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