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