ortho upper extremity exams 2023/2024 with complete solutions

Neer Impingement Sign, impingement syndrome correct answersThe examiner passively flexes the Shoulder FULLY while stabilizing the pts scapula with the other hand. What sign is this? And pain with this maneuver indicates ______ _______. Hawkin's impingement sign correct answersThe pt forward flexes the shoulder to 90 degrees with the forearm parallel to the floor and flexes the elbow to 90 degrees. The examiner passively internally rotates the shoulder while keeping the arm in the forward flexed position. What sign is this? Supraspinatus (Jobe) Test, impingement, tear correct answersThe examiner passively flexes the Shoulder to 90 degrees half way between the sagittal and coronal plane. The elbows are extended and the arm is internally rotated (thumbs down empty can position). The pt is asked to resist a downward force. What test is this? Weakness indicates injury to the supraspinatus muscle/tendon due to _______ or _______. Drop arm test, rotator cuff correct answersThe examiner passively abducts the shoulder to the max level tolerated and asks the pt to hold the shoulder in place. The examiner releases support of the shoulder and asks the pt to slowly lower the arm. What test is this? A positive sign indicates a large ______ _______tear. Subscapularis Lift-Off Test, subscapularis correct answersPt is asked to internally rotate the arm behind the back to the mid lumbar region with dorsum of the hand resting on the back. You instruct the pt to lift the hand off the back and hold against resistance. What test is this? Inability to exert force against the examiners hand indicates a tear of the ___________ tendon. Sulcus sign, inferior, multidirectional correct answersThe provider pulls the pts arm downward and looks for a hollow sulcus between the LATERAL edge of the acromion and the humeral head. The result is compared to the opposite shoulder. What sign is this? The presence of this sign indicates _______ shoulder laxity and possible __________ instability. Apprehension Test, anterior correct answersThe PA student passively abducts and externally rotates the pts Shoulder while the pt is sitting or in the supine position. A gentle force is directed over the posterior humerus or increased passive abduction may elicit apprehension. What test is this? Positive sign indicates _______ shoulder instability.