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  • Shoulder Muscle Tendon Pathology

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    Jonathan Salvador Guinabay
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    This document describes several shoulder examination techniques used to evaluate shoulder muscle and tendon pathology. The techniques include Speed's test, Yergason's test, Ludington's test, Empty Can test, Neer's test, and Hawkins-Kennedy test. Each technique involves a specific positioning of the patient's arm and resistance applied by the examiner. A positive result for each test, such as pain or weakness in a specific location, indicates pathology involving muscles or tendons around the shoulder.

    Original Description:

    Functional tests for shoulder muscle pathology

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    This document describes several shoulder examination techniques used to evaluate shoulder muscle and tendon pathology. The techniques include Speed's test, Yergason's test, Ludington's test, Empty Can test, Neer's test, and Hawkins-Kennedy test. Each technique involves a specific positioning of the patient's arm and resistance applied by the examiner. A positive result for each test, such as pain or weakness in a specific location, indicates pathology involving muscles or tendons around the shoulder.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    46 views1 page

    Shoulder Muscle Tendon Pathology

    Uploaded by

    Jonathan Salvador Guinabay
    This document describes several shoulder examination techniques used to evaluate shoulder muscle and tendon pathology. The techniques include Speed's test, Yergason's test, Ludington's test, Empty Can test, Neer's test, and Hawkins-Kennedy test. Each technique involves a specific positioning of the patient's arm and resistance applied by the examiner. A positive result for each test, such as pain or weakness in a specific location, indicates pathology involving muscles or tendons around the shoulder.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Shoulder Muscle

    Tendon
    Pathology
    Speeds

    Position

    Procedure

    Positive Result

    Significance/ Indication

    sitting

    examiner resists forward flexion with pts


    forearm first supinated, then pronated and
    the elbow is completely extended

    inc. Tenderness in bicipital groove

    Bicipital tendinitis

    Yergasons

    sitting

    patients elbow flexed 900 stabilized


    against thorax, examiner resists (forearm
    pronated) supination while pt also ER arm
    against resistance

    tenderness in bicipital groove or tendon


    may pop out of the groove

    Bicipital tendinitis

    Ludingtons

    sitting/
    standing

    Pt clasps both hands (interlocked fingers)


    on nape, arm abducted 900 then asked to
    contract & relax biceps alternately
    (thumbs down)

    absence of contracting biceps tendon on


    involved side

    ruptured tendon of biceps long head

    Empty Can

    sitting

    Pts shoulder abducted to 900 with neutral


    rotation, examiner resists. Shoulder is then
    IR (thumbs down) and angled forward
    300 (empty can position) as resistance is
    again given

    weakness and pain

    supraspinatus tear/ PNI


    suprascapular N

    Neers

    sitting

    Pts arm is forcibly elevated thru forward


    flexion by examiner causing of the greater
    tuberosity against the anteroinferior
    border of the acromion

    pain shows on Pts face

    injury to supraspinatus, sometimes


    biceps

    HawkinsKennedy

    sitting

    Flex patients arm to 900 then


    forcibly IR shoulder pushing
    the supraspinatus tendon
    against ant. Surface of
    coracoacromial ligament

    pain in the area of supraspinatus tendon/


    coracoacromial ligament

    supraspinatus tendinitis

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