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Yerguson's Test - Shoulder Special/Orthopedic Test for Biceps Tendon, Transverse Ligament and Labrum Integrity
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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
Transcript
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This is Brent the Brookbush Institute,
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...blank
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in this video we're going over another
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special or orthopedic test for the
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shoulder. This is the Yurguson's Test
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which is often used to help diagnose, or
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indicate a diagnosis of some sort of bicipital
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tendinosis or transverse
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ligament injury. There have been some
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studies that have even linked this to
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SLAP lesion diagnosis. So it falls in our
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grouping of tests having to do with SLAP
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lesions, transverse ligament strains and
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bicipital tendinosis. I'm going to have my
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friend Brian come out, he's going to help
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me demonstrate of all of our tests that
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we've showed up to this point. This might
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be the easiest yet. So I'm going to have
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Brian go ahead and he's going to get
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into a sitting position. You can go ahead
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and sit in the table there Brian. All
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right he's going to bend his elbow just
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like so, he's going to start in a
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pronated position or palm down, and then
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all I'm going to ask him to do is go
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ahead and try to turn your palm up, and
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I'm going to resist supination, and if he
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feels pain, do you feel any pain when you
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do that? (No). If he feels pain in his
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bicipital groove that would be a positive sign. That's it, all this is
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is resisted supination at 90 degrees. You
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can kind of think about this from a
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kinesiology standpoint, a lot of people
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think the biceps brachii right is a
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is a strong elbow flexor and everybody
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like thinks about curls, but the truth of the
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matter is it's probably more important
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as a supinator of the forearm. So whoever
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created this test, Yurguson's right,
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had a pretty good idea about kinesiology
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and knew that if he stressed the biceps
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brachii this way, and he got hang up in
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here that was probably a good diagnostic
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indicator of something going on with the
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biceps tendon, or that transverse
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ligament. Now one step further, if we had
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a couple other positive test for SLAP
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lesion, and we still had anterior
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shoulder pain here, keep in mind that the
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long head of your biceps tendon also
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pulls down on the superior portion of
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their labrum, because that is the origin
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of the long head of your biceps. Thank
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you Brian. Now once again this is one
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test hopefully within many tests that's
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going to make up your diagnostic
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grouping of tests. Remember you should
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have started with your subjective
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examination, you probably are going to
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start with some impingement testing if
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we're talking about shoulder pathology,
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especially anterior shoulder pathology;
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and if you've got to the point where
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you're testing for labral tears, biceps
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tendonosis, there was probably something
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in that subjective examination that led
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you to believe that that sort of
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pathology is possible. Something like
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acute trauma, or this is an overhead
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throwing athlete, an MMA athlete, maybe a
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boxer, somebody who takes hits into the
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shoulder, for example of football lineman.
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You never use one test by itself to get
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a diagnosis. If somebody does have biceps
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tendonosis, that is something that
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probably responds well to physical
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therapy, whereas things like transverse
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ligament rupture and labral tears do not
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