Diagnostic Shoulder Stability and Impingement Tests Quiz

The correct actions to test the trapezoid and conoid ligaments in the case of a coracoclavicular ligament sprain involve lifting the medial border of the scapula for the trapezoid ligament and lifting the inferior angle of scapula for the conoid ligament.

Thoracic outlet syndrome is typically diagnosed through physical examination and tests such as the Elevated Arm Stress Test (EAST), which helps to evaluate the compression of nerves and blood vessels in the thoracic outlet area.

The Load & Shift test involves translating the humeral head anteriorly and posteriorly to assess for excessive translation in cases of anterior instability without a history of trauma. The Apprehension test is used to assess for anterior instability with a history of trauma, the Sulcus sign is used to assess for inferior instability, and the Drawer test is used to assess for posterior instability.

The Apprehension (Crank) Test involves the examiner passively abducting the patient's arm to 90 degrees while applying anterior force on the humerus. A positive test is indicated by the patient's apprehension or fear of anterior dislocation of their shoulder.

The Sulcus Test and Feagin Test are specifically used to evaluate inferior instability in the shoulder joint. The other options are tests used for different purposes such as assessing anterior instability, meniscal injuries, or labral tears.

Anterior impingement is commonly diagnosed using the Hawkins-Kennedy Test or Neers' Test as these tests specifically focus on assessing impingement in the shoulder. The Lachman Test is typically used to assess knee instability, the Thessaly Test is used to diagnose meniscus tears in the knee, and the Drop Arm Test is used to evaluate rotator cuff tears in the shoulder.

Posterior impingement is identified using the Posterior Internal Impingement Test, which involves horizontal adduction of 15-20 degrees. The other three tests mentioned are used for different purposes and not specifically for identifying posterior impingement.

The Scapular Load Test is commonly used to assess scapular instability by evaluating the ability of the scapula to stabilize during shoulder movements.

A SLAP lesion is a tear of the labrum in the shoulder joint. The Biceps Tension Test is used to diagnose this condition by checking for pain and weakness associated with the injury.

The Clunk Test is used in conjunction with the Crank Test to diagnose a Bankart lesion. The other tests listed are used for different shoulder assessments and diagnoses.

Yergason's Test is specifically used to detect instability or pathology of the long head of the biceps tendon as it travels through the bicipital groove under the transverse humeral ligament. Speed's Test is used to assess for biceps tendinopathy. O'Brien's Test is used to evaluate labral tears in the shoulder joint. Drop Arm Test is used to detect rotator cuff pathology.

Speed's Test (eccentric) is typically used to assess biceps tendinopathy by focusing on the shoulder in a specific position during the test.

The Empty Can Test, also known as the Jobe test, is a special test used to assess the integrity of the supraspinatus muscle. It involves resisted abduction in the scapular plane with thumbs pointing downward towards the ground.

Subscapularis lesions can be tested using the Abdominal Compression Test or Lag Test, as these specific tests help in evaluating the integrity of the subscapularis muscle. The other listed tests are typically used to assess different shoulder pathologies and not specifically for subscapularis lesions.

The correct test for assessing an Infraspinatus and teres minor lesion is the External Rotation Lag Test. This test involves the patient standing with their arms at their sides and their elbows flexed to 90 degrees. The examiner then pushes the patient's forearms into external rotation while the patient resists. A positive test is indicated by the inability to maintain the forearm in external rotation, indicating weakness or a lesion in the Infraspinatus and teres minor muscles.

The Swallow Tail Sign refers to the flattening or concave appearance of the posterolateral acromion when the arm is raised in cases of posterior deltoid weakness or axillary nerve injury. The other options are signs associated with different shoulder pathologies.

The Acromioclavicular Crossover Test involves pushing the forearm towards the opposite shoulder to stress the AC joint. The other options are used for different purposes and not specific to diagnosing AC joint sprains.

The Upper Limb Tension Test 1 (ULTT1) is specifically used to assess the median n. & anterior interosseous n. in the upper limb. The other incorrect answers are tests used for different purposes such as assessing lumbar nerve root impingement (Straight Leg Raise Test), detecting peripheral nerve injuries (Tinel's Sign), and testing for carpal tunnel syndrome (Phalen's Test).