Examination Links:
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Alphabetical Listing
of Examinations
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Proprioceptive Movement
Test
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Proprioceptive Space Test
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Transverse Plane ROM Test
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Sciatic Nerve Palpation Test
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Anterior Instability Test
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Anterior/Posterior Translation
Test
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Posterior G-H Instability Test
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Inferior Drawer (Feagin) Test
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Hawkins Kennedy
Impingement Test
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Internal Rotation Strength
Test
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External Rotation Strength
Test
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Glenoid Labrum Clunk Test
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Andrews Anterior Instability
Test
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Prone Posterior Instability Test
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Acromioclavicular Joint
Stability Test
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Cross Chest
(Horizontal Adduction) Test
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Sternoclavicular Joint
Integrity Test
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External Rotation Lag Sign
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Internal Rotation Lag Sign
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Anatomical Snuff Box
Compression Test
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Phalen's Test or Wrist Press Test
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Boutonniere Deformity Test
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Flexor Digitorum Superficialis
Test
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Flexor Digitorum Profundus
Test
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MCP Radial Collateral
Ligament Stress Test
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MCP Ulnar Collateral
Ligament Stress Test
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PIP Radial Collateral
Ligament Stress Test
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PIP Ulnar Collateral
Ligament Stress Test
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DIP Radial Collateral
Ligament Stress Test
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DIP Ulnar Collateral
Ligament Stress Test
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Ipsilateral Prone Kinetic Test
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Passive Extension & Internal
Rotation of Ilium on Sacrum
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Passive Flexion & External
Rotation of Ilium on Sacrum
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Passive External Rotation
of Hip
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Prone Gapping (Hibb's) Test
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Sacral Apex Pressure Test
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Superoinferior Symphysis
Pubic Stress Test
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Flamingo Maneuver or Test
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Scouring (Quandrant) Test
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Hamstring Contracture Test 1
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Active Posterior/Anterior
Drawer Test
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Posterolateral Drawer Test
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Posterolateral Drawer Test
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External Rotation
Recurvatum Test
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Ludington's
Test |
Examination type |
Tendon pathology |
Patient & Body Segment Positioning
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The athlete will
be sitting with their back straight, on a chair or stool, with their
back to the examiner.
Patient clasps both
hands on top of the head, allowing the interlocking fingers to
support the weight of the upper limbs. This allows the maximum
relaxation of biceps tendon. |
Examiner Position |
The examiner
will be standing facing the athlete’s back.
Examiner palpates the biceps tendon. |
Tissues
Being Tested |
Long Head of the Biceps Tendon |
Performing the Test |
The athlete will
contracts their biceps muscles by pushing down on their head. The
examiner will still be palpating the long head tendon of the biceps
feeling for tension on the tendon. The test should be performed
bilaterally for comparison. |
Positive Test |
Inability to feel tendon indicates a long head of biceps tendon
rupture.
If there is no
tension or decreased tension on the tendon of the involved side,
this is a positive test for a rupture of the long head of the
biceps. |
Interpretation |
Detachment of the
long head of the biceps from the lip of the gleniod fossa |
Common errors in
performing exam |
Not testing
bilaterally; failure to palpate at the insertion of the biceps
tendon (not understanding where the biceps tendon inserts) |
Factors possibly
resulting in misinterpretation |
Athlete may not
be contracting biceps on the involved side due to malingering or
failure to understand the instructions of the examiner. |
Related tests |
Palpation of the
long head of the biceps, visual inspection, ROM testing of the shoulder
and elbow |
References |
Starkey, Chad. Ryan,
Jeff. Evaluation of Orthopedic and Athletic Injuries. Copyright
2002. F. A. Davis Company. 2nd Edition. Pg 479.
Magee. Orthopedic
Physical Assessment. 4th Ed. 2002. |
Links: |
http://www.shoulderdoc.co.uk/education/article.asp?article=497
www.physsportsmed.com/.../ 1999/06_99/carter.htm |
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