Flashcards in Shoulder Exam. Deck (4)
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1
Q
Palpation order:
A
- Suprasternal notch.
- Along clavicle.
- Acromioclavicular joint.
- Palpate edge of the acromion with the other hand.
- Subacromial space.
- Greater tuberosity.
- Biceps tendon.
- Spine of scapular.
2
Q
- What are the six active movements to test?
- What are the tests?
- What muscles are they testing?
- What angles are normal?
- What are the tests?
- What test is done after this?
A
- Flexion.
- Bringing arms from side and rotate to above head.
- Anterior deltoid and pectoralis major.
- 180 degrees.
- Bringing arms from side and rotate to above head.
- Extension.
- Move arms straight back behind as far as possible.
- Latissimus dorsi, posterior deltoid, and pectoralis major.
- 65 degrees.
- Move arms straight back behind as far as possible.
- External rotation.
- Bend elbows at 90 degrees to body and outwards.
- Infraspinatus, posterior deltoid, and teres minor.
- 65 degrees.
- Bend elbows at 90 degrees to body and outwards.
- Internal rotation.
- Move hands inward.
- Pectoralis major, latissimus dorsi, anterior deltoid, subscapularis, teres major.
- 90 degrees.
- Move hands inward.
- Abduction.
- With arms straight and down by side, move out to the side and above the head.
- Middle deltoid and supraspinatus.
- 180 degrees.
- With arms straight and down by side, move out to the side and above the head.
- Adduction.
- Arms down by side, carry in front of body to the opposite side.
- Pectoralis major and latissimus dorsi.
- 50 degrees.
- Arms down by side, carry in front of body to the opposite side.
- Crepitus.
3
Q
- What are the four special tests for the shoulder exam?
- How are they done?
- What do they test?
- How are they done?
A
- Empty the can test.
- Arms abducted to 90 degrees and forward flexed to 30 degrees, and arms internally rotated so thumbs point to the ground.
- Patient then resists against adduction.
- Supraspinatus.
- Weakness → tear.
- Pain → impingement or tendonitis.
- Hawkin’s impingement test.
- Weave arm so hand rests on patient’s acromion and then internally rotate arm.
- Perform first with no flexion, and then 30 degree flexion.
- Pain → positive test.
- External rotation against resistance.
- Elbow at 90 degrees, patients externally rotates against resistance.
- Tests infraspinatus.
- Weakness → tear.
- Pain → tendonitis.
- Elbow at 90 degrees, patients externally rotates against resistance.
- Lift off test.
- Hand behind back, move hand to new position away from back and see if patient can hold it there.
- Test further by asking patient to resist against hand being pushed into the back.
- Subscapularis.
- Weakness → tear.
- Pain → tendonitis.
4
Q
Match the special test and the muscle it is testing.
- Empty the can test.
- Lift-off test.
- External rotation against resistance.
- Infraspinatus.
- Supraspinatus.
- Subscapularis.
A
- Empty the can test.
- Supraspinatus.
- Lift-off test.
- Subscapularis.
- External rotation against resistance.
- Infraspinatus.