PMR2
Terms
undefined, object
copy deck
- Finkelstein's Test
-
Tests for DeQuervains tenosynovitis
-APL and EPB - Apprehension Test for Shoulder
-
Tests for shoulder dislocation/instability
- Jobes Relocation Test should improve stabilization - Empty Can Test
-
tests for supraspinatus tear, tendonitis, or tendonosis
- ABduct shoulder 60 degrees and forward flex about 90 degrees - Tennis Eblow Test
-
Tests for pain over lateral epicondyle or epicondylitis
- attempt to force pt's wrist into flexion
- extensor tendons originate from lateral ep - Allen's Test
-
Tests blood supply to the hand
- if hand does not flush or reacts slowly, the artery is either completely or partially occluded, or there is incomplete anastomosis from a congenital abnormality - Impingement Sign
-
Tests for impingement syndrome or pathology in subacromial space
- Internally rotate humeral head (to bring the greater tuberosity superior) by having their thumb down in front of body and shoulder is passively flexed (pulled up towards head)
... or elbow flexed and shoulder 90 degrees.. push down on patient's hand in front of body and up on elbow
- this impinges the subacrombial bursa and supraspinatus between the greater tuberosity and the acromion - Tinel's Sign
-
Tests for carpal tunnel syndrome or a peripheral nerve pathlogy
- Median nerve: palmar aspect of hand involving radial 3 1/2 digits and overlaps over teh fingertips of the DIP joint dorsally
+ is pain or tingling - Phalen's test
-
Tests for median nerve compression at the wrist
- 4 FDP (DIP)
- 4 FDS (PIP)
- 1 FPL (DIP at thumb)
- dropping small objects, night pain, difficulty with buttons, thenar muscle atrophy - Lift Off Test
-
Tests for pathology of subscapularis and rhomboids
- failure to lift off is injury of subscapularis (major internal rotator of GH)
- medial winging of scapula indicates injury to the rhomboids - O'Brien Test
-
Tests for Labral pathology or tear
- Thumb down (pronating) - will hurt (deep anterior pain)
- thumb up (supinating) - will only hurt if AC joint
SLAP: Superior Labrum Anterior Posterior tears - Cross Over Test
-
Tests for AC joint pathology
- palpate AC joint - pain is a +
- have patient ABduct against resistance .. pain is + - Deltoid
-
Axillary Nerve
- C5
Have pt put their arm in full Abduction (arm straight next to head)
.. ADduct the arm to break the contraction - Extensor carpi radialis longus and brevis
-
Radial n
- C6 nerve root
break extended wrist - Triceps
-
Radial nerve
C7 nerve root
- brace upper arm and attempt to flex the elbow
- examiner may NOT be able to break the muscle - Abductor pollicis brevis
-
Median nerve
- C8, T1 nerve root
place patient's thumb in plamar ABduction (thumb straight up)
- try and force thumb into ADduction over the MCP joint - First dorsal interosseous
-
Ulnar nerve
- C8, T1 nerve root
- dorsal side up, put patient's digits in full ABduction.. push index finger in - Range of motion of scapula
-
elevation, depression
protraction, retraction
upward rotation, downward rotation
.. weakness of the serratus anterior causes limitation of prtraction and upward rotation - ROM of GH joint
-
ABduction (rasing hand) and ADduction
internal rotation, external
forward flexion and extension
..limitations in most motions with pain is frozen shoulder - ROM of elbow
-
flexion, extension
prontation and supination (elbow flexed) - ROM of wrist
-
flexion, extension
radial deviation and ulnar deviation