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UE Special tests
NPTE Musculoskeletal
Question | Answer | ||
---|---|---|---|
Yergason's Test | * transverse lig/bic tendonitis. | P= sho neutral, elb 90d, FA pron. Resist SUP/ER of sho | .+ biceps pops out, pain |
Speed's | bicipital tendonitis | P= UE full EXT, FA SUP. or Sho 90d FLEX, resist EXT | + pain biceps tendon |
Neer's | impingement LHB or SupraS | sitting. Sho passive IR then ABD | pain in shoulder |
Supraspinatus/Empty Can | tear or impingement of SupraS or possible suprascapular nerve neuropathy | P= Sho ABD resisted without rotation. Sho ABD resisted with IR/scapular plane | + pain or weakness in empty can position |
Drop Arm Test | tear/rupture of RTC | P= sho passively ABD to 120d. Instruct to slowly lower. | + unable to perform |
Posterior internal impingement test | impingement of RTC and Gtr tub or post glenoid and labrum | P= Supine. sho 90d ABD, max ER, 15d HADD | + pain in posterior sho |
Clunk test | glenoid labrum tear | P= supine. sho full ABD. push humeral head anterior while ER | + clunk |
Anterior apprehension sign | Hx of anterior sho d/l | P= Supine. sho 90d ABD, slowly add ER. | + apprehension |
Posterior apprehension sign | hx of posterior sho d/l | P= Supine. sho ABD 90d in scapular plane. Posterior force thru elbow with simult IR/HADD | + apprehension |
AC shear test | ACJ dysfunction | P= clasp hands and place heel of one on scap spine, other on clavicle. Squeeze to compress ACJ | + pain in ACJ |
Adson's test | thoracic inlet | P: Sitting, find radial pulse. IL Cx rotation. EXT/ER sho with Cx EXT. | + neuro/vascular symptoms |
Costoclavicular syndrome test (military brace) | thoracic inlet | P= sitting. find radial pulse. move sho down & back | + neuro/vascular symptoms |
Wright hyperabduction test | thoracic inlet | P= sitting. find radial pulse. Sho max ABD/ER. deep breath, rotate Cx opp side. | + neuro/vascular symptoms |
Roos elevated arm test | thoracic inlet | P= standing. Sho ER, 90d ABD, sl HADD, elbows 90d FLEX. Pt opens/closes hands for 3min slowly | + neuro/vascular symptoms |
Elbow ligament instability | Varus force + laxity in radial collateral. Valgus force + ulnar collateral. | Elbow 0-20d flexion. Valgus/varus force | |
Tennis elbow test | lateral epicondylitis + pain | Elbow 90d flexion and supported. resist Wrist EXT/RD and forearm PRON with fist | |
Golfer's elbow test | Medial epicondylitis + pain | sitting with elbow 90d FLEX. Passively SUP, EXT elbow, EXT wrist. | |
tinel's | Ulnar nerve irritation | tap ulnar nerve at cubital tunnel | |
Pronator teres syndrome test | median nerve entrapment in pronator teres | Resist forearm PRON and elbow EXT simultaneously | |
Finkelstein's test | DeQuervain's tenosynovitis of APL or EPB | make fist with thumb inside, ulnar deviation | |
Bunnel-Littler test | MCP structure tightness. Tight capsule - both parts. Tight intrinsic mm if less with MCP EXT | MCP stabilized in sl EXT while PIP FLEX. Then MCP FLEX and PIP FLEX. | |
Froment's sign | ulnar nerve dysfunction - weakness of ADD pollicis | Pt grasps paper between 1st & 2nd digits. Pull paper out and watch for IP flexion of thumb. | |
Tinel's at wrist | CT compression of median nerve | tap CT | |
Phalen's | CTS | max FLEX both wrists x1min | |
Allen's test | vascular compromise | ID radial & ulnar arteries. Open/close fingers serveral times and then make fist. Occlude ulnar artery and open hand. observe for vascular filling. Repeat for radial |