Page 439 - 2021 IDMT Digital

Exam Behavior Key Indicators of Skill Comment
Performance S U
Shoulder
1. Neer Impingement Examiner passively flexes Pain with passive shoulder
Sign shoulder fully flexion is a positive Neer
while stabilizing the impingement sign and
patient's scapula with the indicates impingement
other hand syndrome
2. Hawkins Impingement Patient forward flexes the Pain with passive shoulder
Sign shoulder 90 degrees with internal rotation in this
the forearm parallel to the position is a positive
floor and flexes the elbow Hawkins impingement sign
to 90 degrees and indicates impingement
syndrome
Examiner passively
internally rotates the
shoulder while keeping
the arm in the forward
flexed position
3 Supraspinatus (Jobe) Examiner passively flexes Weakness indicates injury to
Test shoulder to 90 degrees half the supraspinatus
way between the sagittal muscle/tendon due to
and impingement or tear
coronal plane
The elbows are extended
and the arm is internally
rotated (thumbs down
“empty can “ position)
The patient is asked to
resist a downward force
4 Subscapularis Liftoff Patient is asked to internally Inability to exert force against
Test rotate the arm behind the the examiner’s hand indicates
back to the mid lumbar region a tear of the subscapularis
with dorsum of the hand tendon
resting on the back
Have the patient lift the hand
off the back and hold against
resistance
5 Sulcus Sign Examiner pulls the patient’s The presence of a sulcus sign
arm downward and looks for indicates inferior shoulder
a hollow sulcus between the laxity and possible
lateral edge of the acromion multidirectional instability
and the humeral head
This result is compared to the
opposite shoulder

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