5 Written Questions
5 Matching Questions
- Costoclavicular syndrome
- Drop arm test
- Costoclavicular syndrome test
- Bicep Tendon Pathology
- Ludington's test
- a pt in sitting. PT instructs pt to clasp both hands behind the head with the fingers interlocked f/b alternately contracted and relax the biceps muscles. (+) absence of movement in the biceps tendon. Indicates of a rupture of the long head of the biceps.
- b pt in sitting with shoulder passively ABD 120 deg. PT guards pt's arm from falling in case it gives way. pt instructed to SLOWLY bring arm down to side. (+) pt unable to lower arm slowly back down to side, (+) presence of severe pain. Identifies tear and/or full rupture of rotator cuff.
- c Ludington's test, Speed's test, Yergason's test
- d pt in sitting. PT monitors the patient's radial pulse and instructs pt to assume a military posture. PT draws the pt's shoulder down (w/ elbow fully extended) and back into shoulder extension. (+) absent or diminished radial pulse. Identifies thoracic outlet syndrome (costoclavicular syndrome) caused by compression of the subclavian artery b/w the first rib and the clavicle.
- e pt typically c/o thoracic outlet sx while wearing a backpack or heavy coat.
5 Multiple Choice Questions
- pt in sitting or standing. PT positions one hand on the posterior aspect of the patient's scapula and the other hand stabilizing the elbow. PT passively IR the shoulder f/b full shoulder ABD. (+) facial grimace or pain. Indicates shoulder impingement involving the supraspinatus tendon and long head of the biceps.
- pt in sitting or standing. PT moves pts shoulder into ABD 90 deg, full ER, & elbow flexion 90 deg. pt instructed to open and close the hands slowly for 3 minutes. (+) pt unable to keep arms in starting position for 3 min, suffers ischemic pain, heaviness or profound weakness of the arm, numbness & tingling of the hand. (-) if only minor fatigue and distress. Indicates thoracic outlet pathology.
- pt in supine with shoulder ABD 90 deg ( in scapular plane) with scapula stabilized by the table with elbow flexed 90 deg. PT places one hand on the elbow and the other at the wrist. PT applies a posterior force through the shoulder via force on the elbow while simultaneously moving shoulder into IR and horizontal ADD. (+) a look of apprehension or facial grimace prior to reaching the end point. Identifies (past hx of) posterior shoulder dislocation. AKA: Stress Test
- pt in sitting or standing. PT flexes the patient's shoulder to 90 degrees f/b IR of the shoulder. (+) pain. Indicates shoulder impingement involving the supraspinatus tendon.
- Clunk Test
5 True/False Questions
Adson's Test → pt in sitting or standing with elbow in full extension and forearm supinated. PT places one hand over the bicipital groove and other hand on volar surface of forearm. pt instructed to resist shoulder flexion. (+) pain or tenderness in bicipital groove. Identifies bicipital tendonitis/tendonosis. AKA: Biceps Straight Arm Test
Clunk Test → pt in supine. PT places one hand on the posterior aspect of the pt's humeral head and other hand stabilizes the humerus proximal to the elbow. PT passively fully ABD and ER the arm f/b applying an anterior directed force to the humerus. (+) audible "clunk" or grinding while performing test. Identifies a glenoid labrum tear.
Yergason's test → pt in sitting or standing. PT monitors the radial pulse. pt instructed to rotate the head towards the test shoulder f/b head extension f/b ER. (+) absent or diminished radial pulse. Indicates thoracic outlet pathology.
Thoracic Outlet Syndrome → Adson's Test, Allen test, Costoclavicular syndrome test, Roos test, Wright (hyperabduction) test
Rotator Cuff Pathology/Impingement → Drop arm test, Hawkins-Kennedy impingement test, Neer impingement test, Supraspinatus test