UE Special tests

Question 1

What does a positive Sulcus at 0* indicate?

Answer 1

Superior GH lig laxity,

MDI

Question 2

What does a positive Sulcus at 90* indicate?

Answer 2

Inferior GH lig laxity,

MDI

Question 3

What does a positive Anterior Load and Shift indicate?

Answer 3

Anterior capsule instability

Question 4

What does a positive Posterior load and shift indicate?

Answer 4

Posterior capsule instability

Question 5

What does a positive compression rotation indicate?

Answer 5

SLAP lesion

Question 6

What does a positive Anterior/Posterior slide indicate?

Answer 6

Anterior pain = Anterior Superior SLAP lesion

Posterior pain = Posterior Superior SLAP lesion

Question 7

What does a positive Speed’s Sign indicate?

Answer 7

Advanced tendonitis of LHBT if pain with resistance

pain on palpation of tendon may indicate early stages of inflammation

Question 8

What does a positive O’Brien’s indicate?

Answer 8

Top of shoulder pain - AC joint lesion

Deep shoulder pain at attachment of the bicipital tendon to the sup labrum = SLAP lesion

Question 9

What does a positive Yergason’s test indicate?

Answer 9

Tear or laxity to t to transverse humeral ligament

Pain without snapping indicative of bicipital tendonitis

Question 10

What does a positive AP shear test indicate?

Answer 10

Degenerative changes in the AC joint or damage to the AC and/or coracoclavicular ligament

Question 11

What does a positive Neer’s Test indicate?

Answer 11

Impingement of the supraspinatus or LHBT between the greater tuberosity and the inferior side of the acromion and coracoacromial ligaments

Question 12

What does a positive Hawkins and Kennedy test indicate?

Answer 12

Supraspinatus impingement between the greater tuberosity and inferior side of the acromion process

Question 13

What does a positive coracoid test indicate?

Answer 13

Medial pain = subscapularis or LHBT

Lateral pain = supraspinatus

Question 14

What does a positive cross-over test indicate?

Answer 14

Anterior pain = Subscapularis or LHBT
Lateral pain = Supraspinatus
Superior pain = AC joint
Posterior pain = posterior cuff (infraspinatus, teres minor) or posterior capsule

Question 15

What does a positive Drop Arm I indicate?

Answer 15

Supraspinatus rotator cuff pathology, full thickness

Question 16

What does a positive Drop Arm II indicate?

Answer 16

Supraspinatus rotator cuff pathology, full thickness

Question 17

What does a positive external rotation lag sign indicate?

Answer 17

Part I implicates Infraspinatus

Part II implicates Supraspinatus

Question 18

What does a positive drop sign indicate?

Answer 18

Infraspinatus tendon tear

Question 19

What does a positive internal rotation lag sign indicate?

Answer 19

Subscapularis tendon tear

Question 20

What does a positive apprehension sign indicate?

Answer 20

Anterior capsule and/or glenoid labrum instability

Question 21

What does a positive jobe subluxation/ relocation indicate?

Answer 21

Anterior = anterior shoulder micro instability
posterior = internal impingement syndrome

Question 22

What does a positive posterior glide at 0* indicate?

Answer 22

Posterior instability of the shoulder

Question 23

What does a positive jerk test indicate?

Answer 23

Recurrent posterior instability

Question 24

What does a positive posterior glide at 90* indicate?

Answer 24

Posterior instability of the shoulder

Question 25

What does a positive Clunk I indicate?

Answer 25

Anterior/ inferior torn labrum (Bankhart)

Question 26

What does a positive Clunk II indicate?

Answer 26

Anterior inferior labral lesion

Question 27

What does a positive crank test indicate?

Answer 27

glenoid labral tears

Question 28

What does a positive Spurling’s test indicate?

Answer 28

Cervical radiculopathy

+ = reproduction of symptoms during compression (15 pounds) and lateral flexion

Question 29

What does a positive Quadrant test indicate?

Answer 29

cervical radiculopathy
+ = reproduction of symptoms during compression (15 pounds), lateral flexion, slight extension, and slight rotation to side of lat flex