Academic Life in EM @ALiEMteam
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Academic Life in Emergency Medicine (ALiEM) - https://www.aliem.com/ | https://twitter.com/ALiEMteam | https://www.instagram.com/aliemteam
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Shoulder Exam - Provocative Testing

Supraspinatus muscle injury:
 - Jobe’s Test
 - Hawkin’s Test
 - Drop Arm
Supraspinatus muscle injury ... Infraspinatus muscle injury ... Neer Test Labral tear ... Testing #Maneuvers #RotatorCuff ... #Injury #Tendinopathy
ANKLE FRACTURES: Lauge-Hansen Classification 
- Describes position of foot and mechanism of injury. Fx
progresses from Stage
and mechanism of injury ... general areas of injury ... ATFL ligament tear ... PM fx (or PTFL tear ... deltoid ligament tear
Labral tear - Crank Test 1. Position patient's arm in 90 degree abduction and elbow flexion
Labral tear - Crank ... Sports #Labral #Tear ... #RotatorCuff #Test
Labral tear - O'Brien Test - 1. Position patient's shoulder in 90 degree flexion, elbow extended,
Labral tear - O'Brien ... Sports #Labral #Tear ... #RotatorCuff #Test
Infraspinatus scapular rotation test - Patient has pain when externally rotates shoulder against resistance (with elbow
Infraspinatus #RotatorCuff
Hawkin's Test 1. Position arm in throwing position and flex forward 30 degrees. 2. Examiner internally
Supraspinatus #RotatorCuff
Jobe's Test ("Empty Can" Test) 1. Position arm in scapular plane and point thumb down as
Supraspinatus #RotatorCuff
Horizontal reverberation artifacts - A-lines are visualized as hyperechoic, horizontal artifacts at regular intervals deep to
ribs (r) in the near
Subacromial Impingement - Neer Test 1. With the arm fully pronated, the examiner raises the arm
#Impingement #RotatorCuff
Drop Arm Test 1. Position patient's arm fully abducted so hand is over the head. 2.
Supraspinatus #RotatorCuff