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48 Cards in this Set
- Front
- Back
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Torn rotator cuff/Impingement tests |
-Empty can -Full can -Drop Arm |
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Impingement tests |
-Neer test -Painful arc |
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Torn labrum/Instability tests |
-Yergason's test -Apprehension test -Clunk test -Sulcus sign |
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Adhesive capsulitis/OA tests |
-Shrug sign |
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Unlar nerve entrapment tests |
-Tinel's sign |
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Elbow instability tests |
-Varus stress test -Valgus stress test |
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Biceps tear tests |
-Biceps squeeze test |
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Lateral/medial epicondylitis tests |
-Cozen's test -Resisted tennis elbow test |
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Thumb tenosynivitis tests |
-Finkelstein's test |
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Carpal tunnel syndrome test |
-Phalen's test -Percussion test |
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Empty can test |
-rotator cuff tear -all stages of impingment syndrome from bursitis through a rotator cuff tear |
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Performing an empty can test |
-pt elevates arms to 90 deg. -adducts 30 deg. (scapular plane) -thumbs pointed down -examiner provides downward resistance on pt's arms -a positive test is weakness, pain, or both |
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Full can test |
-supraspinatus tear |
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Performing a full can test |
- pt elevates arms to 90 deg. with thumbs pointed up (arms straight out to side) -examiner provides downward resistance to arms -a positive test is weakness, pain, or both |
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Drop arm test |
-supraspinatus tear -subacromial impingement |
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Performing a drop arm test |
-pt is standing with examiner to side -examiner passively abducts pt's shoulder to 90 deg. -examiner releases arm and instructs pt to slowly lower arm -a positive test is the inability of the pt to lower the arm |
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Neer test |
-subacromial impingement -subacromial bursitis (SAB) -rotator cuff tear -superior labral tear |
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Performing a neer test |
-pt is seated with examiner standing to side -the examiner raises the pt's arm into flexion while stabilizing the scapula -the examiner applies forced flexion toward end-range -a positive test if concordant shoulder pain is present |
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Painful arc test |
-all stages of subacromial impingement -can also be used to test for an AC joint disorder |
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Performing a painful arc test |
-pt is standing facing examiner -pt instructed to abduct shoulder -a positive test is pain in the 60-120 deg. range -pain outside of this range is a negative test -pain that increases in severity as the arm reaches 180 deg. is indicative of an AC joint disorder |
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Yergason's test |
-subacromial impingement -SLAP lesion -any labral lesion -long head of the biceps pathology |
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performing a yergason's test |
-pt sitting or standing -pt's elbow is flexed to 90 deg. and forearm is pronated with upper arm at the side -pt instructed to supinate (and ER) while examiner concurrently resists -a positive test if there is concordant pain to the bicipital groove |
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Apprehension test |
-anterior instability -all instabilities of the GH joint -labral tear -SLAP lesion |
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Performing an apprehension test |
-pt is standing or supine -examiner is either behind or to the side -examiner maximally ER the humerus with shoulder in 90 deg. of abduction -forward pressure is then applied to the posterior aspect of the humeral head -a positive test is apprehension or pain |
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Clunk test |
-labral tear -superior labral tear |
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Performing a clunk test |
-pt is supine -examiner hold the posterior humeral head with one hand and the medial distal humerus with the other -examiner abducts the pt's shoulder to end-range -a posterior to anterior force is applied the the posterior humeral head and ER -a positive test is indicated by a "cluck" or a grinding |
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Sulcus sign |
-inferior laxity -superior labral tear |
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Performing a sulcus sign |
-pt sitting -examiner grasps the elbow and pulls downward |
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Shrug sign |
-OA -adhesive capsulitis |
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Performing a shrug sign |
-pt is asked to raise the arm (flexion or abduction) -a positive test is when the pt shrugs with the movement |
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Tinel's sign |
-cubital tunnel syndrome |
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Performing a tinel's sign |
-examiner applies 4-6 taps to pt's ulnar nerve just proximal to the cubital tunnel -a positive test is the reproduction of symptoms along the ulnar nerve |
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Varus stress test |
-integrity of the lateral collateral complex |
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Performing a varus stress test |
-pt seated or standing with elbow fully extended -examiner holds the pt's elbow and the wrist -an adduction (varus) force applied while palpating the lateral colleteral ligament of the elbow -pt's elbow is flexed 20-30 deg. and force is applied again -a positive test is reproduction of distraction pain laterally and compression pain medially at the joint line and laxity with stress |
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Valgus stress test |
-elbow instability |
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Performing a valgus stress test |
-pt seated or standing with elbow fully extended -examiner holds the pt's elbow and the wrist -an abduction (valgus) force applied while palpating the medial colleteral ligament of the elbow -pt's elbow is flexed 20-30 deg. and force is applied again -a positive test is reproduction of distraction pain medially and compression pain laterally at the joint line and laxity with stress |
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Biceps squeeze test |
-distal biceps tendon rupture |
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Performing a biceps squeeze test |
-pt is seated with forearm resting comfortable in lap -elbow flexed approx. 60-80 deg. and forearm in slight pronation -examiner squeezed the biceps firmly with one hand at the distal myotendinous junction and other around the muscle belly -a positive test is lack of forearm supination |
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Cozen's test |
-lateral or medial epicondylitis |
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Performing a cozen's test |
-pt sitting or standing -examiner palpates the lateral epicondyle with thumb -pt makes a fist with forearm pronated and radially deviated -pt extends wrist against a force applied by examiner (flexed for medial epicondylitis) -a positive test is a reproduction of pain along the lateral epicondyle (medial for medial epicondylitis) |
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Resisted tennis elbow test |
-lateral epicondylitis |
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Performing a resisted tennis elbow test |
-pt is seated -pt extends 3rd digit (middle finger) against resistance applied by examiner -a positive test is a reproduction of pain along the lateral epicondyle |
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Finkelstein's test |
-thumb tenosynitivits |
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Performing Finkelstein's test |
-pt makes a fist with thumb inside fingers -examiner stabilizes the forearm and performs ulnar deviation -a positive test is indicated by pain over the abductor pollicis longus and extensor pollicis brevis tendons at the wrist |
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Phalen's test |
-carpal tunnel syndrome |
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Performing Phalen's test |
-reverse prayer -hold for 1 minute -a positive test is the reproduction of symptoms along the distribution of the median nerve |
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Percussion test |
-carpal tunnel syndrome |
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Performing percussion test |
-pt's wrist is placed in neutral -examiner taps on the median nerve when it enters the carpal tunnel -a positive test reproduces symptoms of paresthesia along the median nerve distribution |
