Shoulder

Question 1

Bony Palpation

Answer 1

sternoclavicular articulation
clavicle
acromioclavicular articulation
acromion process
spine of the scapula
body of the scapula
scapulothroacic articulation
coracoid process
greater tuberosity
bicipital groove
lesser tuberosity

Question 2

Soft Tissue Palpation

Answer 2

Prominent Muscles
- sternocleidomastoid
- biceps
- deltoid
   • anterior
   • middle
   • posterior
- trapezius
- rhomboid
   • major
   • minor

Rotator Cuff Muscles

• supraspinatus
• infraspinatus
• teres minor
• subscapularis

Subacromial bursa
Subdeltoid bursa

Axillary borders

• pectoralis major
• latissimus dorsi
• serratus anterior
• axillary lymph nodes
• bicipital tendon

Question 3

Dugas Test

Answer 3

( + ) Inability to touch the opposite shoulder and/or inability of the elbow to touch the chest

( i ) Acute dislocation of the glenohumeral joint

Question 4

Anterior Apprehension Test

Answer 4

( + ) Patient will have a noticeable look of apprehension or alarm on their face with possible pain

( i ) Chronic anterior dislocation of the glenohumeral joint

Question 5

Posterior Apprehension Test

Answer 5

( + ) Patient will have a noticeable look of apprehension or alarm on their face with possible pain

( i ) Chronic posterior disloaction of the glenohumeral joint

Question 6

Drop Arm Test

Codman’s Drop Arm Test

Answer 6

( + ) Inability to lower the arm slowly or the arm drops suddenly

( i ) Rotator cuff tear, usually supraspinatus

Question 7

Dawbarn Test

Answer 7

*Initial palpation elicits pain or tenderness at the subacromial bursa

( + ) Decrease in pain and/or tenderness

( i ) Subacromial bursitis

Question 8

Yergason Test

Cipriano

Answer 8

( + ) a. Localized pain or tenderness in the bicipital groove

( i ) a. Bicipital tendonitis
- - - - - - - - - - - - - - - - - -
( + ) b. Audible click or dislocation of biceps tendon

( i ) b. instability of the biceps tendon possibly associated with a torn transverse humeral ligament

Question 9

Abbott-Saunders Test

Answer 9

( + ) Audible or palpable click

( i ) Subluxation or dislocation of the biceps tendon due to a rupture of transverse ligament or tendon subluxation beneath the subscapularis muscle belly

Question 10

Speed Test

Answer 10

( + ) Pain and/or tenderness in the bicipital groove

( i ) Bicipital tendonitis

Question 11

Apley Test

Apley Scratch Superior/Inferior

Answer 11

( + ) Exacerbation of pain

( i ) Degenerative tendonitis of rotator cuff tendons, usually supraspinatus

Question 12

Impingement Sign

Answer 12

( + ) Pain in the shoulder

( i ) Overuse injury to the supraspinatus and possibly biceps tendon

Question 13

Range of Motion

Answer 13

Flexion   180° 
Extension   60° 
Abduction   180° 
Adduction   50° 
External rotation   90°
Internal rotation   70°

Scapular retraction
Scapular protraction
Scapular elevation