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Shoulder Special Test
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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
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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
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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
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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
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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
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Gerber’s lift off test
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Drop Arm test (RT Cuff)
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Empty Can (RT Cuff) Suprasipnatuis
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Neer’s Shoulder impingment
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Hawkins Kennedy for impingment
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Yergasons
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Speeds test
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Ludingtons for rupture of biceps tendon
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O briens test for SLAP lesion
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Adsons for TOS
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Allens test for TOS
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Military Brace for TOS
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