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