VERBALS SHOULDER

Question 1

Bony Palpation: SHOULDER

Answer 1

1. Sternoclavicular Articulation
2. Clavicle
3. Coracoid Process
4. Acromioclavicular Articulation
5. Acromion
6. Greater Tuberosity of the Humerus
7. Bicipital Groove
8. Lesser Tuberosity of the Humerus
9. Spine of the Scapula
10. Body of Scapula
11. Scapulothoracic Articulation

Question 2

Soft Tissue Palpation: SHOULDER

Answer 2

1. Rotator Cuff Muscle: Supraspinatus, Infraspinatus, Teres Minor, Subscapularis
2. Subacromial Bursa
3. Subdeltoid Bursa
4. Axillary Borders: Pectoralis Major, Serratus Anterior, Axillary Lymph Nodes, Latissimus Dorsi, Bicipital Tendon
5. Prominent Muscles of Region: Sternocleidomastoid, Biceps, Deltoid as a whole, (anterior, middle and posterior portion of deltoid), Trapezius, Rhomboid (minor and major)

Question 3

RANGE OF MOTION: SHOULDER

Answer 3

• Flexion: 180
• Abduction: 180
• External Rotation: 90
• Internal Rotation: 70
• Extension: 60
• Adduction: 50

Scapular retraction, elevation, protaction

Question 4

Yergason Test (Cipriano)

Answer 4

POSITIVE:

• Localized Pain and/or tenderness at the bicipital groove
• Audible click or the biceps tendon subluxes or dislocates

INDICATES:

• Bicipital Tendinitis
• Instability of the biceps tendon possibly associated with a torn transverse humeral ligament

Question 5

Abbott-Saunders Test

Answer 5

POSITIVE:

• Palpable and/or audible click

INDICATES:

- Subluxation or dislocation of the biceps tendon due to a rupture of the transverse humeral ligament or tendon subluxation beneath subscapularis muscle belly/tendon

Question 6

SPEED TEST

Answer 6

POSITIVE:

• Pain and/or tenderness in the bicipital groove

INDICATES:

• Bicipital Tendinitis

Question 7

APLEY TEST:

Answer 7

POSITIVE:

• Exacerbation of pain

INDICATES:

• Degenerative tendinitis of rotator cuff tendons (usually supraspinatus)

Question 8

IMPINGEMENT SIGN:

Answer 8

POSITIVE:

• Pain in the shoulder

INDICATES:

• Overuse injury to the supraspinatus and possibly biceps tendon

Question 9

DUGAS TEST

Answer 9

POSITIVE:

• Inability to touch the opposite shoulder and/or inability of the elbow to touch the chest

INDICATES:

• Acute dislocation of the shoulder (glenohumeral joint)

Question 10

ANTERIOR APPREHENSION TEST

Answer 10

POSITIVE:

• Patient will have a noticeable look of apprehension or alarm on their face with possible pain

INDICATES:

• Chronic anterior dislocation of the shoulder (glenohumeral joint)

Question 11

POSTERIOR APPREHENSION TEST

Answer 11

POSITIVE:

• Patient will have a noticeable look of apprehension or alarm on their face with possible pain

INDICATES:

• Chronic Posterior dislocation of the glenohumeral joint

Question 12

DROP ARM TEST/ aka CODMAN DROP ARM TEST

Answer 12

POSITIVE:

• Patient will not be able to lower the arm slowly or the arm drops suddenly

INDICATES:

• Rotator cuff tear, usually supraspinatus

Question 13

DAWBARN TEST

Answer 13

Deep palpation of shoulder elicits well-localized tender area, by subacromial bursa

POSITIVE:

• Decrease in pain and/or tenderness

INDICATES:

• Subacromial bursitis

Question 14

BONY PALPATION OF THE ELBOW

Answer 14

1. Medial Epicondyle
2. Medial Supracondylar line of the humerus
3. Groove of the ulnar nerve
4. Trochlea
5. Olecranon
6. Olecranon fossa
7. Lateral Epicondyle
8. Lateral Supracondylar line of the humerus
9. Radial head

Question 15

SOFT TISSUE PALPATION of ELBOW

Answer 15

1. Ulnar Nerve
2. Wrist flexor muscles (Palpate as a unit and individually)
   
   1. Pronator Teres
   2. Flexor Carpi Radialis
   3. Palmaris Longus
   4. Flexor Carpi Ulnaris
3. Medial Collateral Ligament
4. Supracondylar Lymph Nodes
5. Brachial Artery
6. Triceps Muscle
7. Lateral Collateral ligament
8. Biceps
9. Olecranon Bursa
10. Elbow Flexors muscles “mobile wad of three” (palpate as a unit and individually)
    
    1. Brachioradialis
    2. Extensor Carpi Radialis Longus
    3. Extensor Carpi Radialis Brevis

Question 16

Range of motion: ELBOW

Answer 16

• Elbow Flexion: 150
• Elbow Extension: 0
• Forearm Supination (radio-ulnar joint): 80
• Forearm Pronation: 80