicipital groove

Question 12

Flexion Elbow

Answer 12

On coronoid process of ulna

Question 13

Extension Elbow

Answer 13

On either side of olecranon process of ulna

Question 14

Radial Head

Answer 14

Lateral part of radial head

Question 15

Dorsal carpo-metacarpal

Answer 15

Multiple points along carpo-MC junction

Question 16

Extension Wrist

Answer 16

2 along ulnar-carpal junction

Question 17

Interossei

Answer 17

Many along palmar carpo-MC junction

Question 18

Palmar Thumb

Answer 18

Base of thenar eminence

Question 19

Flext Thumb

Answer 19

Snuff box