SHOULDER EXAM

Question 0

Feel?

Answer 0

Temperature 
Palpate various parts of the shoulder girdle
- SCV joint
- clavicle
- ACV joint
- coracoid process 
- head of humerous
- greater tuber laity if humerus 
- spine of scapula

Question 1

Look?

Answer 1

FRONT
Scars 
Asymmetry 
Swelling 
Atrophy 

SIDE

BACK

• winged scapula
• trapezius

Question 2

Movement?

Answer 2

Flexion - “raise your arms forward above your head”
Extension - “back down as far as they can go”
Abduction - “move your arms away up from the side till they point the ceiling”
Adduction - “move them back and across your body”
External rotation - copy me
Internal rotation

Question 3

Features of articulate disease? Features of tendinitis? Features of rupture/NEURO lesions?

Answer 3

Articulate disease causes pain in all directions
Tendinitis - pain in one plans
Tendon rupture/NEURO - painless weakness

Question 4

Special tests?

Answer 4

Anterior stability
- apprehension test:

Lift off test (subscapularis test)
- put back of hand to back. And lift it off away

Painful arc test (rotator cuff/impingement)

Empty can test (supraspinatus tendinitis)

• empty can
• apply pressure posteriorly