Ortho
6/28/99
Shoulder Tests
- Speed Test—flex against resistance, then supinate, Dr palpate over bicepital tendon—bicepital tendonitis
- Yergason's—elbow flex and supination—bicepital tendonitis
- Abbott-Saunders—pain reproduction, clicking or snapping from excess movement, rupture of transverse humeral ligament
- Transverse humeral ligament test—prox humerus, abduct 90°
, biceptial groove, internal rotation to external rotation
- Supraspinatus press test—less than 90°
, slightly flexed elbows and shoulders, internal rotation
Elbow
- Ligamentous Instability Test (Ab/Ad stress test or Valgus/Varus stress test)
- Relaxed arm
- Flexed (20°
) and extended
- Do not directly palpate on the injured joint
- Cozen's—tennis Elbow—compression on the site may relieve pain instead of reproduce it
- Mill's—tennis Elbow—maximal external rotation and extension
- Golfer's elbow—medial/flexor—resisted flexion
- Elbow flexion test—paresthesia of compressive neuropathy of ulnar nerve—hold for 5 minutes
- Tinnel sign—paresthesia, neuropathy—high false positive rate
Wrist
- Review the distribution of the nerves going to the hand
- Capal Tunnel
- Phalen's Sign—do not abduct the shoulders
- Finkelstein's test—thumb across thumb, pain in anotomincal snuff box, synovial tendonitits stenosis