Musculoskeletal Physical Exam

The physical exams are separated by anatomy and pathology. Based on the clinical presentation, the appropriate tests should be selected. This includes but is not limited to inspection, palpation, active/passive/resisted range of motion, neurovascular examination and specific provocative tests. 

Check out the resources below!

COMMON TO ALL JOINTS

Neurovascular Examination

ROTATOR CUFF PATHOLOGY

Jobe’s Test

Supraspinatus Pathology 

Internal Rotation Lag

Subscapularis Pathology 

Drop Arm Sign

Full Thickness Rotator Cuff Tear 

External Rotation Lag

Infraspinatus Pathology 

Drop Arm Sign

Full Thickness Rotator Cuff Tear 

Lift-off Test

Subscapularis pathology 

Hornblower Sign

Teres Minor Pathology 

Special Tests

IMPINGEMENT

Neer Impingement Sign  

Drop Arm Sign

Full Thickness Rotator Cuff Tear 

Hawkins Kennedy  

Special Tests

ACROMIOCLAVICULAR JOINT PATHOLOGY

Scarf Test

Drop Arm Sign

Full Thickness Rotator Cuff Tear 

Special Tests

LABRAL TEAR

O’Brien Test - SLAP Lesion

Drop Arm Sign

Full Thickness Rotator Cuff Tear 

Crank Test

Special Tests

GLENOHUMERAL JOINT PATHOLOGY

Apprehension & Relocation Tests

Anterior Instability  

Load & Shift

Anterior/ Posterior instability 

Drop Arm Sign

Full Thickness Rotator Cuff Tear 

Sulcus Sign

Multidirectional Instability 

Special Tests

PALPATION

Grind Test

Drop Arm Sign

Full Thickness Rotator Cuff Tear 

Finkelstein’s Test

Special Tests - Hand/ Wrist

STABILITY ASSESMENT

Scaphoid Shift Test  

Scapholunate Ligament Tear/Instability

Lunotriquetral Ballottement  

Lunotriquetral Ligament Tear/Instability

Ulnar Grinding Test

TFCC Lesions & Ulnar-Carpal Impingement

Drop Arm Sign

Full Thickness Rotator Cuff Tear 

Midcarpal Test

Midcarpal Instability

Thumb Ulnar Collateral Ligament (UCL) Stress Test

A.K.A. Gamekeeper’s or Skier’s thumb

Special Tests - Hands/ Wrist

RANGE OF MOTION

Flexor Profundus & Flexor Sublimus

Drop Arm Sign

Full Thickness Rotator Cuff Tear 

Bunnel’s Test

Special Tests - Hand/ Wrist

NERVE ASSESMENT

Tinel Sign

Carpal Tunnel Syndrome

Phalen’s Test

Carpal Tunnel Syndrome

Wartenberg’s sign

Ulnar Nerve Motor Weakness

Drop Arm Sign

Full Thickness Rotator Cuff Tear 

Froment’s Sign

Ulnar Nerve Motor Weakness

Jeanne's Sign

Ulnar Nerve Motor Weakness

Special Tests - Hands/ Wrist