How Do You Perform An O Brien's Test?


  1. With the patient in sitting or standing, the upper extremity to be tested is placed in 90° of shoulder flexion and 10-15° of horizontal adduction.
  2. The patient then fully internally rotates the shoulder and pronates the elbow.

What is a positive O'Brien test? A positive test occurs with pain reproduction or clicking in the shoulder with the first position and reduced/absent with the second position. Depth of symptoms must also be assessed as superficial pain can indicate acromioclavicular joint symptoms and deep pain is more often a sign of a labral lesion.

what is an Obriens test?

O'Brien Test. This test is used to assess for a SLAP lesion. “The patient sits with the test shoulder in 90 degrees of forward flexion, 40 degrees of horizontal adduction, and maximal internal rotation. The examiner stands with one hand grasping the subject's wrist.

How do you test for Infraspinatus? The infraspinatus muscle is best tested by externally rotating the upper arm with the elbows flexed at 90 degrees. The elbows can either be at the patient's side or abducted 90 degrees to further isolate the infraspinatus from the deltoid muscle.

how do you do a drop arm test?

Technique[1] The patient is seated or standing. The examiner places the patient's arm to 90oin the scapular plane and flexes the elbow to 90o. The patient is then asked to externally rotate against resistance. The test is positive if the patient is unable to perform external rotation.

What is a positive Apley's scratch test? Positive Apley scratch test: pain, side asymmetry or limited range of motion.

how do you test for SLAP tear?

Special Tests for a SLAP Tear

What is a SLAP lesion? Orthopedic surgery. A SLAP tear or SLAP lesion is an injury to the glenoid labrum (fibrocartilaginous rim attached around the margin of the glenoid cavity). SLAP is an acronym for "superior labral tear from anterior to posterior".

What does a positive Hawkins test mean?

A positive Hawkins test is indicative of an impingement of all structures that are located between the greater tubercle of the humerus and the coracohumeral ligament. The Hawkins test is considered to be a highly sensitive test (92.1%) and thus a negative Hawkins test suggests that injury is unlikely.

What is Hornblower sign? Hornblower's Sign (Patte Test) This test is used to determine the strength of the teres minor1. “Both the therapist and the patient are standing. The therapist elevates the patient's arm to 90 degrees in the scapular plane.

What does Yergason's test for?

Yergason's test is a special test used for orthopedic examination of the shoulder and upper arm region, specifically the biceps tendon.

What is Speed's test?

Speed's Test (Biceps or straight arm test) This test looks for biceps muscle or tendon pathology. “The patient's arm is forward flexed to 90 degrees and then the patient is asked to resist an eccentric movement into extension, first with the arm supinated, then pronated.

How is shoulder impingement diagnosed?

Medical imaging that may be ordered to confirm or rule out a shoulder impingement diagnosis include: X-rays. X-rays do not show soft tissue and cannot be used to definitively diagnose shoulder impingement. Magnetic resonance imaging (MRI). An MRI will show a detailed view of the soft tissue around the shoulder.

Is a slap tear serious?

Many SLAP tears, however, are the result of a wearing down of the labrum that occurs slowly over time. In patients over 30 to 40 years of age, tearing or fraying of the superior labrum can be seen as a normal process of aging. This differs from an acute injury in a younger person.

What is Jobe's test for shoulder?

Jobe's test is a physical exam test that is used to detect anterior shoulder instability. It is used to distinguish between anterior instability and primary shoulder impingement. This test should be performed after the Apprehension test. This test was named for Christopher Jobe.

How do you test for supraspinatus injury?

The Empty Can Test, along with the Full Can Test is a commonly used orthopedic examination test for supraspinatus impingement or integrity of the supraspinatus muscle and tendon. The test is usually easier in sitting or standing. On the side to be tested the one of the examiner's hands stabilizes shoulder girdle.

What is a ruptured bicep tendon?

Rupture of the biceps tendon can occur proximally (at the shoulder) or distally (at the elbow). Ruptures commonly occur when there is an unexpected force applied to the bicep muscle such as attempting to catch something or someone when they fall. Most ruptures occur when the elbow is in a flexed position.

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