- Fusiform or spindle-shaped swelling of PIP joints
- Ulnar deviation
Pain Provocation Test ANS✔✔ Positive: shoulder pain from 60-120 degrees
Nerve Impingement Sign ANS✔✔ Press on scapula, raise patient's arm
Hawkins Impingement Sign ANS✔✔ flex arm and shoulder 90• w/ palm down
and rotate arm internally
-will compress greater tuberosity against coracoacromial ligament
, Solution 2024/2025
Pepper
External Rotation Lag Test ANS✔✔ Flex arm 90 degrees with palm up, rotate
into full external rotation
- Positive: unable to maintain external rotation; supraspinatus and
infraspinatus disorder
Internal Rotation Lag Test ANS✔✔ Ask pt to place dorsum of hand on low
back, elbow flexed 90 degrees
- Lift hand off back, further internally rotating shoulder
- Positive: unable to hold this position; subscapularis disorder
Drop Arm Test ANS✔✔ Fully abduct arm to shoulder level and lower slowly
- Positive: weakness, supraspinatus rotator cuff tear or bicipital tendinitis
External Rotation Resistance Test ANS✔✔ Adduct and flex arm 90 degrees
with thumb turned up
- apply pressure to wrist
positive: infraspinatus disorder
Empty Can Test ANS✔✔ Elevate arms to 90° in front of pt and internally
rotate arms with thumbs pointing down; ask pt to resist as you place
downward pressure on arms
Positive for Rotator cuff tear if weakness present
Lateral Epicondylitis ANS✔✔ tennis elbow, characterized by pain on the
outer side of the forearm
, Solution 2024/2025
Pepper
Medial Epicondylitis ANS✔✔ golfer's elbow, characterized by pain on the
palm-side of the forearm
Colles fracture ANS✔✔ fracture of the distal radius at the wrist
Scaphoid fracture ANS✔✔ Anatomical Snuffbox > Radial artery here
Avascular necrosis, most commonly injured wrist bone
Thumb Abduction Test ANS✔✔ Ask patient to raise the thumb straight up as
you apply downward resistance
Positive test - weakness on thumb abduction
- Most sensitive carpal tunnel test
Tinel Test ANS✔✔ Percussion on medial nerve
- Positive: aching and numbing, tingling
Phalen's Sign ANS✔✔ Hold backs of hands together with wrists in flexion for
60 seconds
- Positive: numbness/tingling
Sensation Test: median nerve ANS✔✔ pulp of index finger
Sensation Test: ulnar nerve ANS✔✔ pulp of 5th finger
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