ShoulderElbow

Question 1

The examiner abducts and externally rotates the patients shoulder with the shoulder at a 90 degree angle

Answer 1

apprehension test

Question 2

A positive apprehension test indicates what?

Answer 2

anterior shoulder dislocation trauma

Question 3

while the patient is supine, the doctor keeps the shoulder abducted at 90 degrees and then externally rotates by applying pressure

Answer 3

relocation test

Question 4

What does a positive relocation test indicate?

Answer 4

glenohumeral instability

Question 5

What is the load and shift test?

Answer 5

The doctor stabilizes the scapula with one hand, grasps the humeral head with the other. the doctor loads the shoulder by pushing in towards the glenoid, then pushes forward to test anterior stability and pulls back to test posterior stability. The doctor finally pulls down on the arm to test inferior stability

Question 6

What does a positive load and shift test indicate?

Answer 6

instability or loosening of the shoulder (may be a visible sulcus may appear under the Acromion with a multi-directional loose shoulder)

Question 7

What is the supraspinatus (empty can) press test?

Answer 7

patients shoulder is abducted to 90 degrees, and the doctor provides resistance to abduction. shoulder is medially rotated so thumbs point to the floor. then resistance is added by the doctor

Question 8

What does a positive supraspinatus (empty can) press test indicate?

Answer 8

a tear of the supraspinatus tendon or muscle

Question 9

What is the Full can test?

Answer 9

patient seated or standing with arm raised in the scapular plane 90 degrees with the shoulder externally rotated. doctor applies downward force just proximal to the patient’s wrist while the patient resists

Question 10

What does a positive full can test indicate?

Answer 10

a supraspinatus problem

Question 11

What is the lift off test?

Answer 11

patient places the back of the hand on their low back. The patient attempts to lift the hand off of their low back

Question 12

What does a positive lift off test indicate?

Answer 12

a lesions of the subscapularis muscle and scapular instability

Question 13

What is the codman’s drop arm test?

Answer 13

patients arm is passively abducted. the examiner suddenly removes support at some point above 90 degrees to make the deltoid contract suddenly

Question 14

What does a positive codman’s drop arm test indicate?

Answer 14

a tear in the supraspinatus

Question 15

What is a valgus stress test?

Answer 15

doctor holds elbow with about a 20-30 degree angle and palpates and stabilizes the lateral aspect of the elbow while abducting the forearm

Question 16

What does a positive valgus stress test indicate?

Answer 16

MCL sprain

Question 17

What is a varus stress test?

Answer 17

doctor holds elbow with about 20-30 degree angle and palpates and stabilizes the medial aspect of the elbow while adducting the forearm

Question 18

What does a positive varus stress test indicate?

Answer 18

LCL sprain

Question 19

What is the golfers elbow test?

Answer 19

With the patient seated, the doctor flexes the patients elbow slightly and supinates the hand. patient flexes elbow against resistance

Question 20

What does a positive golfers elbow indicate?

Answer 20

medial epicondylitis

Question 21

What is the lift test?

Answer 21

wrist fully supinated, the patient grasps the handle of a sandbag and attempts to flex the wrist. the the patient does the same in pronation and extends the wrist

Question 22

What is cozen’s test?

Answer 22

patient clenches fist tightly, extends wrist, and has forearm in pronation. the doctor puts resistance on the wrist while palpating the lateral elbow (tendinous area)

Question 23

What does a positive cozen’s test indicate?

Answer 23

lateral epicondylitis

Question 24

What is the elbow flexion test?

Answer 24

patient holds elbow in flexion for 5 minutes

Question 25

What does a positive elbow flexion test indicate?

Answer 25

cubital tunnel syndrome

Question 26

What is o'brien's test?

Answer 26

The patient flexes the arm to 90 degrees with the elbow in full extension. patient adducts arm 10-30 degrees with thumb up (supination). doctor adds pressure to arm while patient resists. patient again flexes arm to 90 degrees with the elbow in full extension. patient adducts arm 10-30 degrees with thumb down (pronation). doctor add pressure while patient resists

Question 27

What does a positive o'brien's test indicate?

Answer 27

labrum tear (slap lesion)

Question 28

What is a bicep load test?

Answer 28

patient is supine with shoulder abducted 90 degrees and externally rotated with forearm supinated. doctor externally rotates shoulder until the patient becomes apprehensive

Question 29

What does a bicep load test indicate?

Answer 29

superior labrum tear (slap lesion)

Question 30

What is the speed's test?

Answer 30

doctor provides resistance to flexion of the shoulder by the patient

Question 31

What does a positive speed's test indicate?

Answer 31

bicipital tendonitis

Question 32

What is yergason's test?

Answer 32

Patient sits with elbow flexed. the doctor provides resistance as the patient supinates forearm outward and slightly up

Question 33

What does a positive yergason's test indicate?

Answer 33

a transverse humeral ligament rupture or biceps tendonitis

Question 34

What is apley's scratch test?

Answer 34

patient tries to touch superior angle of the scapula by reaching behind their head and touching with their hand. Then patient tries to touch the inferior angle of the scapula by reaching behind their back and touching it with their hand

Question 35

What does a positive apley's scratch test indicate?

Answer 35

supraspinatus tendinitis

Question 36

What is dugas test?

Answer 36

The patient touches their hand to the opposite shoulder and then tries to touch their elbow to their chest

Question 37

What does a positive dugas test indicate?

Answer 37

shoulder dislocation

Question 38

What is an impingement test?

Answer 38

doctor moves patients arm in slight abduction and brought fully through flexion

Question 39

What does a positive impingement test indicate?

Answer 39

overuse of supraspinatus or biceps tendon

Question 40

What is dawbarn's test?

Answer 40

doctor puts pressure on a tender area of the shoulder. then the doctor passively abducts the shoulder with pressure still on the tender area

Question 41

What does a positive dawbarn's test indicate?

Answer 41

subacromial bursitis