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Flashcards in UE Exam Deck (40)
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1

What do you all need to palpate on a shoulder exam?

Sternoclavicular joint
Supraclavicular fossa
AC joint
Scapular spine
Supraspinatus
Infraspinatus
Acromion process
Rotator cuff
Greater tuberosity
Intertubercular groove
Anterior joint

2

Testing Motor Strength of Upper Extremity

Flexion/extension
External/internal rotation
Forward elevation
Abduction
Internal rotation

3

Specific Cervical Spine Tests

Spurling's
Reverse Spurling's
L'Hermitte's sign
Adson test
Babinski

4

Describe Spurling's/Reverse Spurling's Test

Spurling's: compression of cervical nerve & pain shoots down ipsilateral arm
Reverse Spurling's: compression of cervical nerve & pain shoots down contralateral arm

5

Describe L'Hermitte's Sign

Passive or active neck flexion elicits a pain/electric sensation shooting down back or into the legs

6

What is Adson's test, testing for?

Thoracic outlet syndrome

7

Describe Adson's Test

When extension at the shoulder demonstrates an absent or diminished pulse

8

Describe Hoffman's Test

Have patient relax hand
Flick nail of middle finger
Muscles in hand should not flex

9

What does a positive Hoffman's test indicate?

There is a lesion that originates in the CNS & is not a radiculopathy or peripheral nerve lesion

10

Shoulder Impingement Tests

Neer's
Hawkin's

11

Subscapularis Tests

Belly press
Lift off
Bear hug

12

Supraspinatus Tests

Empty can
Drop test

13

Should Instability/Dislocation Tests

Apprehension
Sulcus
Jobe's relocation

14

Shoulder Labral Lesion Tests

Speed's
Yergason's

15

AC Joint Separation Test

Cross arm test

16

Describe Neer's Test for Impingement

Pronation of the arm
Hold scapula in blace
Passively flex the patient's arm at the shoulder

17

Describe Hawkin's Test for Impingement

Forward flexion of arm at 90 degrees
Elbow flexion at 90 degrees
Internal rotation of arm

18

Describe the Bear Hug Test

Place patient's hand on opposite shoulder
Try to lift the patient's hand off of their shoulder

19

Describe the Belly Press Test

Place patient's hand on stomach
Try to pull patient's hand away from stomach

20

Describe the Lift-Off Test

Place patient's hand in small of back
Have patient push away examiner's hand

21

Describe Drop Arm Test

Passively abduct patient's arm to 90 degrees
Have patient smoothly bring arm back to side

22

Describe Positive Drop Arm Test

Rachel like movement of arm down
Pain in the upper shoulder

23

Describe Empty Can Test

Flexion of arm in scapular plane
Internal rotation of arm & pronation of hand
Try to push patient's arm down

24

Describe Apprehension Test

Patient in supine position
90 degree abduction of arm
90 degree flexion of elbow
Externally rotate arm

25

Describe Jobe's Relocation Test

Same as apprehension test with pressure on the humeral head at the glenohumeral joint
Try to remove hand from joint and patient will feel like shoulder will pop out

26

Describe Posterior Apprehension Test

Forward flexion of arm to 90 degrees
Flexion of elbow at 90 degrees
Stabilize scapula with on hand
Push down on elbow/forearm with other hand

27

Describe Speed's Test

Patient in anatomic position
Have patient perform forward flexion
Resist patient's flexion
Do same test with patient's arm pronated

28

Describe Yergason's Test

Elbow flexion to 90 degrees
Grasp hand
Patient supinates against resistance

29

Describe the Cross Arm Test

Forward flexion of arm to 90 degrees
Cross arm across body

30

Instability Elbow Tests

Varus
Valgus