UE Special Tests

Question 1

What does the Yergason’s Test test?

Answer 1

Integrity of transverse ligament - may identify bicipital tendonosis/tendonpathy

Question 2

How do you perform Yergason’s Test?

Answer 2

Elbow @ 90.

Resist supination of forearm and ER of shoulder

Question 3

What does speed’s test test?

Answer 3

ID’s bicipital tendonosos/tendonopathy

Question 4

How to perform Speed’s test

Answer 4

UE full Extension and forearm supinated.

Resist shoulder Flexion

Question 5

Where is pain with speed’s test

Answer 5

Bicipital groove

Question 6

Neer’s imppingement test is done how?

Answer 6

Shoulder passively IR and then fully abducted

Question 7

Drop arm test tests what?

Answer 7

Tear and or full rupture of rotator cuff

Question 8

How to perform drop arm

Answer 8

Bring arm up to 120 degrees abduction and instruct patient to slowly bring arm down to side. If patient unable to do this then it is positive.

Question 9

Posterior Internal impingement test tests for what?

Answer 9

Impingement between rotator cuff and greater tuberosity or posterior glenoid and labrub

Question 10

How to perform posterior internal impingement test

Answer 10

Pt supine. Move shld into 90 abduction, max ER and 15 horizontal adduction

Question 11

Clunk test tests for…

Answer 11

Glenoid labrub tear

Question 12

How to perform clunk test

Answer 12

Pt supine, with shoulder in full abduction, push humeral head anterior while rotating humerus externally

Question 13

Adson test - how?

Answer 13

Find radial pulse and rotate head toward extremity. Then extend and ER shoulder while extending head

Question 14

Costoclavicular syndrome test - how

Answer 14

Find radial pulse and move involved shoulder down and back

Question 15

Wright Test - how

Answer 15

Find radial pulse. Move shoulder into maximal abduction and ER. Taking deep breath and rotating head opposite to side being tested.

Question 16

Lateral epicondylitis test - how

Answer 16

Resist wrist extension, radial deviation and forearm pronation with fingers fully flexed into a fist

Question 17

Medial epicondylitis test - how

Answer 17

Passively supinate forearm, extend elbow and extend wrist

Question 18

Tinel’s sign - what?

Answer 18

Ulnar nerve dysfunction

Question 19

Where does ulnar nerve pass through in tinnel’s sign?

Answer 19

Cubital tunnel at olecranon

Question 20

Pronator teres syndrome test test for what?

Answer 20

Medial nerve entrapment in pronator teres

Question 21

Pronator teres syndrome = how

Answer 21

Resist forearm pronation and elbow extension simultaneously

Question 22

Finkelstein test - what?

Answer 22

De quervain’s tenosyndovitis

Question 23

Finkelstein - how

Answer 23

Pt makes fist with thumb in fingers. Passively move wrist into ulnar deviation.

Question 24

Bunnel-Littler Test shows what?

Answer 24

Tightness in strutures around MCP

Question 25

Bunnel-Littler test - how?

Answer 25

MCP joint stabilized in slight extension while PIP joint is flexed. Then MCP joint flexed and PIP flexed. If flexion limited in both cases - capsule is tight If more PIP flexion wiht MCP flexion, then intrinsic muslces are tight

Question 26

Tight retinacular test - what?

Answer 26

Tightness around PIP

Question 27

Tight retinacular test - how

Answer 27

PIP stabilized in neutral while DIP is flexed. Then PIP and DIP are flexed. If flexion limited in both cases - capsule is tight. If more DIP flexion with PIP flexion, then retinacular ligaments are tight.

Question 28

Froment's Sign tests for what?

Answer 28

Ulnar nerve dysfunction

Question 29

Froment's sign what is positive

Answer 29

IP flexion of thumb

Question 30

Tinel's sign is what nerve compression?

Answer 30

Median nerve in carpal tunnel

Question 31

Phalen's Test is what nerve compression?

Answer 31

Median nerve in carpal tunnel

Question 32

Phalen's Test - how

Answer 32

Maximally flexes both wrists holding them against each other for 1 minute

Question 33

Allen's Test - what?

Answer 33

Vascular compromise

Question 34

Allen's Test - how

Answer 34

Find radial and ulnar arteries at wrist. Have pt open and close fingers quickly and then make a closed fist. Occlude ulnar artery and have pt open hand. Release and observe for vascular iflling.