Shoulder Exam

Question 1

First Steps?

Answer 1

1 - Introduce Yourself
2 - Confirm for patients' details
3 - Explain the procedure
4 - Gain Consent
5 - Ask if they have any pain before starting

Question 2

Before the procedure?

Answer 2

Wash hands and ask them to take off their shirt

Question 3

First step?

Answer 3

General Inspection (front, back, and sides)

1 - See: shoulder alignment
Scars
Swelling
Muscle Wasting

2 - Assess for winging of the scapula

Question 4

Second Step?

Answer 4

Feel (palpate)

1 - Temperature
2 - Palpate joints and bones

Question 5

Third Step?

Answer 5

Move

First, active, then passive
1 - Abduction and Adduction
2 - Flexion, extension
3 - Internal/external rotation

Question 6

Fourth step?

Answer 6

Special Tests (6)

Impingiment of suprasinatus:
Jobe (emtpy can test)
Painful arc

For infraspinatus/teres minor
External rotation against resistance:

For subscapularis
Internal rotation

Rotator cuff
Neer
Hawkins Kennedy test

Question 7

Final thoughts

Answer 7

Wash hands again
Thank patient
Summarise findings

Ask for additional workups