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Ch. 13

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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 ... – PowerPoint PPT presentation

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Title: Ch. 13


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

2
Apleys 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
Yergasons Test
  • Implications snapping or popping tear or
    laxity of transverse humeral L. pain only
    bicipital tendinitis

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

19
OBrien Test
  • Implications SLAP lesion

20
Adsons 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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