Shoulder Special Tests Flashcards Preview

Orthopedic Diagnosis > Shoulder Special Tests > Flashcards

Flashcards in Shoulder Special Tests Deck (29):
1

Dugas test instruct

instruct: patient seated, examiner instructs patient to place the hand of the affected side on the opposite shoulder and then bring the affected elbow to the chest

2

Dugas test positive

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

3

Dugas test indicates

acute dislocation of the shoulder

4

Dugas test confirmation tests

apprehension test, radiography

5

anterior apprehension test instruct

patient seated, examiner abducts the patients shoulder, flexes the patient's elbow and then gradually externally rotates to the patient's shoulder

6

anterior apprehension test positive

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

7

anterior apprehension test indicates

chronic anterior dislocation of the shoulder

8

anterior apprehension test confirmation tests

dugas test, radiography

9

posterior apprehension test instruct

patient supine, examiner flexes patient's shoulder, flexes patient's elbow, and internally rotates the patient's shoulder. examiner places his/her hand on the patient's distal humerus and gradually applies increasing posterior pressure

10

posterior apprehension test positive

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

11

posterior apprehension test indicates

chronic posterior dislocation of the glenohumeral joint

12

posterior apprehension test confirmation tests

dugas test, radiography

13

drop arm test aka codman drop arm test instruct

patient seated, examiner passively abducts patients arm to slightly over 90 degrees and removes support, if patient can maintain arm, then instructs patient to slowly lower their arm

14

drop arm test aka codman drop arm test positive

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

15

drop arm test aka codman drop arm test confirmation tests

apley scratch, impingement sign

16

dawbarn test

deep palpation of shoulder elicits well localized tender area by subacromial bursa

17

dawbarn test instruct

patient seated, examiner applies pressure below the affected acromial proces with his/her fingertips. note for pain or tenderness. examiner continues to apply pressure while abducting the patient's arm past 90 degrees

18

dawbarn test positive

decrease in pain and or tenderness

19

dawbarn test indicates

subacromial bursitis

20

dawbarn test confirmation tests

MRI

21

drop arm test indicates

rotator cuff tear, usually supraspinatus

22

Yergason test (cipriano) instruct

patient seated, examiner flexes patient's elbow to 90 degrees. examiner stabilizes patient's elbow with one hand and exerts slight inferior traction. examiner uses their other hand and grasps slightly above patient's wrist. examiner offers resistance while patient is instructed to externally rotate his/her humerus and slightly supinate the forearm.

23

Yergason test positive

1. localized pain and or tenderness at the bicipital groove
2. audible click or the biceps tendon subluxes or dislocates

24

yergason test indicates

1. tendinitis
2. instability of thebiceps tendon possibly associated with a torn transverse humeral ligament

25

yergason test confirmation tests

abbott-saunders test, speed test

26

Abbott-Saunders test instruct

patient seated, examiner fully abducts and externally rotates the patient's affected arm. examiner places her fingers on the patient's bicipital groove then slowly lowers the patient's affected arm to their side

27

Abbott-Saunders test positive

palpable or audible click

28

Abbott-Saunders test indicates

subluxation or dislocation of the biceps tendon

29

Abbott-Saunders test confirmation tests

speed test, yergason test