Special Tests Shoulder Elbow Wrist Hand(TherEx)

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| By Aparish

Aparish

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Quizzes Created: 10 | Total Attempts: 10,776

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1/13 Questions

Anterior: pt in supine with shoulder in 90 degrees abduction. Therapist laterally rotates shoulder. Posterior: Pt is supine with shoulder in 90 degrees abduction. Therapist applies posterior force. Positive test= a look of facial grimace prior to reaching end point of motion. (Indicative of risk for dislocation).
- Ludington's test
- Speed's test
- Yergason's test
- Apprehension test

About This Quiz

This quiz assesses knowledge of special tests for diagnosing pathologies in the shoulder, elbow, wrist, and hand. It includes Ludington's, Speed's, Yergason's, and Apprehension tests, focusing on conditions like biceps tendon rupture and bicipital tendonitis.

2.

Therapist palpates medial epicondyle and supinates the pt's forearm, extends the wrist, and extends the elbow. Positive= pain in the medial epicondyle region.
- Valgus stress test
- Varus stress test
- Lateral epicondylitis test
- Medial epicondylitis test
Correct Answer

A. Medial epicondylitis test

Explanation

The given scenario describes a test for medial epicondylitis, also known as golfer's elbow. The therapist palpates the medial epicondyle (the bony prominence on the inner side of the elbow) and performs a series of movements that involve supinating the patient's forearm (turning it palm up), extending the wrist, and extending the elbow. If the patient experiences pain in the medial epicondyle region during these movements, it indicates a positive result for medial epicondylitis. This test helps in diagnosing and evaluating the severity of the condition.

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3.

Pt sitting with 20-30 degrees elbow flexion. Therapist applies valgus force while palpating the medial joint line. Positive = increased laxity at MCL compared to other limb. (Indicative of MCL sprain).
- Valgus stress test
- Varus stress test
- Lateral epicondylitis test
- Medial epicondylitis test
Correct Answer

A. Valgus stress test

Explanation

The given scenario describes the valgus stress test. This test is performed by applying a valgus force (inward force) to the elbow joint while palpating the medial joint line. A positive result is indicated by increased laxity at the medial collateral ligament (MCL) compared to the other limb. This increased laxity suggests an MCL sprain, which is a common injury in the elbow joint. Therefore, the correct answer is Valgus stress test.

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4.

Pt. with 90 degrees elbow flexion and forearm pronated with humerus stabilized on pt's thorax. Therapist places one hand on pt's forearm and other on bicipital groove. Pt directed to actively supinate and laterally rotate against resistance. Positive test =pain or tenderness in bicipital groove. (Indicative of bicipital tendonitis).
- Ludington's test
- Speed's test
- Yergason's test
- Apprehension test
Correct Answer

A. Yergason's test

Explanation

Yergason's test is used to assess the integrity of the transverse humeral ligament and the biceps tendon. In this test, the patient's elbow is flexed at 90 degrees and the forearm is pronated, with the humerus stabilized against the patient's thorax. The therapist places one hand on the patient's forearm and the other on the bicipital groove. The patient is then instructed to actively supinate and laterally rotate the forearm against resistance. If the patient experiences pain or tenderness in the bicipital groove during this movement, it is considered a positive test, indicating bicipital tendonitis.

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1
5.

Pt in supine: Therapist places one hand on posterior aspect of pt's humeral head while other hand stabilizes the humerus proximal to elbow. Therapist passively abducts and laterally rotates arm over the pt's head and the proceeds to apply an anterior directed force to the humerus. + test = clunking or grinding. (Indicative of glenoid labrum tear).
- Supraspinatus test
- Wright test
- Glenoid labrum tear test
- Roos test
Correct Answer

A. Glenoid labrum tear test

Explanation

The given correct answer is "Glenoid labrum tear test" because the description provided in the question matches the procedure of this test. The therapist is applying a specific force to the humerus to assess for clunking or grinding, which is indicative of a glenoid labrum tear. This test is commonly used to evaluate the integrity of the glenoid labrum, a ring of cartilage that surrounds the shoulder joint.

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6.

Pt sitting and therapist stabilizes elbow with one hand and places other hand on dorsal aspect of the pt's hand distal to PIP joint. Pt. is asked to extend 3rd digit against resistance. Positive = pain in lateral epicondyle region or muscle weakness.
- Valgus stress test
- Varus stress test
- Lateral epicondylitis test
- Medial epicondylitis test
Correct Answer

A. Lateral epicondylitis test

Explanation

The given test involves stabilizing the elbow and applying resistance while the patient extends their third digit. If the patient experiences pain in the lateral epicondyle region or shows muscle weakness during this test, it suggests a positive result for lateral epicondylitis. Lateral epicondylitis, also known as tennis elbow, is a condition characterized by inflammation and pain in the tendons that connect the forearm muscles to the outer part of the elbow. This test helps to diagnose this condition.

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7.

