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
Sulcus test
Pt. arms at side relaxed, then force pulled
downward
Depression (sulcus) below acromion=unstable
glenohumeral joint
Ext. Rotation
Hands behind head, elbows toward scapula
Observe differences of rotation
A/C sprain test
Pt. sitting, clavicles visualized
Pull down on arms at elbows
Separation or deformity = A/C sprain/dislocation
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
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)