Clinical Evaluation of Impingement and Cuff Tears -Everything You Need To Know - Dr. Nabil Ebraheim
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- Опубліковано 9 тра 2024
- Dr. Ebraheim’s educational animated video describes clinical evaluation of subacromial impingement and rotator cuff tears.
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Clinical evaluation of impingement and cuff tears
• Clinical Evaluation of...
Clinical evaluation of subacromial impingement and rotator cuff tears
What are the test used to evaluate subacromial impingement and rotator cuff tears?
These are a sample of the test that are used to evaluate shoulder impingement and rotator cuff pathology or rotator cuff tears.
Neer test: The patient is standing or sitting upright. The examiner will passively evaluate the pronated arm of the patient above the level of the shoulder. Pain at the anterior lateral aspect of the shoulder indicates a positive finding of subacromial impingement.
Hawkin's test: The patient is standing or sitting upright with the arm fully abducted and forwardly flexed. The elbow is also flexed. The examiner will place 1 hand on the patient's shoulder and apply internal rotation to the affected arm with the other hand. Pain at the shoulder indicates subacromial impingement.
Drop arm test: Patient is standing or sitting upright. The patient is asked to hold the arm in abduction at the level of the shoulder, then smoothly adduct the arm. In a normal rotator cuff strength, the patient can lower the arm smoothly, gradually to the same. The patient is suffering from a rotator cuff tear will not be able to hold the arm in abduction and the arm will drop rapidly.
Jobe test/empty can: The Jobe test is a popular test and it test the supraspinatus tendon. The patient is standing or sitting upright. The arm should be anteriorly flexed at the level of the shoulder. Fully pronate the arm into the empty can position. The patient should resist the downward force being applied on the forearm by the examiner. Pain or weakness indicates the supraspinatus tendon tear or pathology.
Abduction/external rotation test: Infraspinatus is predominantly and external rotator of the shoulder with the arm adducted. The patient is standing with the affected arm adducted and the elbow flexed at 90 degrees. The examiner will test external rotation of the shoulder with the arm adducted against resistance. Testing external rotation of the arm against resistance will test the infraspinatus muscle function.
Belly-press test: The patient is standing with the hand of the affected arm resting against the abdomen with the elbow anterior to the midaxillary line. The patient is then asked to press the belly using the affected arm without moving the elbow. Failure to maintain the elbow anterior to the midaxillary line while pressing against the belly indicates a subscapularis tendon tear.
Lift-off test: This test the subscapularis tendon and is a very popular test. The patient is standing with the affected arm internally rotated behind the back so that the dorsum of the hand will be resting in the lumbar area. The examiner will passively lift the arm away from the patient's back. Once the examiner releases the arm, failure to maintain the position of the arm away from the back indicates a subscapularis tendon tear.
Such a good review for PT's!
A great teacher
Thank you sir 🙏
Thank you very much!
Thx a lot sir
Thank you
Thamk You very mucho Dr.
Dr. can you do a video on septic arthritis? Thanks!
Superb
After having my wrist in a cast for 59 day's, I'm having pain in my upper arm, with limited movement. The Hawkins test is the one I'm having problems with so will look to see what can be done.
Appreciate your video, thank you.
Thanks
I'm a big victim of impingement. Over years I've found massaging my scapula helps heaps
How to make your video sir
Fait nous la traduction en français si c'est possible et merci
😊
🌹
日本語に翻訳してくれると嬉しいです
🌹🌹🌹🌹🌹🌹🌹🌹🌹🌹🌹🌹
Apparently I have a tear bc a lot of those hurt 😅
Hi c4 c5 c6 p Problem
:D
Thank you
😊