shoulder

Question 1

speed’s test

Answer 1

-Patient seated, forearm extended and supinated
-Patient flexes arm to 120 degrees, examiner applies resistance to this motion whilst palpating bicipital groove
testing= Bicipital tendonitis, impingement syndrome, labral lesion, bursitis
positive test= pain

Question 2

yergason

Answer 2

-Patient seated with elbow flexed 90 degrees, forearm pronated
-Examiner grips forearm and palpates biceps long head tendon while patient flexes and supinates forearm and externally rotates arm
-Examiner resists patients motion
testing= P Bicipital Groove - Biceps Tendinopathy
Tendon slipping out groove - Transverse
Humeral Ligament Pathology
P in Shoulder - Glenoid Labrum Pathology
positive test= pain over bicipital groove (tendonitis or strain), pain in shoulder (glenoid labrum pathology), tendon slipping in/ out of grove (torn transverse humeral ligament)

Question 3

hawkin’s kennedy

Answer 3

-Patient seated, shoulder abducted 90 degrees, elbow flexed 90 degrees
-Examiner internally rotates and horizontally adducts shoulder to pinch greater tuberosity of humerus against acromion
treatment= Supraspinatus impingement
Rotator cuff tear
positive test= Increased local pain anterior/ lateral gh joint
If crepitus then osteoarthritis

Question 4

neer’s

Answer 4

-Patient is seated in dependent position; examiner raises patient’s straight arm through full range of flexion with arm externally rotated (palm up)
-Repeat motion with arm internally rotated (palm down)
testing= P w/ Int Rot - Supraspinatus Impingement,
Subacromial Bursitis
P w/ Ext Rot - Biceps Long Head Impingemen
positive test= internally rotated shoulder pain (supraspinatus impingement, subacromial bursitis)
externally rotated shoulder pain (biceps long head impingement)

Question 5

empty can

Answer 5

-patient abducts arm to 90 degrees with no rotation
- the examiner provides resistance to abduction.
The shoulder is then medially rotated and angled forward 30° (“empty can” position) so that the patient’s thumbs
point toward the floor in scapula pain
testing= Injury/ lesion of supraspinatus muscle
positive test= Pain (indicates tear of supraspinatus or neuropathy of suprascapular nerve)

Question 6

o’brien’s

Answer 6

2 parts
-Patient seated, shoulder flexed 90 degrees, arm adducted 10-20 degrees
1)arm internally rotated (thumb down) during both parts examiner pushes down on arm whilst patient attempts to maintain position
2)arm externally rotated (palm up)
testing= P w/ Int Rot - Labral /SLAP Lesion, A/C Pathology
P w/ Ext Rot - Bicceps Long Head Tendonopathy
positive test= GH pain or crepitus with internal rotation that is reduced or eliminated during external rotation (anterior labral tear, slap lesion, ac pathology), linear anterior shoulder pain increased with palm up (biceps tendinopathy)

Question 7

clunk

Answer 7

-patient supine
-The examiner places one hand on the posterior aspect of the shoulder
over the humeral head
-The examiner’s other hand holds the humerus above the elbow
-The examiner fully abducts
the arm over the patient’s head
-The examiner then pushes anteriorly with the hand over the humeral head (a
fist may be used to apply more anterior pressure) while the other hand rotates the humerus into lateral rotation
testing= Glenoid labral lesion
positive test= Clunk/ grinding

Question 8

crank

Answer 8

-Patient has arm supinated, shoulder in 160 degree abduction, 30 forward flexion and elbow flexed
-Stabilise scapula with one hand, grasp elbow with other hand. Examiner applies long axis compression and rotates humerus internally and externally
testing= Glenoid Labral Lesion Can also be used to test the different
Glenohumeral Ligaments
positive test= Shoulder Pain and crepitus

Question 9

Painful arch

Answer 9

Just do abduction
60-120= sub ac impingement
170-180= ac patho