Shoulder Special Test

Palpations Jugular notch Sternum SC joint Clavicle Coracoid process AC joint Greater tuberosity Lesser tuberosity Biciptal groove/tendon Spine of scapula Scapula borders/ angles Soft tissue structures

Muscles Rotator cuff muscle group- Subscapularis, supraspinatus, infraspinatur, teres minor Deltoid (anterior, middle, posterior fibers) Pectoralis Major Latissimus Dorsi Long head of triceps Coracobrachialis Biceps Brachii

SC Joint Laxity Have the patients laying supine, grasp proximal clavical just distal to medial clavicular head and attempt to glide and displace in all directions. Look for pain or laxity

AC Joint Laxity Test AC Traction Test ( preformed like sulcus test for shoulder) AC Shear test (shear clavicle and acromion together) Look for increased laxity, pain, and possible step- deformity at AC joint Also look for piano key sign which indicates trauma to coracoclavicular ligament

GH Joint Laxity Test Anterior- apprehension (crank) test; relocation test; anterior drawer of shoulder Inferior- Sulcus sign in neutral Posterior- posterior apprehension; posterior glide in plane of scapula (arm 90* and in plane of scapula); push- pull test

Gerber’s lift off test

Drop Arm test (RT Cuff)

Empty Can (RT Cuff) Suprasipnatuis

Neer’s Shoulder impingment

Hawkins Kennedy for impingment

Yergasons

Speeds test

Ludingtons for rupture of biceps tendon

O briens test for SLAP lesion

Adsons for TOS

Allens test for TOS

Military Brace for TOS