Physical Examiation

Question 0

Which muscles & nerves are having their integrity tested in the Apley scratch test?

Answer 0

• aBduction: deltoid (axillary n.), supraspinatous (suprascapular n.)
• Lateral Rotation: infraspinatous (suprascapular n.), teres minor (axillary n)
• Medial Rotation: teres major (lower subscapular n.) subscapularis (subscapular nn.) latissimus dorsi (thoracodorsal n.)
• aDduction: teres major (lower subscapular n.), latissimus dorsi

Question 1

Which directions of mobility does the Apley “scratch” test determine?

Answer 1

Patient’s range of motion

1) aBduction & external rotation- reach behind head, touch superior medial angle of scapula
2) aDduction & internal rotation- reach across chest and touch opposite acromion

Question 2

What does the Yearguson test determine?

Answer 2

Stability of long head of brachii tendon within the intertubercular groove

Question 3

What does the drop arm test determine?

Answer 3

Tears in the rotator cuff

Question 4

Which muscles and nerves have their integrity tested in the drop arm test?

Answer 4

1) Teres minor - axillary n.
2) Infraspinatus - suprascapularis n.
3) Supraspinatus - suprascapularis n.
4) Subscapularis - subscapular n.

Question 5

Which internal organs may refer pain to the shoulder region?

Answer 5

Heart & lungs, sometimes the liver