Pt is asked to make a fist with the thumb tucked inside the fingers. Therapist stabilizes the pt's forearm and ulnarly deviates the wrist. Positive = pain over APL and EPB tendons at the wrist. (Indicative of DeQuervain's syndrome).
- Tinel's sign
- Roos test
- Allen test
- Finkelstein test
Correct Answer

A. Finkelstein test

Explanation

The Finkelstein test is used to diagnose DeQuervain's syndrome, which is inflammation of the tendons on the thumb side of the wrist. In this test, the therapist stabilizes the patient's forearm and ulnarly deviates the wrist, causing pain over the APL (abductor pollicis longus) and EPB (extensor pollicis brevis) tendons. This positive result indicates that the patient may have DeQuervain's syndrome. The other options, Tinel's sign, Roos test, and Allen test, are not relevant to this specific scenario.

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8.

Pt's elbow extended and forearm supinated. Therapist places one hand over bicipital groove and other on volar surface of forearm and resists shoulder flexion. Positive test= pain or tenderness in bicipital groove. (Indicative of bicipital tendonitis).
- Ludington's test
- Speed's test
- Yergason's test
- Apprehension test
Correct Answer

A. Speed's test

Explanation

Speed's test is used to assess bicipital tendonitis. In this test, the patient's elbow is extended and forearm is supinated. The therapist places one hand over the bicipital groove and the other on the volar surface of the forearm. The therapist then resists shoulder flexion. If the patient experiences pain or tenderness in the bicipital groove during this test, it is considered positive for bicipital tendonitis.

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9.

Pt sitting with 20-30 degrees elbow flexion. Therapist applies varus force while palpating the lateral joint line. Positive test= increased laxity at LCL compared to other limb. (Indicative of LCL sprain).
- Valgus stress test
- Varus stress test
- Lateral epicondylitis test
- Medial epicondylitis test
Correct Answer

A. Varus stress test

Explanation

The given scenario describes a varus stress test. The therapist applies a varus force (force directed inward) to the patient's elbow while palpating the lateral joint line. If there is increased laxity (looseness) at the lateral collateral ligament (LCL) compared to the other limb, it indicates a sprain of the LCL. This test helps to assess the stability and integrity of the LCL by evaluating the amount of laxity present. Therefore, the correct answer is the Varus stress test.

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10.

Pt. clasps both hands behind back and asked to contract and relax the biceps muscles. + test= absence of movement in biceps tendon (Indicative of rupture of long head of biceps)
- Speed's test
- Yergason's test
- Ludington's Test
- Drop-Arm test
Correct Answer

A. Ludington's Test

Explanation

Ludington's test is used to assess the integrity of the long head of the biceps tendon. In this test, the patient is asked to clasp both hands behind their back and contract and relax their biceps muscles. If there is an absence of movement in the biceps tendon, it indicates a rupture of the long head of the biceps. This test helps in diagnosing biceps tendon injuries and determining the appropriate treatment plan.

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11.

Pt asked to open & close hand several times in succession and the maintain the hand in a closed position. Therapist compresses radial and ulnar arteries. Pt. then asked to relax hand and therapist releases pressure while observing the color of the hand and fingers. Positive= delayed or absent flushing of radial or ulnar half of the hand. (Indicative of occlusion of the radial or ulnar artery).
- Tinel's sign
- Roos test
- Allen test
- Finkelstein test
Correct Answer

A. Allen test

Explanation

The Allen test is used to assess the patency of the radial and ulnar arteries in the hand. In this test, the therapist compresses the radial and ulnar arteries while the patient maintains their hand in a closed position. Then, the patient relaxes their hand and the therapist releases the pressure while observing the color of the hand and fingers. If there is a delayed or absent flushing of the radial or ulnar half of the hand, it indicates occlusion of the respective artery. Therefore, the Allen test is the appropriate test for this scenario.

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Current Version
Mar 22, 2023

Quiz Edited by
ProProfs Editorial Team
Apr 04, 2014

Quiz Created by
Aparish

Special Tests Shoulder Elbow Wrist Hand(Therex)

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Therapist palpates medial epicondyle and supinates the pt's forearm, extends the wrist, and extends the elbow. Positive= pain in the medial epicondyle region.

Pt sitting with 20-30 degrees elbow flexion. Therapist applies valgus force while palpating the medial joint line. Positive = increased laxity at MCL compared to other limb. (Indicative of MCL sprain).

Pt sitting and therapist stabilizes elbow with one hand and places other hand on dorsal aspect of the pt's hand distal to PIP joint. Pt. is asked to extend 3rd digit against resistance. Positive = pain in lateral epicondyle region or muscle weakness.

Pt is asked to make a fist with the thumb tucked inside the fingers. Therapist stabilizes the pt's forearm and ulnarly deviates the wrist. Positive = pain over APL and EPB tendons at the wrist. (Indicative of DeQuervain's syndrome).

Pt's elbow extended and forearm supinated. Therapist places one hand over bicipital groove and other on volar surface of forearm and resists shoulder flexion. Positive test= pain or tenderness in bicipital groove. (Indicative of bicipital tendonitis).

Pt sitting with 20-30 degrees elbow flexion. Therapist applies varus force while palpating the lateral joint line. Positive test= increased laxity at LCL compared to other limb. (Indicative of LCL sprain).

Pt. clasps both hands behind back and asked to contract and relax the biceps muscles. + test= absence of movement in biceps tendon (Indicative of rupture of long head of biceps)