Would you like to view this video?

Yerguson's Test - Shoulder Special/Orthopedic Test for Biceps Tendon, Transverse Ligament and Labrum Integrity

0

Yerguson's Test is an orthopedic test specifically designed to evaluate the integrity of the biceps tendon, transverse ligament, and labrum in the shoulder. This specialized test utilizes manual palpation to feel for indentation of each respective anatomical structure and involves the patient lifting their arm to approximately 90 degrees while the examiner compresses the biceps tendon/transverse ligament/labrum complex. By assessing the integrity of these structures, clinicians can better diagnose instability and pathology of the

0

Transcript

00:00:0400:00:06
This is Brent the Brookbush Institute,
00:00:0400:00:06
...blank
00:00:0600:00:07
in this video we're going over another
00:00:0700:00:09
special or orthopedic test for the
00:00:0900:00:11
shoulder. This is the Yurguson's Test
00:00:1100:00:15
which is often used to help diagnose, or
00:00:1500:00:18
indicate a diagnosis of some sort of bicipital
00:00:1800:00:20
tendinosis or transverse
00:00:2000:00:22
ligament injury. There have been some
00:00:2200:00:24
studies that have even linked this to
00:00:2400:00:27
SLAP lesion diagnosis. So it falls in our
00:00:2700:00:31
grouping of tests having to do with SLAP
00:00:3100:00:33
lesions, transverse ligament strains and
00:00:3300:00:35
bicipital tendinosis. I'm going to have my
00:00:3500:00:36
friend Brian come out, he's going to help
00:00:3600:00:39
me demonstrate of all of our tests that
00:00:3900:00:41
we've showed up to this point. This might
00:00:4100:00:43
be the easiest yet. So I'm going to have
00:00:4300:00:45
Brian go ahead and he's going to get
00:00:4500:00:48
into a sitting position. You can go ahead
00:00:4800:00:52
and sit in the table there Brian. All
00:00:5200:00:54
right he's going to bend his elbow just
00:00:5400:00:58
like so, he's going to start in a
00:00:5800:01:02
pronated position or palm down, and then
00:01:0200:01:04
all I'm going to ask him to do is go
00:01:0400:01:05
ahead and try to turn your palm up, and
00:01:0500:01:11
I'm going to resist supination, and if he
00:01:1100:01:14
feels pain, do you feel any pain when you
00:01:1400:01:16
do that? (No). If he feels pain in his
00:01:1600:01:23
bicipital groove that would be a positive sign. That's it, all this is
00:01:2300:01:27
is resisted supination at 90 degrees. You
00:01:2700:01:29
can kind of think about this from a
00:01:2900:01:31
kinesiology standpoint, a lot of people
00:01:3100:01:35
think the biceps brachii right is a
00:01:3500:01:37
is a strong elbow flexor and everybody
00:01:3700:01:40
like thinks about curls, but the truth of the
00:01:4000:01:42
matter is it's probably more important
00:01:4200:01:45
as a supinator of the forearm. So whoever
00:01:4500:01:49
created this test, Yurguson's right,
00:01:4900:01:52
had a pretty good idea about kinesiology
00:01:5200:01:56
and knew that if he stressed the biceps
00:01:5600:01:59
brachii this way, and he got hang up in
00:01:5900:02:01
here that was probably a good diagnostic
00:02:0100:02:05
indicator of something going on with the
00:02:0500:02:08
biceps tendon, or that transverse
00:02:0800:02:11
ligament. Now one step further, if we had
00:02:1100:02:14
a couple other positive test for SLAP
00:02:1400:02:17
lesion, and we still had anterior
00:02:1700:02:19
shoulder pain here, keep in mind that the
00:02:1900:02:21
long head of your biceps tendon also
00:02:2100:02:23
pulls down on the superior portion of
00:02:2300:02:26
their labrum, because that is the origin
00:02:2600:02:29
of the long head of your biceps. Thank
00:02:2900:02:32
you Brian. Now once again this is one
00:02:3200:02:35
test hopefully within many tests that's
00:02:3500:02:39
going to make up your diagnostic
00:02:3900:02:42
grouping of tests. Remember you should
00:02:4200:02:44
have started with your subjective
00:02:4400:02:46
examination, you probably are going to
00:02:4600:02:48
start with some impingement testing if
00:02:4800:02:49
we're talking about shoulder pathology,
00:02:4900:02:51
especially anterior shoulder pathology;
00:02:5100:02:53
and if you've got to the point where
00:02:5300:02:56
you're testing for labral tears, biceps
00:02:5600:02:58
tendonosis, there was probably something
00:02:5800:03:01
in that subjective examination that led
00:03:0100:03:04
you to believe that that sort of
00:03:0400:03:06
pathology is possible. Something like
00:03:0600:03:09
acute trauma, or this is an overhead
00:03:0900:03:12
throwing athlete, an MMA athlete, maybe a
00:03:1200:03:16
boxer, somebody who takes hits into the
00:03:1600:03:18
shoulder, for example of football lineman.
00:03:1800:03:22
You never use one test by itself to get
00:03:2200:03:26
a diagnosis. If somebody does have biceps
00:03:2600:03:28
tendonosis, that is something that
00:03:2800:03:30
probably responds well to physical
00:03:3000:03:32
therapy, whereas things like transverse
00:03:3200:03:35
ligament rupture and labral tears do not