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Shoulder Special Tests

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Special Test
Tests for...
Positive (+) Test
Anterior Drawer Test (Shoulder)   Tests for anterior instability   show
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Posterior Drawer (Shoulder)   show clicking and/or posterior subluxation  
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Jobe Relocation Test   show decreased pain and discomfort when humeral head is relocated (A/P)  
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Apprehension Test   instability   show
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Clunk Test   labral tear   show
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show multi-directional instability   increased gapping as the humeral head displaces inferiorly  
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show AC and/or coracoclavicular ligement sprain   pain or laxity at AC joint  
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AC Distraction   AC and/or coracoclavicualr ligament sprain   show
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show labrum tear   pain and/or obvious deformity (step-off, piano key)  
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show 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   show
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show supraspinatus weakness, impingement   decreased strength on involved side; pain with resistance  
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Active Impingement   Impingement of active structures in shoulder   show
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Hawkins-Kennedy   show pain upon IR  
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Neer Impingement   show pain with motion, especially near terminal end point  
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SC stress test   SC ligament sprain and instability   show
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Gerber Lift-Off   show inability to lift hand off of spine; pain with movement  
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show biceps tendinitis   pain @ bicipital groove and/or weakness in shoulder FLEX  
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show biceps tendonitis or subluxation   pain with movement or "popping" as tendon subluxes  
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show 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   show
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Allen   show diminished/absent radial pulse  
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Military Brace   (TOS) compression of subclavian a. by costoclavicular structures   show
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Roos   Thoracic Outlet Syndrome   show
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show 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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show 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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show AC joint instability   (blank)  
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Appleys scratch test   adduction/IR or abduction/ER   show
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