[Video] Advanced musculoskeletal examination of cervical and shoulder


Tests Used in Shoulder Evaluation and Significance of Positive Findings

TestManeuverDiagnosis suggested by positive result
Apley scratch test
Patient touches superior and inferior aspects of opposite scapula
Loss of range of motion: rotator cuff problem
Neer's sign
Arm in full flexion
Subacromial impingement
Hawkins' test
Forward flexion of the shoulder to 90 degrees and internal rotation
Supraspinatus tendon impingement
Drop-arm test
Arm lowered slowly to waist
Rotator cuff tear
Cross-arm test
Forward elevation to 90 degrees and active adduction
Acromioclavicular joint arthritis
Spurling's test
Spine extended with head rotated to affected shoulder while axially loaded
Cervical nerve root disorder
Apprehension test
Anterior pressure on the humerus with external rotation
Anterior glenohumeral instability
Relocation test
Posterior force on humerus while externally rotating the arm
Anterior glenohumeral instability
Sulcus sign
Pulling downward on elbow or wrist
Inferior glenohumeral instability
Yergason test
Elbow flexed to 90 degrees with forearm pronated
Biceps tendon instability or tendonitis
Speed's maneuver
Elbow flexed 20 to 30 degrees and forearm supinated
Biceps tendon instability or tendonitis
Distraction test
grasps the patient's head and applies an axial traction
Cervical nerve root disorder

CERVICAL SPINE: Foraminal Compression Test (Spurling's Test), Distraction Test.
SHOULDER: Apley's Scratch, Apprehension test, Sulcus Sign, Speed's,Yergason's

SHOULDER: Empty Can Test, Gerber's Lift-off Sign, Drop Arm (Codman's Test), Neer Impingement, Hawkins-Kennedy Impingement, Cross Arm

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