Shoulder Special Tests Flashcards Preview

Orthopedic Diagnosis > Shoulder Special Tests > Flashcards

Flashcards in Shoulder Special Tests Deck (29)
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1
Q

Dugas test instruct

A

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
Q

Dugas test positive

A

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

3
Q

Dugas test indicates

A

acute dislocation of the shoulder

4
Q

Dugas test confirmation tests

A

apprehension test, radiography

5
Q

anterior apprehension test instruct

A

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

6
Q

anterior apprehension test positive

A

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

7
Q

anterior apprehension test indicates

A

chronic anterior dislocation of the shoulder

8
Q

anterior apprehension test confirmation tests

A

dugas test, radiography

9
Q

posterior apprehension test instruct

A

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
Q

posterior apprehension test positive

A

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

11
Q

posterior apprehension test indicates

A

chronic posterior dislocation of the glenohumeral joint

12
Q

posterior apprehension test confirmation tests

A

dugas test, radiography

13
Q

drop arm test aka codman drop arm test instruct

A

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
Q

drop arm test aka codman drop arm test positive

A

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

15
Q

drop arm test aka codman drop arm test confirmation tests

A

apley scratch, impingement sign

16
Q

dawbarn test

A

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

17
Q

dawbarn test instruct

A

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
Q

dawbarn test positive

A

decrease in pain and or tenderness

19
Q

dawbarn test indicates

A

subacromial bursitis

20
Q

dawbarn test confirmation tests

A

MRI

21
Q

drop arm test indicates

A

rotator cuff tear, usually supraspinatus

22
Q

Yergason test (cipriano) instruct

A

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
Q

Yergason test positive

A
  1. localized pain and or tenderness at the bicipital groove

2. audible click or the biceps tendon subluxes or dislocates

24
Q

yergason test indicates

A
  1. tendinitis

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

25
Q

yergason test confirmation tests

A

abbott-saunders test, speed test

26
Q

Abbott-Saunders test instruct

A

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
Q

Abbott-Saunders test positive

A

palpable or audible click

28
Q

Abbott-Saunders test indicates

A

subluxation or dislocation of the biceps tendon

29
Q

Abbott-Saunders test confirmation tests

A

speed test, yergason test