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NWHSU NMS 3 Lab Practical: Shoulder, Elbow, Hand Orthos
Questions and Answers (100% Pass)
Apprehension Test
✓ Patient seated with doctor behind patient. Doctor asks the patient to
look at them. The doctor then slowly brings the shoulder to 90°
abduction with external rotation while stabilizing the shoulder from
behind
What does a positive test for apprehension test indicate?
✓ Anterior dislocation trauma of the humerus
Posterior dislocation apprehension test
✓ Patient is supine with shoulder 90° flexed and internally rotate. The
doctor applies a posterior force on the elbow watching the patient for
signs of apprehension, pain or resistance to the force.
What does a positive test for posterior dislocation apprehension test indicate?
✓ Posterior dislocation of humerus
When is a relocation test performed?
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
✓ Only if Apprehension test is positive
Relocation Test
✓ Same as apprehension, except capsule is stabilized with inside hand
Decreased apprehension in a relocation test indicates what?
✓ Anterior Instability
Jobes Test
✓ Patient is supine with shoulder in the same position as Apprehension
test. Anterior to posterior force is applied to the proximal humerus while
externally rotating the shoulder. A decrease in pain and/or
apprehension is a positive test.
Sulcus Sign
✓ Apply inferior traction/pull down by grasping at distal humerus/elbow.
Palpate or observe over inferior aspect of acromion process.
What does a positive test for sulcus sign indicate?
✓ Multidirectional instability
Master01 | October, 2024/2025 | Latest update
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Load and Shift Test (Drawer Test)
✓ Stabilize superior shoulder and contact humeral head. Move humeral
head anterior and posterior feeling for movement.
What does a positive test for load and shift (Drawer Test) indicate?
✓ Instability, Labral damage
Dugas Test
✓ Doctor instructs the patient to touch opposite shoulder with their hand
and then to lower the elbow to their chest
What does a positive test for Dugas test indicate?
✓ Anterior Dislocation of humerus
Apley's Scratch Test
✓ Doctor instructs patient to try and touch opposite over their shoulder
and then the opposite scapula behind their back.
What does a positive test for Apley's Scratch test indicate?
✓ Rotator cuff tendinitis (Supraspinatus)
Master01 | October, 2024/2025 | Latest update
NWHSU NMS 3 Lab Practical: Shoulder, Elbow, Hand Orthos
Questions and Answers (100% Pass)
Apprehension Test
✓ Patient seated with doctor behind patient. Doctor asks the patient to
look at them. The doctor then slowly brings the shoulder to 90°
abduction with external rotation while stabilizing the shoulder from
behind
What does a positive test for apprehension test indicate?
✓ Anterior dislocation trauma of the humerus
Posterior dislocation apprehension test
✓ Patient is supine with shoulder 90° flexed and internally rotate. The
doctor applies a posterior force on the elbow watching the patient for
signs of apprehension, pain or resistance to the force.
What does a positive test for posterior dislocation apprehension test indicate?
✓ Posterior dislocation of humerus
When is a relocation test performed?
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
✓ Only if Apprehension test is positive
Relocation Test
✓ Same as apprehension, except capsule is stabilized with inside hand
Decreased apprehension in a relocation test indicates what?
✓ Anterior Instability
Jobes Test
✓ Patient is supine with shoulder in the same position as Apprehension
test. Anterior to posterior force is applied to the proximal humerus while
externally rotating the shoulder. A decrease in pain and/or
apprehension is a positive test.
Sulcus Sign
✓ Apply inferior traction/pull down by grasping at distal humerus/elbow.
Palpate or observe over inferior aspect of acromion process.
What does a positive test for sulcus sign indicate?
✓ Multidirectional instability
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
Load and Shift Test (Drawer Test)
✓ Stabilize superior shoulder and contact humeral head. Move humeral
head anterior and posterior feeling for movement.
What does a positive test for load and shift (Drawer Test) indicate?
✓ Instability, Labral damage
Dugas Test
✓ Doctor instructs the patient to touch opposite shoulder with their hand
and then to lower the elbow to their chest
What does a positive test for Dugas test indicate?
✓ Anterior Dislocation of humerus
Apley's Scratch Test
✓ Doctor instructs patient to try and touch opposite over their shoulder
and then the opposite scapula behind their back.
What does a positive test for Apley's Scratch test indicate?
✓ Rotator cuff tendinitis (Supraspinatus)
Master01 | October, 2024/2025 | Latest update
