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Clinical Tests for Shoulder

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Clinical Tests for Shoulder
Shoulder Examination TestsShoulder Examination Tests
Anterior Apprehension TestAnterior Apprehension Test
Anterior Drawer TestAnterior Drawer Test
Biceps Load TestBiceps Load Test
Biceps Load Test 2Biceps Load Test 2
Empty Can/Full Can TestEmpty Can/Full Can Test
Hawkins-Kennedy TestHawkins-Kennedy Test
Inferior Sulcus TestInferior Sulcus Test
Jobe Relocation TestJobe Relocation Test
Lift-Off TestLift-Off Test
Load & Shift TestLoad & Shift Test
Neer Impingement SignNeer Impingement Sign
OBriens TestOBriens Test
Pain Provocation TestPain Provocation Test
Posterior Drawer TestPosterior Drawer Test
SLAPprehension TestSLAPprehension Test
Speeds TestSpeeds Test
Yergasons TestYergasons Test
The Shoulder Symptom Modification Procedure (SSMP)The Shoulder Symptom Modification Procedure (SSMP)



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Neer Impingement Sign

Jo Gibson, 2005

Dr Neer developed this test based on his observations during shoulder surgery. He reported that the critical area for degenerative tendonitis and tendon ruptures was focused on the supraspinatus tendon and at times involved the anterior infraspinatus and occasionally the long head of biceps. Elevation of the arm in external or internal rotation causes critical areas to pass under the coraco-acromialligament or anterior acromion.

Test

The examiner performs maximal passive abduction in the scapula plane, with internal rotation, whilst stabilising the scapula.

click for video

Positive

Pain located to the sub-acromial space or anterior edge of acromion

False positive

Internal impingement Macdonald et al (2000)
- Bankart 25%
- SLAP 46.1 %

Research

Valadie' s paper demonstrated soft tissue contact with the medial acromion and contact between the articular surface of the rotator cuff and anterior- superior glenoid rim.

Sensitivity = 88.7%
Specificity = 30.5%
Reliability = 98%

 

a structure (tissue) that attaches a muscle to a bone. When a tendon becomes inflamed, the condition is referred to as tendinitis or tendonitis.
Top muscle and tendon of the rotator cuff. Abducts the arm. It is the tendon that is most often torn.
at the top; towards the head
Superior Labral Antero-Posterior lesion - Abbreviated term for an injury to the superior labrum of the glenoid.
towards the centre of the body; inwards
A tough band of connective tissue that connects two bones to each other. "Ligament" is a fitting term; it comes from the Latin "ligare" meaning "to bind or tie."
muscle and tendon of the rotator cuff. Externally rotates the arm. Lies between supraspinatus and teres minor.
A Bankart lesion is an injury to the anterior glenoid labrum associated with anterior shoulder dislocations. It usually requires surgical repair. It is named after Arthur Sydney Blundell Bankart, an English orthopaedic surgeon, who lived from 1879-1951.
at the front; in front
moving of a body part away from the central axis of the body


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