Studied by 24 people
Tests for AC Seperation
piano key sign, inward pressure
piano key sign test
push on the distal end of the clavicle where it meets the acromion, positive is clavicle movement(like a piano key!)
Inward pressure test
Hands on superior border of scapula and the clavicle and squeeze your hands together, positive sign is complaint of pain
Tests for Impingement Syndrome
Hawkins-Kennedy test, Forced flexion test(yocum test)
Impingement Syndrome
In the subacromial space, the supraspinatus muscle tendon, the subdeltoid, and the subacromial bursa can get pinched since there’s space between the humerus and the scapula (correct me if I’m wrong)
Hawkins-Kennedy test
arm to flexion, parallel to ground, internal rotate, positive sign is pain
Forced flexion test(yocum test)
Injured arm on opposite shoulder, press elbow up(like smelling the elbow pit) ,positive sign is pain
Tests for Biceps Tendon subluxation
Yergason’s Test (Internal Rotation), Speed’s Test
Biceps tendon subluxation
The biceps tendon lives in the intertubercular groove and subluxation is when it comes out the groove (the picture is how it SHOULD be)
Yergason’s test (Internal Rotation)
injured side elbow flexion 90% pronation and next to body, then ask to supinate and resist movement while you palpate biceps tendon, positive sign is feeling the subluxation?? hold bottom of humerus from back and external rotate shoulder while they resist, if biceps tendon was gonna sublux would cause it to sublux
Speed’s test
arm in flexion, supinated, press down but tell them to resist, would be a sharp pain if positive
Tests for tears of the rotator cuff tendon
drop arm test, empty can test (Jobe Test)
drop arm test
Arm straight out to their side, external rotation, support arm and tell them you'll let go and try not to drop it, second level drop slowly, positive sign is dropping it
empty can test (jobe test)
Arms out(not straight front or side, mid between), move arm down to internal rotation like emptying a can, Then push down and have them resist, Torn supraspinatus arm would come down, positive sign is arm dropping
Tests for glenohumeral instability (if history hints at shoulder dislocation)
apprehension (crank) test, load and shift test, sulcus test
apprehension (crank) test
elbow abduction and external rotation, positive sign is a pained face since basically recreating the injury moment, don’t tell them that though!
load and shift test
seated position, arm supported on pillow, shoulder slightly abducted, elbow flexion 90%, load shoulder into glenoid fossa. hold arm, press humeral head into glenoid fossa,normal movement up to 25%, grade 1 laxity up to 50%, grade 2 over 50%, positive sign is excessive movement
sulcus test
be able to see shoulder, pull down on arm and try to see a gap b/w head of humerus and acromion, positive sign is a sulcus(narrow hole-like, groove)
Test for winging scapula
pushup against the wall, scapula move inwards toward spine, a little out when pushing back up, but there should be no lift of medial border, which is a positive sign
Tests for thoracic outlet syndrome
Adson’s test (Anterior scalene syndrome), Allen test (Hyperabduction syndrome), Eden’s test/Military brace test (Costoclavicular syndrome)
Adson’s test for anterior scalene syndrome(There are scalene muscles from upper cervical to upper ribs, blood vessels go b/w those muscles, compressed nerves and stuff)
Seated patient
Find pulse
Extend arm
Chin up
Turn head toward us
Take breath and hold
Feel for pulse to check if there’s still a pulse
Loss of pulse is positive sign
Allen test for hyperabduction syndrome(pectoralis minor compressing)
Take pulse
Elbow flex 90
Horizontal abduct
external rotate shoulder
Head opposite way
Take pulse
Loss of pulse is positive sign
Eden’s test/Military brace test for costoclavicular syndrome(rib and clavicle space)
Standing patient
Take pulse
Retract shoulders, pull shoulder back
Abduct arm and extend
Look opposite way
Loss of pulse is positive sign
Note
Flashcard