Infraspinatus Scapular Rotation ... Lift-Off Test Rotator ... cuff subacromial

Infraspinatus scapular rotation ... when externally rotates

Illustrations showing elements of a shoulder assessment. Also included on a shoulder assessment would be determination of acromioclavicular joint tenderness, supraspinatus/greater tuberosity tenderness, biceps tendon tenderness (using Speed's test), atrophy and crepitus. (In Speed's test, the arm is fully extended anteriorly, palm facing up. The examiner pushes down on the hand as the patient resists. Pain in the anterior shoulder is a positive test for biceps tendinitis.) #Diagnosis #PhysicalExam #RotatorCuff #Shoulder #Examination #Tendinopathy #Impingement

Examiner internally rotates

Drop Arm Test 1. Position patient's arm fully abducted so hand is over the head. 2. Ask patient to slowly adduct arm to their side. 3. If supraspinatus muscle is torn, at < 90 degrees the arm will suddenly drop #Diagnosis #Ortho #Sports #Supraspinatus #RotatorCuff #Test #DropArm #ALiEM

Labral tear - Crank Test 1. Position patient's arm in 90 degree abduction and elbow flexion 2. Examiner pushes humerus into glenohumeral joint while internally and externally rotating arm #Diagnosis #Ortho #Sports #Labral #Tear #RotatorCuff #Test #Crank #ALiEM

Jobe's Test ("Empty Can" Test) 1. Position arm in scapular plane and point thumb down as if emptying out can. 2. Examiner pushes down on arm. #Diagnosis #Ortho #Sports #Supraspinatus #RotatorCuff #Test #EmptyCan #Jobe #ALiEM

Subacromial Impingement - Neer Test 1. With the arm fully pronated, the examiner raises the arm above the patient's head in forward flexion movement 2. Stabilize the scapula to prevent scapulothoracic motion #Diagnosis #Ortho #Sports #Subacromial #Impingement #RotatorCuff #Neer #Test #ALiEM

Labral tear - O'Brien Test - 1. Position patient's shoulder in 90 degree flexion, elbow extended, and 14 degrees adducted (medial to sagittal plane) 2. Point thumb down 3. Examiner stand behind pateint and applies downward force 4. Repeat with arm supinated (thumb up) #Diagnosis #Ortho #Sports #Labral #Tear #RotatorCuff #Test #OBrien #ALiEM

Rotator Cuff Syndrome ... can test +ve #Rotator ... #Cuff #Syndrome