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
Dugas test positive
inability to touch the opposite shoulder and/or inability of the elbow to touch the chest
Dugas test indicates
acute dislocation of the shoulder
Dugas test confirmation tests
apprehension test, radiography
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
anterior apprehension test positive
patient will have a noticeable look of apprehension or alarm on their face with possible pain
anterior apprehension test indicates
chronic anterior dislocation of the shoulder
anterior apprehension test confirmation tests
dugas test, radiography
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
posterior apprehension test positive
patient will have a noticeable look of apprehension or alarm on their face with possible pain
posterior apprehension test indicates
chronic posterior dislocation of the glenohumeral joint
posterior apprehension test confirmation tests
dugas test, radiography
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
drop arm test aka codman drop arm test positive
patient will not be able to lower the arm slowly or the arm drops suddenly
drop arm test aka codman drop arm test confirmation tests
apley scratch, impingement sign
dawbarn test
deep palpation of shoulder elicits well localized tender area by subacromial bursa
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
dawbarn test positive
decrease in pain and or tenderness
dawbarn test indicates
subacromial bursitis
dawbarn test confirmation tests
MRI
drop arm test indicates
rotator cuff tear, usually supraspinatus
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.
Yergason test positive
- localized pain and or tenderness at the bicipital groove
2. audible click or the biceps tendon subluxes or dislocates
yergason test indicates
- tendinitis
2. instability of thebiceps tendon possibly associated with a torn transverse humeral ligament
yergason test confirmation tests
abbott-saunders test, speed test
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
Abbott-Saunders test positive
palpable or audible click
Abbott-Saunders test indicates
subluxation or dislocation of the biceps tendon
Abbott-Saunders test confirmation tests
speed test, yergason test