Upper Extremity Testing (OP) Flashcards
What is the Shoulder Girdle made up of?
Sternum, Clavicle, Scapula, & Humerus
Where is the weakest point of the clavicle?
2/3 along the shaft (common site for fractures)
Where is the Coracoid process?
inferior & anterior to Acromion (palpate)
Palpate the bicipital groove, and lesser/greater tuberosity
Bicipital groove- superior, where the long head of the Bicep tendon passes
Lesser tuberosity- medial border of the groove
Greater tuberosity- lateral border of the groove
Deltoid tuberosity- mid shaft where deltoid inserts
What kind of joint is the Sternoclavicular joint?
Gliding joint
What is the purpose of the Acromioclavicular ligament?
prevents clavicle from riding up & over the Acromion process
What landmarks/bones are included in the Glenohumeral joint?
Head of the humerus & the glenoid fossa
What kind of joint is the Glenohumeral joint?
ball and socket
Where is the Latissimus Dorsi?
lumbar spine, through the armpit, inserting at the biceps
Where is the Trapezius?
cervical/thoracic spine to shoulder
Where is the Rhomboid Major & Minor?
c7 - t5 in a rhombus shape
Where is the Levator Scapulae?
under trapezius (c1- c4)
Where is the triceps brachii?
posterior arm
Where is the Pecoralis major/minor?
chest
Where is the bicep brachii?
find it
Where is the Deltoid?
Shoulder
What are the muscles of the Rotator Cuff?
Infraspinatus, Supraspinatus, Subscapularis, Teres Minor
Where is the Acromion Process?
tip of shoulder
Where is the Coracoid Process?
Medial to the acromion process and 1 inch below the clavicle
How do you perform the Apleys Scratch Test?
Have the athlete reach behind their head and touch the opposite scapula
How do you perform the Traction Test? What does it test for?
downward force is applied to the humerus, acromioclavicular ligament tear
What is a Sulcus Sign?
Indentation appears beneath the acromion process, glenohumeral ligament and glenoid labrum tear
How do you perform an AC Compression test? What does it test for?
Hands are cupped over the anterior & posterior joint, examiner squeezes the hands together compresses the AC joint, Positive test = pain, damage to coracoclavicular ligament or acromioclavicular lig
What is the Apprehension test? What does it test for?
Shoulder is Abducted to 90°, the elbow is flexed to 90° while supporting the humerus passively, externally rotate the GH joint by applying pressure to the forearm. Positive = pain, chronic subluxations or dislocations of the GH joint
What is the Anterior Drawer test?
The examiner uses his right hand to grasp the patient’s relaxed upper arm and draws it anteriorly with a force
What is the Posterior Drawer test?
The examiner uses his right hand to grasp the patient’s relaxed upper arm and draws it posteriorly with a force
How do you perform the Impingement test?
The shoulder is passively moved into flexion with the humerus internally rotated
What is the Hawkins/Kennedy test? What does it test for?
Shoulder is placed in 90° of forward flexion and then forcibly internally rotating the shoulder, Positive for Impingement
What is the Drop Arm test? What does it test for?
Hold the shoulder at 90° of abduction then apply a downward tap, positive tests would result in the arm falling to their side, indicates injury to the rotator cuff, especially the supraspinatus
What is the Empty Can test? What does it test for?
With the elbow extended the shoulder is abducted to 90°, IR , horizontally flexed to 30°, the athlete resists abduction, positive test results in pain, indicating supraspinatus inflammation, impingement, or tear
What is Yergason’s test? What does it test for?
Elbow is flexed to 90°, the forearm is in a neutral position with the thumb up, resist supination of the forearm and ER of the shoulder, positive tests results in pain and snapping of the bicep tendon