View source for Shoulder Physical Exam Tests

==Rotator Cuff Tests==
*Supraspinatus Test
**Abduct arm to 90', forward flex it 30' w/ thumb down ("empy beer can position")
**Test for pain/weakness against resistance to continued abduction
*Infraspinatus and Teres Minor Test
**Stabilize the elbow against the pt's waist and bend the elbow to 90'
**Test for pain/weakness against resistance to external rotation
*Subscapularis Test
**Place hand behind lower back
**Test for pain/weakness as pt attempts to push examiner's hand away by moving dorsum of hand away from back
*Drop arm test
**Pt is unable to hold or smoothly lower an extended arm at 90' of shoulder abduction w/o dropping it

==Impingement Tests==
*Maneuver of Neer
**Prevent scapular rotation w/ one hand while rasing pt's straightened arm in full forward flexion to overhead
**Positive sign is pain in the arc bewtween 70-120'
*Hawkins Impingement Test
**Position the shoulder at 90' of abduction and elbow at 90' of flexion
**Then rotate shoulder internally bringing the arm across the front of the pt
**Positive sign is pain during this maneuver

==Source==
*Tintinalli

==See Also==
*[[Shoulder (Main)

[[Category:Ortho]]