Shoulder Special Tests Flashcards Preview

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Flashcards in Shoulder Special Tests Deck (10)
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1
Q

Dugas Test

A

Instruction: Pt seated, examiner instructs pt to place the hand of the affected side on the opposite shoulder then bring the effected elbow to chest

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

indicates: Acute dislocation of the shoulder (glenohumeral joint)

Confirmation test: apprehension test, Radiography

2
Q

Anterior Apprehension test

A

Instruction: pt seater, examiner abducts the patients shoulder, flexes the patients elbow and then gradually externally rotates to the patients shoulder

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)

Confirmation tests:
Dugas test, radiography

3
Q

Posterior Apprehension test

A

Instruction: pt supine, examiner flexes pts shoulder, flexes pts elbow, and internally rotates the patients shoulder. Examiner places his/her hand on the patients distal humerus and gradually applies increasing posterior pressure

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

confirmation tests: Dugas test, Radiography

4
Q

Drop Arm Test

AKA Codman Drop Arm Test

A

Instruction: pt seater, examiner passively abducts patients arm to slightly over 90 degrees and removes support. If the pt can maintain arm, then instruct to slowly lower their arm.

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

Indicates: Rotator cuff tear, usually supraspinatus

Confirmation tests:
Apley scratch, impingement sign

5
Q

Drawbarn Test

A

Deep palpation of the shoulder elicits will localized tender area by subacromial bursa

Instruction: pt seated, examiner applies pressure below the affected acromial process with his/her finger tips. Note for pain or tenderness. Examiner continues to apply pressure while abducting the patient’s arm past 90 degrees

positive: decrease in pain and/or tenderness
indicates: subacromial bursitis

confirmation test:
MRI

6
Q

Yergason Test (Cipriano)

A

Instuction: pt is seater, examiner flexes pts elbow to 90 degrees. Examiner stabilizes pts elbow with one hand and exerts slight inferior traction. Examiner uses their other hand and grasps slightly above the patients wrist. Examiner offers resistance while pt is instructed to externally rotate his/her humerus and slightly supinate the forearm

positive:
1. localized pain and or tenderness in the bicipital grove
2. Audible click or the biceps tendon subleuxes or dislocates

indicates:
1, tendinitis
2. instability of the biceps tendon possibly associated with a torn transverse humeral ligament

confirmation tests
Abbott-Sanders Test, Speed Test

7
Q

Abbot Sunders Test

A

Instruction: pt seated, examiner fully abducts and externally rotates the patients affected arm. Examiner places his/her fingers on the patients bicipital groove and then slowly lowers the patients affected are to their side.

positive: palpable and/or audible click
indicates: sublexation or dislocation of the biceps tendon (rupture of the transverse ligament or tendon sublexation beneath subscapularis muscle belly)

confirmation tests:
speed test, yergason test

8
Q

Speed Test

A

Instruction: Patient seated with forearm supinated, and elbow flexed to 45 degrees. Examiner places his/her fingers on pts bicipital groove with their opposite hand on the pts forearm. Instruct the pt to flex his/her shoulder, maintain supination and completely extend the elbow as the Dr applies resistance.

Positive: pain and/or tenderness in the bicipital groove

Indicates: bicipital tendinitis

confirmation test: abbott-saunders test, yergason test

9
Q

Apley Test

A

Instruction: Patient seated. have him/her place the affected hand behind head and touch the opposite superior angle of the scapula = Apley scratch superior. Then pt is instructed to place the hand behind the back to touch inferior angle of the scapula = Apley scratch inferior.

positive: exacerbation of pain
indicated: degenerative tendinitis of rotator cuff tendons (usually supraspinatus).

10
Q

Impingement Sign

A

Instruction: patient seated with arms at side, examiner slightly abducts patient’s arm (hand should be pronated) and moves it fully thought flexion (will jam greater tuberosity and anterior/inferior acromion)

positive: pain in the shoulder
indicates: overuse injury to the supraspinatus and possibly biceps tendon