Shoulder

Question 1

Preferred Instability test

Answer 1

Apprehension-good specific for all instabilities

Question 2

Preferred labral tear tests

Answer 2

Kim Test-good sens and spec for post/inf labral lesion

Jerk Test-good spec for post/inf labral lesion

Question 3

Preferred SLAP/labral tear/biceps rupture tests

Answer 3

Biceps Load Test I and II-good sens and spec for SLAP

Question 4

Preferred Supraspinatis/Infraspinatus special tests for RTC tears

Answer 4

External rotation lag sign-good spec 100%

Arc of pain-good sens 98%

Question 5

Preferred Teres Minor Special Tests for RTC tear

Answer 5

Hornblower’s sign- good sens and spec

Question 6

Preferred supraspinatus test for massive RTC tear

Answer 6

Supraspinatus test-good spec for tear 88% and good spec for impingement 90%

Question 7

Preferred special tests for subscapularis RTC tear-

Answer 7

Internal rotation lag sign-good sens and spec for tear

Lift off test-good spec 100% for tear

Question 8

Shoulder examination-full range

Answer 8

Resisted movements negative- inert structures other than capsule-pain at end of range-AC joint Spain, Chronic sub deltoid bursitis, lesion of Conoid/trapezoid ligament

Resisted movements positive- contractile structures-

Question 9

Shoulder examination- Excessive range

Answer 9

Positive instability tests-instability-Ant/Post/Inf instability

*Isometric exercises beneficial for instability

Question 10

Shoulder examination- Limited Range

Answer 10

Capsular range-Arthritis pathology

Question 11

Shoulder Examination- Limited Range-Non Capsular Pattern-

Answer 11

Non Capsular Pattern-Inert Strictures other than the capsule-

Limited passive elevation-
normal scapulo humeral range-shoulder girdle problem
limited Scapulo humeral range-acute subacromial bursitis

Limited passive medial rotation-post capsular contraction

Limited passive lateral rotation- subconscious bursitis or anterior capsular contraction