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Flashcards in MSK UE Special Tests Deck (47)
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1

Special Tests for Shoulder Dislocation (2)

1. Apprehension Test, Anterior

2. Apprehension Test, Posterior

2

Special Tests for Biceps Tendon Pathology (3)

1. Ludington's Test

2. Speed's Test

3. Yergason's Test

3

Special Tests for RTC Pathology/Impingement (4)

1. Drop Arm Test

2. Hawkins-Kennedy Impingement Test

3. Neer Imingement Test

4. Supraspinatus Test

4

Special Tests for Thoracic Outlet Syndrome (5)

1. Adson maneuver

2. Allen test

3. Costoclavicular syndrome test

4. Roos test

5. Wright test (hyperabduction test)

5

Special Tests for Elbow Instability (2)

1. Varus stress test

2. Valgus stress test

6

Special Tests for Epicondylitis (4)

1. Cozen's test

2. Lateral epicondylitis test

3. Medial epicondylitis test

4. Mill's test

7

Special Tests for Wrist/Hand Instability

1. Ulnar collateral ligament instability test

 

8

Special Tests for Vascular Insufficiency (2)

1. Allen test

2. Capillary refill test

9

Special Tests for Wrist/Hand Contracture/Tightness (2)

1. Bunnel-Littler test

2. Tight retinacular ligament test

 

10

Special Tests for Wrist/Hand Neurological Dysfunction (3)

1. Froment's sign

2. Phalen's test

3. Tinel's sign

11

Special Tests for C-Spine (2)

1. Foraminal compression test

2. Vertebral artery test

12

Apprehension Test for Anterior Shoulder Dislocation 

Pt. supine, shoulder ABD 90, elbow 90

Rotate shoulder into ER

+ = look of apprehension or facial grimace prior to end range

Indicates: anterior shoulder dislocation

13

Apprehension Test for Posterior Shoulder Dislocation 

Pt. supine, shoulder flex 90, elbow 90 (across chest)

Apply AP pressure through humeral shaft

+ = look of apprehension or facial grimace prior to end range

Indicates: posterior shoulder dislocation

14

Ludington's Test

Pt. seated, hands interlocked behind their head

Ask pt. to contract and relax biceps 

+ = absence of movement in the biceps tendon OR increased pain

Indicates: rupture of long head of biceps OR tendinitis of long head of biceps

15

Speed's Test

Pt. seated, shoulder flexed 90, elbow straight, forearm supinated

Palpate at biciptal groove, ask pt. to resist shoulder flexion

+ = pain/tenderness in biciptal groove region

Indicates: biceps tendonitis

16

Yergason's Test

Pt. seated with elbow flexed 90, forearm pronated, humerus against thorax

Palpate at biciptal groove, have pt. resist supination and ER

+ = pain/tenderness in biciptal groove

Indicates: bicep tendonitis

17

Drop Arm Test

Pt. seated with shoulder passively ABD to 90

Ask patient to hold arm in place OR slowly lower arm

+ = arm drops or fails to slowly lower

Indicates: RTC tear

18

Hawkins Kennedy Test

Pt. seated, shoulder passively flexed to 90, elbow bent, and shoulder IR

+ = pain

Indicates: supraspinatus impingement

19

Neer Test

Pt. seated, shoulder IR and passively flexed

+ = pain

Indicates: supraspinatus impingement

20

Supraspinatus (Empty Can) Test

Pt. seated shoulder ABD 90, horizontally ADD 30 and IR

Have pt. resist ABD

+ = weakness or pain

Indicates: tear of supraspinatus tendon, impingement, or suprascapular nerve involvement

21

Adson Maneuver

Pt. seated, located radial pulse

Ask pt. to rotate head toward testing side, then extend head while therapist ER and extends the shoulder

+ = absent or diminished radial pulse

Indicates: thoracic outlet syndrome

22

Allen Test

Pt. seated with shoulder ABD 90, ER, and elbow flexed

Pt. asked to rotate head away from test shoulder while therapist monitors readial pulse

+ = absent or diminished pulse

Indicates: thoracic outlet syndrome

23

Costoclavicular Syndrome Test

Pt. standing, located radial pulse.

Have pt. retract and depress shoulders, then move arm into 30 deg of extension and abduction, ask pt. to hyperextend neck

+ = absent or diminished pulse

Indicates: thoracic outlet syndrome caused by compression of subclavian artery between clavicle and 1st rib

24

Wright (Hyperabduction) Test

Pt. seated, shoulder ABD 90 and ER, elbow bent, located radial pulse

Move pt. shoulder into full ABD

+ = absent or diminished pulse

Indicates: thoracic outlet syndrome, compression of costoclavicular space 

25

Roos Test

Pt. seated with both shoulder ABD 90, ER, and elbows bent

ask pt. to open and clsoe their hands for 3 minutes

+ = inability to maintain test position, weakness of arms, sensory loss, ischemia

Indicates: thoracic outlet syndrome

26

O'Brien's Test

Pt. seated, shoulder ABD 90, horizontally ADD 30, and IR

Ask pt. to resist flexion, repeat with shoulder ER

+ = Pain with resistance in IR, no pain with resistance in ER

Indicates: glenoid tear, SLAP lesion

27

Clunk Test

Pt. supine, shoulder ABD and ER over head.

Place one hand behind humeral head, use other hand to place force through humeral shaft while moving through IR/ER

+ = clunk or grinding sound

Indicates: glenoid labrum tear

28

Median Nerve Tension Test

1: depress shoulder, ABD 110 deg, extend elbow, supinate forearm, extend wrist, extend fingers/thumb

2: depress shoulder, ABD 10 deg, extend elbow, supinate forearm, extend wrist, extend fingers/thumb, shoulder ER

 

Above with and without contralateral cervical side bend

29

Radial Nerve Tension Test

Depress shoulder, ABD 10 deg, extend elbow, pronate forearm, flex and UD wrist, flex fingers and thumb, IR shoulder

Above with and without contralateral cervical side bend

30

Ulnar Nerve Tension Test

Depress shoulder, ABD 10-90 deg, flex elbow, supinate forearm, extend and RD wrist, extend fingers and thumb, ER shoulder

Above with and without contralateral cervical side bend