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It identifies the presence of a pathology involving the biceps tendon or glenoid labrum. The specific positive findings to the test include pain in the bicipital groove indicating biceps tendinitis, [2] [3] subluxation of the long head of the biceps brachii muscle, [3] and presence of a SLAP tear. [4]
[1] [5] Given the nature of each exam, the Ludington's test is a provocative physical exam maneuver to palpate for a proximal tendon rupture, whereas the Hook test and the Ruland biceps squeeze test are used to palpate for a distal tendon rupture. [1] [5] Ludington's test - The patient is asked to place both hands on his head and interlock his ...
Biceps reflex is a deep tendon reflex (DTR) test (also known as a muscle-stretch reflex test) [1] that examines the function of the C5 reflex arc and the C6 reflex arc. [2] The test is performed by using a tendon hammer to quickly depress the biceps brachii tendon [ 3 ] as it passes through the cubital fossa .
The Golgi tendon reflex is a response to extensive tension on a tendon. [7] It helps avoid strong muscle contractions which could tear the tendon from either the muscle or bone. [ 7 ] In sports, quick movements can damage the tendon before the reflex can occur. [ 7 ]
The tests differ in the rotation of the arm; in the empty can test, the arm is rotated to full internal rotation (thumb down) and in the full can test, the arm is rotated to 45° external rotation, thumb up. [1] Once rotated, the clinician pushes down on either the wrists or the elbow, and the patient is instructed to resist the downward pressure.
An upper limb neurological examination is part of the neurological examination, and is used to assess the motor and sensory neurons which supply the upper limbs.This assessment helps to detect any impairment of the nervous system, being used both as a screening and an investigative tool.
Hawkins–Kennedy test: a positive test indicates shoulder impingement syndrome; Empty beer can test: a positive test indicates rotator cuff tear, specifically, supraspinatus muscle tear; Drop arm test: a positive test indicates a supraspinatus tear; External Rotation test: a positive test indicates an infraspinatus or teres minor tear
A SLAP tear or SLAP lesion is an injury to the superior glenoid labrum (fibrocartilaginous rim attached around the margin of the glenoid cavity in the shoulder blade) that initiates in the back of the labrum and stretches toward the front into the attachment point of the long head of the biceps tendon.