Cluster shoulder tests

Question 1

RTC pathology

Answer 1

1. Drop arm sign
2. painful arc
3. Infraspinatus MMT

Question 2

RTC tear

Answer 2

1. Age > 65
2. Infraspinatus MMT
3. Night pain

Question 3

Impingement

Answer 3

1. Hawkings kennedy
2. ER MMT weakness
3. Painful arc (60-120)

Question 4

AC jt cluster

Answer 4

1. crossbody ADD test
2. resisted horiz ADD test (pt horiz abd and resists PT trying to horiz ADD arm)
3. O’briens

Question 5

Supraspinatus tendinopathy

Answer 5

1. painful arc
2. age > 39
3. self report of clicking/popping

Question 6

Infraspinatus tear

Answer 6

1. drop arm test

2. ER lag sign

Question 7

Subscap tear

Answer 7

1. IR lag sign
2. Gerber lift off
3. IR MMT weakness

Question 8

Anterior instability

Answer 8

1. apprehension
2. relocation
3. anterior release (suprise test) letting go after relocation test

Question 9

IRRST:

Answer 9

if IR MMT < ER, think intra articular issue ( labrum, anterior impingement, bankart)
if ER < IR, think RTC pathology (impingement or tear)
if ER=IR, think EXTRA articular (no issue with RTC) - AC jt, LHB etc

Question 10

SLAP

Answer 10

1. Biceps load 1 and 2

2. Passive distraction and active compression

Question 11

Postero-inferior labral tear

Answer 11

1. Jerk Test
2. Kim’s test

2/2 99%
0/2- 1%

Jerk test
- PT behind pt, abd arm to 90 add axial compression and horiz add

Kims test
- seated at 90 abd- add axial compression and bring through sup diagonal while giving inf compression