Shoulder Physical Exam Tests: Difference between revisions

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==Rotator Cuff Tests==
#REDIRECT[[Shoulder and upper arm diagnoses]]
*Supraspinatus Test
**Abduct arm to 90', forward flex it 30' w/ thumb down ("empy beer can position")
**Test for pain/weakness against resistance to continued abduction
*Infraspinatus and Teres Minor Test
**Stabilize the elbow against the pt's waist and bend the elbow to 90'
**Test for pain/weakness against resistance to external rotation
*Subscapularis Test
**Place hand behind lower back
**Test for pain/weakness as pt attempts to push examiner's hand away by moving dorsum of hand away from back
==Impingement Tests==
*Maneuver of Neer
**Prevent scapular rotation w/ one hand while rasing pt's straightened arm in full forward flexion to overhead
**Positive sign is pain in the arc bewtween 70-120'
*Hawkins Impingement Test
**Position the shoulder at 90' of abduction and elbow at 90' of flexion
**Then rotate shoulder internally bringing the arm across the front of the pt
**Positive sign is pain during this maneuver
 
==Source==
*Tintinalli
 
[[Category:Ortho]]

Latest revision as of 16:25, 24 March 2015