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NMS 3rd Practical > Shoulder > Flashcards

Shoulder Flashcards

(69 cards)

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1
Q

Positive Apley’s scratch test?

A

Decreased ROM
Pain
Stiffness

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2
Q

Causes of a positive Apley’s scratch test?

A
  • supraspinatus tendinitis (or other rotator cuff)
  • tight pecs
  • hypertoned levator scapulae
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3
Q

Other tests for Apley’s scratch test?

A
  • Dugas test

- supraspinatus press test (empty can)

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4
Q

Positive Apprehension test?

A

Patient shows apprehension/alarm, resists motion

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5
Q

Causes of a positive Apprehension test?

A

anterior shoulder dislocation, trauma

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6
Q

Other tests for Apprehension?

A

Relocation
load and shift
Dugas

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7
Q

Positive Codman’s arm drop test?

A

Shoulder pain, dropping arm

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8
Q

Causes of a positive Codman’s?

A

rupture of supraspinatus tendon

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9
Q

Other tests for Codman’s?

A

Supraspinatus press test (empty can and full can)

Apley’s

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10
Q

Positive Dawbarn’s test?

A

Pain goes away with examiner pressing on the pain in the shoulde

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11
Q

Causes of a positive Dawbarn’s?

A

Subacromial bursitis

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12
Q

Other tests for Dawbarn’s?

A

Impingement test

Apley’s

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13
Q

Positive Dugas?

A

can’t touch chest with elbow

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14
Q

Causes of Dugas?

A

anterior shoulder dislocation

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15
Q

Other tests for Dugas?

A

Apprehension test

Apley’s

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16
Q

Positive Impingement test?

A

Pain from jamming greater tuberosity against anteroinferior acromial surface

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17
Q

Causes of a positive Impingement test?

A

Impingement of tendon or bursa, supraspinatus and/or bicipital irritation as well as DJD

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18
Q

Other tests for impingement?

A

Dawbarn’s

Apley’s

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19
Q

Positive Speeds test?

A

Pain in bicipital groove = bicipital tendinitis

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20
Q

Other tests for speeds?

A

Impingement test

Yergason’s

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21
Q

Positive Supraspinatus Press Test?

A

Weakness or experiences pain = supraspinatus tendon/muscle tear

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22
Q

Other tests for Supraspinatus Press Test?

A

Codman’s sign

Apley’s

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23
Q

Positive Yergason’s test?

A

Pain or a click heard and felt over bicipital groove

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24
Q

Causes of a positive Yergason’s?

A
  • Pain = bicipital tendinitis

- “click” = torn transverse humeral ligament

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25
Other tests for Yergason's?
Speeds | Impingement sign
26
Positive Load and Shift?
Laxity, visible sulcus appearing under acromion= instability
27
Other tests for Load and Shift?
Apprehension | Relocation
28
Positive O'Brien's/Cause?
Pain increases with thumb down | = labral tear
29
Other tests for O'Brien's?
- Bicep load test | - supraspinatus press test (empty and full can)
30
Positive Lift off test/Cause?
decreased ROM, pain | = subscapularis problem
31
Other tests for the Lift off test?
Belly press test | Apley’s
32
Positive Elbow flexion test/Cause?
Tingling/paresthesia in ulnar distribution of forearm/hand | = cubital tunnel syndrome
33
Other test's for Elbow Flexion Test?
Tinel’s test at the elbow | Froment’s test
34
Positive Tinel’s Test at the Elbow?
hypersensitivity of ulnar or radial nerve
35
Causes of Tinel’s Test at the Elbow?
neuritis, neuroma, damage
36
Other test's for Tinel's test at the elbow?
Elbow flexion test Froment’s test Pinch grip test
37
Positive Cozen's test/cause?
pain in lateral epicondyle = lateral epicondylitis
38
Other tests for Cozen's Test?
Lift test | Mill’s test
39
Positive Golfer’s Elbow Test/ cause?
Pain over medial epicondyle = medial epicondylitis
40
Other tests for Golfer’s Elbow Test?
Lift test | Ligamentous instability test
41
Positive Lift test/causes?
Pain on extension = lateral epicondylitis, pain on flexion = medial epicondylitis
42
Other tests for Lift Test?
Cozens test | Golfer’s elbow test
43
Positive Ligament Instability test?
Laxity, decreased mobility, altered pain
44
Causes of positive ligament instability test?
MCL/UCL sprain/strain
45
Varus/Adduct?
LCL
46
Valgus/Abduct?
MCL
47
Other test for Ligament Instability Test?
Cozen’s test | golfer’s elbow test
48
Positive Mill's test/cause?
Elbow pain increases at lateral epicondyle = lateral epicondylitis
49
Other tests for Mill's test?
Cozen’s test | lift test
50
Positive Tinel’s Test at the Wrist/ cause?
tingling into thumb, index finger, middle finger, lateral half of ring finger = carpal tunnel syndrome (median N entrapment)
51
Other tests for Tinel’s Test at the Wrist?
Phalen’s test reversed Phalen’s test pinch grip test
52
Positive Phalen's/Reversed Phalen's test?
Tingling into thumb, index finger, middle finger, and lateral half of the ring finger
53
Causes of a Positive Phalen's/Reversed Phalen's test?
carpal tunnel syndrome (median nerve prob)
54
Other tests for Phalen's/Reversed Phalen's test?
Tinel’s sign at the wrist | Pinch grip test
55
Positive Froment's?
terminal phalanx of thumb goes into flexion
56
Causes of a positive Froment's test?
paralysis of Adductor Pollicis = ulnar nerve injury
57
Other tests for Froment's test?
Tinel’s test at the elbow | Elbow flexion test
58
Positive Pinch Grip Test?
patient pinches the pulp of the finger and thumb together (froments)
59
Causes of a positive Pinch Grip Test?
entrapment of the Anterior Interosseous nerve (of the Median nerve) between pronator teres
60
Other tests for Pinch Grip test?
Phalen’s test | Tinel’s test at the elbow
61
What is the Bunnell-Littler Test?
Dr. passively moves MCP joint into extension and then tries to flex the PIP joint
62
Positive Bunnell-Littler Test?
PIP joint that cannot be flexed
63
Causes for a positive Bunnell-Littler Test?
tight intrinsic muscle or contracture of joint capsule = osteoarthritis
64
Other tests for Bunnell-Littler Test?
Finkelstein’s test | Pinch grip test
65
Positive Finkelstein's test?
Sharp pain in area of constriction-over the Abductor pollicis longus and Extensor pollicis brevis
66
Causes of a positive Finkelstein's test?
- tenosynovitis of the thumb - De Quervain’s - Hoffman’s diseases
67
Other test for Finkelstein's test?
Froment’s test | Pinch grip test
68
What is the Mannkopf's test?
Dr. establishes patient’s resting pulse, then applies firm pressure to area of pain and continues palpating pulse
69
Positive Mannkopf's/ Cause?
Increase in the pulse rate of 10 bpm or more = non-organic pain - TOS

NMS 3rd Practical (3 decks)

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