Dr. Martin's notes

Wednesday March 22, 2017

You will be required to remember:
- The name of the test
- What you are testing for (what injury)
- How to perform the test
- What your findings are, and what they mean

Ext. Rotation
Hands behind head, elbows toward scapula
Observe differences of rotation

Int. Rotation
Hands behind back, raise hands up
Observe differences of rotation

Ext. Rot Strength
E/R hands, challenge movement
Weakness=Infraspinatus or teres minor

Int. Rot. Strength
I/R hands, challenge movement
Weakness=subscapularis, pec. minor or pec. major

Extension
Ext with resistance
Weakness=post. deltoid

Flexion
Hand on shoulder and inside elbow, pt. flex
Weakness=Ant. deltoid

Abduction
Hand on shoulder, pt abd. against resistance
Weakness=Lat. deltoid

Adduction
Hand on shoulder, inside elbow
Resistance on adduction
Weakness=Latissimus dorsi and/or teres major

Empty Can test
Arms outstretched, internally rotated. Push down on wrists
Weakness=supraspinatus

Percussion test
Tap the distal aspect of involved bone
Pain=fracture

Compression test
Place hand below fracture and compress
Pain at suspected site = fracture

Sulcus test
Pt. arms at side relaxed, then force pulled downward
Depression (sulcus) below acromion=unstable glenohumeral joint

A/C sprain test
Pt. sitting, clavicles visualized
Pull down on arms at elbows
Separation or deformity = A/C sprain/dislocation

S/C sprain test
Pt. sitting, thumbs placed at proximal clavicle and compressed
Joint laxity = S/C sprain

Aprehension test
Arm abducted at 90 degress flexion
Stand behind pt and stabilize shoulder while E/R at wrist
Grimace or pain indicates sprain of the Ant. Capsule

Hawkins-Kennedy test
Pt. add. & flex arm 90 degrees. Stabilize elbow and down on wrist
Pain = subacromial bursa

Speed's test
Pt. flex arm 60 degrees at side, and flex against resistance
Pain at bicipital groove=biceps tendon

Drop arm test
Pt raise arm past 90 degrees of add. and slowly lower
Quick drop = rotator cuff tear or supraspinatus tear

Winged scapula test
Pt. hands against wall (like pushup)
Protruding scap = serratus anterior (long thoracic nerve)