Transcript 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
 Anterior capsule,
inferior GH L., or
glenoid labrum
compromised,
allowing humeral
head to dislocate or
subluxate anteriorly
on glenoid fossa
Gerber Lift-off Test
 Implications
 Tears or
weakness of
subscapularis
muscle
GH Glide Tests
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.
AC Traction Test
 Implications
 Sprain of AC or
costoclavicular
ligaments
AC Compression Test
 Implications
 Damage to AC L.,
and possibly
coracoclavicular L.
Relocation Test
Posterior Apprehension
Test
 Implications
 Laxity in the
posterior GH
capsule, torn
posterior labrum
Test for Posterior Instability
in the Plane of the Scapula
 Implications
 Laxity in posterior GH
capsule, coracohumeral
L.
Sulcus Sign
 Implications
 Humeral head slides
inferiorly on glenoid
fossa, indicating
laxity in superior GH
ligament
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
Hawkins Impingement
Test
 Implications – Impingement of rotator cuff and/or long
head of biceps tendon between greater tuberosity and
inferior side of acromion process
Empty Can Test
 Implications – the supraspinatus tendon is
being impinged between humeral head and
coracoacromial arch or is inflamed or contains
a lesion
Yergason’s Test
 Implications – snapping or popping = tear
or laxity of transverse humeral L.; pain
only = bicipital tendinitis
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
O’Brien Test
 Implications – SLAP lesion
Adson’s Test
 Implications
 Subclavian
artery is being
occluded
between anterior
and middle
scalene muscles
and pec minor
Allen Test
 Implications
 Pec minor is
compressing
neurovascular
bundle