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Ortho Summaries
Ortho Summaries
Ortho Summaries
Checklist:
Apprehension Pt supine. Passive abd arm 90˚ and flex elbow. Ext/lat rot Pxn, apprehension
(Crank) w/ arm until pt exp pxn/apprehension. move it back a little and > 25% ant
relocation and apply a PA force to humeral head (pushing it back into translation
glenoid fossa), ideally relieving pxn.
(https://www.youtube.com/watch?v=mM-BPbpLgd8)
Fulcrum Pt supine. Abd pt arm to 90˚ and flex elbow. Scoop hand Pxn, apprehension
under GHJ and ext/lat rot shoulder. and > 25% ant
(https://www.youtube.com/watch?v=mM-BPbpLgd8) translation
Posterior Instability
Posterior Pt supine. Flex shoulder and int/med rot and add shoulder. Pxn, apprehension
apprehension Apply AP force to humerus. Palp post humeral head with and > 50%
other hand to assess posterior translation. translation and
(https://www.youtube.com/watch?v=t8oLGlMprOg) possible clunk.
Zaslav Pt standing w/ arm as if holding a stop sign (90˚ shoulder ↓ strength int rot =
abd and elbow flex). Dr then resists int/med and ext/lat rot. internal
This test differentiates btwn subacromial and intra-articular impingement
impingement. weakness in ext rot
(https://www.youtube.com/watch?v=Hd0rngwsn3Y) = ext ant
impingement.
Supine Pt supine. Dr abd arm as far as possible. Dr ext rot arm and Pain =
impingement abd against ear then int rot arm to narrow subacromial impingement dt
space. rotator cuff
In ext/lat rot, fully flex shoulder, add shoulder. Int/med rot pathology.
shoulder to elicit pxn.
(https://www.youtube.com/watch?v=GJOvrsP984M)
Labral Tests
Kim test Pt seated. Pt shoulder abd to 90 and elbow flexed to 90˚. Dr Pain and click =
(Posteroinf apply axial force to glenoid through humerus while posteroinferior
labral lesion) elevating diagonally upward while the other hand apply inf labral lesion.
and post force.
(https://www.youtube.com/watch?v=-knsALCdv_A)
AC Joint Pathology
Drop arm Dr adducts arm to 90. Pt slowly lets it fall to Pt unable to return arm slowly/
rest. has severe pain = rotator cuff
(https://www.youtube.com/watch? tear/tendonitis.
v=JXgRBeqToik)
Pec major Pt supine and clasps hands behind head. Pt Elbows do not reach table/ one is
contracture relaxes elbows to table. higher than the other = tight pec
(https://www.youtube.com/watch? major.
v=6WSybz0modY)
Infraspinatus Pt stands w/ arm at side and elbow flexed to Pain and inability to resist =
90. Humerus rotated int/med 45˚. Dr infraspinatus tear
applied int rot force, pt must resist.
(https://www.youtube.com/watch?
v=xVQy0qPU3Ho)
Nerve Pathology