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Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder

Differential Diagnosis Algorithm ... 4 tests for the ... extension after ... cross-arm test ... #MSK

Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →

Neuropathy Elbow extension ... → shoulder external ... dorsiflexion/finger extension ... → shoulder abduction ... physicalexam #sports #msk

Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →

Test (Upper-Limb ... Neuropathy Shoulder ... → shoulder external ... rotation → elbow extension ... physicalexam #sports #msk

Clarke's Test (Patellar Grind Test)

Indicates Patellofemoral dysfunction.
- Patient with knee in extension. Push posterior on

Clarke's Test (Patellar ... Grind Test) ... Patient with knee in extension ... of patella then ask ... Patellofemoral #msk

Mytomes - Segmental Innervation of Muscles
Shoulder Abduction C5 Axillary Nerve
Shoulder Adduction C6-C8 Thoracodorsal Nerve
Elbow Flexion C5 Musculocutaneous Nerve
Elbow Extension C7 Radial Nerve
Wrist Extension C6 Radial Nerve
Fingers Flexion C8 Median Nerve
Fingers Abduction T1 Ulnar Nerve
Hip Flexion L2 Nerve to Psoas
Hip Extension S1 Inferior Gluteal

Innervation of Muscles Shoulder ... Axillary Nerve Shoulder ... Radial Nerve Wrist Extension ... to Psoas Hip Extension ... #MuscleGroups #MSK

Crank Test for Labral Tear of the Shoulder

To perform the Crank Test, fully abduct the shoulder

Crank Test for Labral ... Tear of the Shoulder ... fully abduct the shoulder ... open_michigan #Shoulder ... video #sports #msk

Drop Arm Test - Supraspinatus Tear

The drop arm test evaluates for a supraspinatus muscle tear.
Passively adduct

Drop Arm Test - ... The drop arm test ... Passively adduct the shoulder ... Supraspinatus #Tear #Shoulder ... video #sports #msk

Spurling's Test for Cervical Nerve Root Compression

With the neck in slight extension, ipsilateral flexion and rotation,

Spurling's Test ... neck in slight extension ... The test is positive ... #Spurlings #Test ... #physicalexam #msk

Varus Stress Test for LCL Injury on Knee Physical Exam

The knee is examined in extension and

Varus Stress Test ... is examined in extension ... The test is positive ... Varus #Stress #Test ... video #sports #msk

Flexor Tenosynovitis (FTS)

The clinical diagnosis of FTS is made using Kanavel’s Signs:
- Fusiform swelling.
-

Pain with passive extension ... slight flexion at rest ... Criteria #Sign #Hand #MSK

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