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Shoulder Special Tests

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Special Test
Tests for...
Positive (+) Test
Anterior Drawer Test (Shoulder)   show (+) sign is clicking and/or anterior subluxation  
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show posterior GH instability   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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show instability   pain, discomfort, look of apprehension on patient's face, feeling that shoulder will dislocate  
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Clunk Test   labral tear   show
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Sulcus Sign   show 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   show pain with or without passive movement  
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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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show impingement of the supraspinatus tendon   pain upon IR  
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show impingement of biceps or supraspinatus tendon   pain with motion, especially near terminal end point  
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show SC ligament sprain and instability   elbows do not touch the table (active test)  
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Gerber Lift-Off   subscapularis weakness/pathology   show
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Speed's   show pain @ bicipital groove and/or weakness in shoulder FLEX  
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Yergason's   biceps tendonitis or subluxation   show
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Ludington's   show tendon can not be palpated; no active biceps contraction  
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show compression of subclavian a. by scalenes   diminished/absent radial pulse  
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Allen   show diminished/absent radial pulse  
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Military Brace   show diminished/absent radial pulse  
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Roos   Thoracic Outlet Syndrome   show
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Load/Shift Test   translation: 25-50% = grade1 >50% w/reduction = grade 2 >50% w/o reduction = grade 3   show
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Cross-over impingement test   show 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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piano key sign   show (blank)  
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Appleys scratch test   show (blank)  
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Created by: tmsavage
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