Shoulder Special Tests
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Anterior Drawer Test (Shoulder) | Tests for anterior instability | (+) sign is clicking and/or anterior subluxation
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| Posterior Drawer (Shoulder) | posterior GH instability | clicking and/or posterior subluxation
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| Jobe Relocation Test | anterior instability | decreased pain and discomfort when humeral head is relocated (A/P)
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| Apprehension Test | instability | pain, discomfort, look of apprehension on patient's face, feeling that shoulder will dislocate
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| Clunk Test | labral tear | grinding or palpable "clunk" in shoulder with movement
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| Sulcus Sign | multi-directional instability | increased gapping as the humeral head displaces inferiorly
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| AC Compression | AC and/or coracoclavicular ligement sprain | pain or laxity at AC joint
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| AC Distraction | AC and/or coracoclavicualr ligament sprain | pain with or without passive movement
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| Grind Test | labrum tear | pain and/or obvious deformity (step-off, piano key)
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| Drop Arm | rotator cuff patholgy | inability to lower arm in a controlled manner from 90 to 0 degrees (ADD)
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| O'Brien (Active Compression) | SLAP Lesion | pain with IR but decreased with ER; pain/clicking with movement
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| Empty Can | supraspinatus weakness, impingement | decreased strength on involved side; pain with resistance
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| Active Impingement | Impingement of active structures in shoulder | pain in mid-arc of ROM
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| Hawkins-Kennedy | impingement of the supraspinatus tendon | pain upon IR
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| Neer Impingement | impingement of biceps or supraspinatus tendon | pain with motion, especially near terminal end point
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| SC stress test | SC ligament sprain and instability | elbows do not touch the table (active test)
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| Gerber Lift-Off | subscapularis weakness/pathology | inability to lift hand off of spine; pain with movement
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| Speed's | biceps tendinitis | pain @ bicipital groove and/or weakness in shoulder FLEX
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| Yergason's | biceps tendonitis or subluxation | pain with movement or "popping" as tendon subluxes
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| Ludington's | biceps tendon rupture | tendon can not be palpated; no active biceps contraction
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| Adson's Maneuver | compression of subclavian a. by scalenes | diminished/absent radial pulse
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| Allen | (TOS) compression of NV by pectoralis minor | diminished/absent radial pulse
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| Military Brace | (TOS) compression of subclavian a. by costoclavicular structures | diminished/absent radial pulse
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| Roos | Thoracic Outlet Syndrome | Inability to maintain test position, diminished motor function, and/or loss of sensation
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| Load/Shift Test | translation: 25-50% = grade1 >50% w/reduction = grade 2 >50% w/o reduction = grade 3 | Inability to maintain test position, diminished motor function, and/or loss of sensation
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| Cross-over impingement test | shoulder impingement | superior pain indicative of AC joint pathology; anterior pain indicates subscapularis, biceps tendon, or supraspinatus pathology; posterior pain indicates infraspinatus, teres minor or posterior capsule pathology
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| piano key sign | AC joint instability | (blank)
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| Appleys scratch test | adduction/IR or abduction/ER | (blank)
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Created by:
tmsavage
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