Special Tests UL (Quiz 2)

Question 1

What does Apley’s Scratch Test Assess

Answer 1

Triplanar shoulder movements in a functional manner

Question 2

Apley’s Scratch Test Maneuver

Answer 2

patient attempts to touch their fingers together behind their back

Top arm: flexion, abduction, ext rotation
Bottom: extension, adduction, int rotation

Question 3

Apley’s Scratch Test Results

Answer 3

normal test would allow the patient to touch the spine of the scapula reaching superiorly or the inferior angle reaching inferiorly

Question 4

What does load and shift assess for

Answer 4

atraumatic instability issues with the glenohumeral joint

Question 5

load and shift maneuver

Answer 5

grasp humeral head and palpates posteriorly and anteriorly

force is applied anterior and posteriorly

Question 6

Load and shift results

Answer 6

25% translation or less: normal
26-50% translation: grade I
50% translation: grade II or II

Question 7

What does Sulcus sign assess for

Answer 7

presence of multidirectional instability

Question 8

Sulcus Sign Maneuver

Answer 8

examiner applies a downward pull at the elbow/forearm

Question 9

Sulcus Sign Results

Answer 9

if found bilaterally and equal, this is not clinically significant

Question 10

What does Hawkins-Kennedy Impingement Assess

Answer 10

presence of sub-acromial impingement

Question 11

Hawkins-Kennedy Impingement Maneuver

Answer 11

examiner flexes shoulder to 90 deg and internally rotates patient’s shoulder

Question 12

Hawkins-Kennedy Impingement Results

Answer 12

pain and/or apprehension = positive test

Question 13

Speeds Test Assessment

Answer 13

biceps tendonitis at proximal attachment

Question 14

Speeds Test Maneuver

Answer 14

patients should 90 deg of flexion, examiner applies downard force while patient actively flexes

Question 15

what does supraspinatus (empty can) assess

Answer 15

supraspinatus or suprascapular nerve injury

Question 16

supraspinatus (empty can) results

Answer 16

weakness and/or pain on in GH joint on the side being tested

Question 17

supraspinatus (empty can) maneuver

Answer 17

patients shoulders abducted 90 degrees and set to 30-45 degrees of horiziontal adduction

Question 18

what does Milking maneuver assess

Answer 18

UCL injury

Question 19

Milking maneuver maneuver

Answer 19

patients elbow flexed to 90 degrees and supinated

holds patients thumb and pulls it to impart a valgus stress `

Question 20

Ligamentous Varus Instability Assessment

Answer 20

radial collateral ligament

Question 21

Tinel’s Sign at elbow assess

Answer 21

ulnar nerve entrapment

Question 22

tinels sign at the elbow results

Answer 22

tingling along the ulnar nerve distribution in the forearm, hand and fingers

Question 23

Thumb ulnar collateral ligament laxity test

Answer 23

applies valgus stress to thumb

UCL sprain

Question 24

Finkelstein’s Test assess

Answer 24

dequervains tenosynovitis

Question 25

Finkelstein’s Test maneuver

Answer 25

with the patient making a fist holding the thumb, the examiner passively ulnar deviates the patient’s wrist

Question 26

Finkelstein’s Test results

Answer 26

pain along the course of the abductor pollicis and extensor pollicis brevis

Question 27

Tinel’s sign at wrist assess

Answer 27

compression of median nerve carpal tunnel syndrome

Question 28

Tinel’s sign at wrist results

Answer 28

compaints of tingling/numbness or pain distribution of median nerve (fingers 1-2 and radial 1/2 ring finger)

Question 29

Phalen’s Test Assessment

Answer 29

compression of median nerve/carpal tunnel

Question 30

Froment’s Sign assessment

Answer 30

ulnar nerve lesion and/or paralysis of adductor pollicis

Question 31

Froment’s Sign results

Answer 31

IP of thumb flexes to maintain grip on paper (+)

Question 32

Suclus sign grading

Answer 32

+1 = less than 1 cm
+2 = 1 to 2 cm
+3 = more than 2 cm

Question 33

Grade I sprain

Answer 33

mild

few fibers are torn

firm end feel

Question 34

Grade II sprain

Answer 34

moderate

1/2 fibers torn

firm but delayed or possibly soft end feel

Question 35

Grade III Sprain

Answer 35

severe

all fibers torn

empty end feel

movement constrained only by surrounding structures