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Ch. 13 – The Shoulder and Upper Arm

Ch. 13 – The Shoulder and Upper Arm . Review of Special Tests. Apley’s Scratch Test. Drop Arm Test. Implications Inability to lower arm in controlled manner is indicative of lesions to the rotator cuff, especially the supraspinatus. Apprehension test. Implications

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Ch. 13 – The Shoulder and Upper Arm

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  1. Ch. 13 – The Shoulder and Upper Arm Review of Special Tests

  2. Apley’s Scratch Test

  3. Drop Arm Test • Implications • Inability to lower arm in controlled manner is indicative of lesions to the rotator cuff, especially the supraspinatus

  4. Apprehension test • Implications • Anterior capsule, inferior GH L., or glenoid labrum compromised, allowing humeral head to dislocate or subluxate anteriorly on glenoid fossa

  5. Gerber Lift-off Test • Implications • Tears or weakness of subscapularis muscle

  6. GH Glide Tests

  7. GH Glide Tests • Implications – laxity of the static stabilizers of the GH joint • Anterior – coracohumeral L., superior and middle GH L., anterior jt capsule, labral tear • Posterior – posterior jt capsule, labral tear • Inferior-anterior – inferior jt capsule, superior GH L., coracohumeral L.

  8. AC Traction Test • Implications • Sprain of AC or costoclavicular ligaments

  9. AC Compression Test • Implications • Damage to AC L., and possibly coracoclavicular L.

  10. Relocation Test

  11. Posterior Apprehension Test • Implications • Laxity in the posterior GH capsule, torn posterior labrum

  12. Test for Posterior Instability in the Plane of the Scapula • Implications • Laxity in posterior GH capsule, coracohumeral L.

  13. Sulcus Sign • Implications • Humeral head slides inferiorly on glenoid fossa, indicating laxity in superior GH ligament

  14. Neer Impingement Test • Implications – Impingement of rotator cuff and/or long head of biceps tendon between greater tuberosity and inferior side of acromion process and AC joint

  15. Hawkins Impingement Test • Implications – Impingement of rotator cuff and/or long head of biceps tendon between greater tuberosity and inferior side of acromion process

  16. Empty Can Test • Implications – the supraspinatus tendon is being impinged between humeral head and coracoacromial arch or is inflamed or contains a lesion

  17. Yergason’s Test • Implications – snapping or popping = tear or laxity of transverse humeral L.; pain only = bicipital tendinitis

  18. Speed’s Test • Implications • Inflammation of long head of biceps tendon in groove; possible tear of transverse L. with concurrent instability of tendon in groove

  19. O’Brien Test • Implications – SLAP lesion

  20. Adson’s Test • Implications • Subclavian artery is being occluded between anterior and middle scalene muscles and pec minor

  21. Allen Test • Implications • Pec minor is compressing neurovascular bundle

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