Shoulder

Question 1

1. General inspection

Answer 1

Discarded sling
Signs of pain
Systemically well
Body habitus

Question 2

2. Look

Answer 2

Alignment and symmetry
Deformity
Skin changes
Wasting
Swelling

Question 3

3. Deformity

Answer 3

Steps in clavicle
Dislocation
Winging of scapula (long thoracic nerve injury)

Question 4

4. Skin changes

Answer 4

Scars (arthroscopy, shoulder surgery)
Erythema
Bruising

Question 5

5. Wasting

Answer 5

Trapezius
Deltoid
Biceps 
Triceps
Supraspinatus
Infraspinatus

Question 6

6. Swelling

Answer 6

Inflammation

Bursitis

Question 7

7. Feel (12)

Answer 7

Temperature
Sterno-clavicular joint
Clavicle
Arcromio-clavicular joint
Acromion
Greater tubercle of humerus
Coracoid
Deltoid
Biceps tendon
Boxers of scapula
Supraspinatus
Infraspinatus

Question 8

8. Function

Answer 8

Hands behind head
Hands behind back
Right hand left shoulder
Left hand right shoulder

Question 9

9. Move

Answer 9

Flexion
Extension
Abduction
-60°-120° mid arc pain (supraspinatus impingement)
>120° high arc pain (ACJ injury)
External rotation - elbows fixed (loss =frozen shoulder)
Internal rotation - hands behind back

Question 10

10. Special Tests

Answer 10

Empty beer can (supraspinatus)
External rotation against resistance (teres minor and infraspinatus)
Hands behind back, push (subscapularis)
Scarf test 
Hawkins-Kennedy

Question 11

11. Scarf Test

Answer 11

Patient hand on opposite shoulder
Hand on elbow
Pain = ACJ injury

Question 12

12. Hawkins-Kennedy

Answer 12

Shoulder 70°, elbow 90°
Support elbow, push hand down
Pain = supraspinatus impingement

Question 13

13. Joint above

Answer 13

C spine
Flexion, extension
Lateral rotation

Question 14

14. Neurovascular

Answer 14

Radial pulse

Axillary nerve - deltoid