All About That Biceps
Funny Bone
Cuff Stuff
Pro talk
Hoo'x'ray!
200
This physical exam test is positive when there is pain along the bicipital groove with forward flexion of the shoulder with the elbow fully extended and supinated.
Speeds Test
Sensitivity: ~90%
Specificity: ~13-14%
200
4th and 5th digit numbness that is worsened by elbow flexion is associated with what diagnosis?
Cubital Tunnel Syndrome
Physical Exam Pearl:
Cubital Tunnel Syndrome: Numbness Palmar AND Dorsal hand surfaces
Guyon’s Canal Compression: Numbness ONLY Palmar surface (dorsal ulnar cutaneous nerve branch splits prior to the canal)
200
A positive drop arm test is consistent with what rotator cuff pathology?
Full thickness RTC tear
200
Name the diagnosis:
Anterior Shoulder Dislocation
400
What does the Obrien's test diagnose?
Show the class how to perform it
SLAP tear
Sensitivity: 63-94%
Specificity: 28-73%
400
What is the distal attachment of the triceps muscle?
Olecranon
400
A positive Jobe's test is associate with what rotator cuff pathology?
Supraspinatus tendinopathy
400
Name the diagnosis:
AC joint osteoarthritis
600
A SLAP tear involves what two shoulder structures (be specific)?
Superior Labrum
Long head of the biceps
600
Daily Double
Lateral Epicondylitis (Tennis Elbow)
600
Which two rotator cuff muscles are in charge of shoulder external rotation?
Infraspinatus, Teres Minor
600
Hill-Sachs Lesion
600
What is the diagnosis?
Supracondylar humerus fracture
800
What does the Yergason's test diagnose?
Show the class how to perform it.
Biceps tendinopathy
Sensitivity ~43%
Specificity ~79%
800
Name 1 tendon that attaches to the medial epicondyle
Pronator Teres, Flexor Carpi Radialis, Palmaris Longus, Flexor Carpi Ulnaris, Flexor Digitorum Superficialis
800
This muscle is in charge of peak activation shoulder abduction from 0-15 degrees
Supraspinatus
800
Coracoid Process
800
Your patient suffers an anterior shoulder dislocation. X-rays the next day reveal this finding:
Bankart lesion
1000
What is this physical exam finding called AND what is the diagnosis (be specific)?
Reverse Popeye Deformity
Distal biceps tendon tear
1000
A positive Milking Maneuver is consistent with which diagnosis?
Show the class how to perform the Milking Maneuver.
Ulnar Collateral Ligament Sprain/Instability
Sensitivity 65%
Specificity 50%
Moving Valgus Stress Test
Sens 100%
Spec 75%
1000
This muscle is in charge of peak activation of shoulder abduction from 120-180 degrees
Serratus Anterior
1000
What is the diagnosis?
Calcific Tendinitis