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Flashcards in Shoulder Exam. Deck (4)
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1
Q

Palpation order:

A
  • Suprasternal notch.
  • Along clavicle.
  • Acromioclavicular joint.
  • Palpate edge of the acromion with the other hand.
  • Subacromial space.
  • Greater tuberosity.
  • Biceps tendon.
  • Spine of scapular.
2
Q
  • What are the six active movements to test?
    • What are the tests?
      • What muscles are they testing?
      • What angles are normal?
  • What test is done after this?
A
  • Flexion.
    • Bringing arms from side and rotate to above head.
      • Anterior deltoid and pectoralis major.
      • 180 degrees.
  • Extension.
    • Move arms straight back behind as far as possible.
      • Latissimus dorsi, posterior deltoid, and pectoralis major.
      • 65 degrees.
  • External rotation.
    • Bend elbows at 90 degrees to body and outwards.
      • Infraspinatus, posterior deltoid, and teres minor.
      • 65 degrees.
  • Internal rotation.
    • Move hands inward.
      • Pectoralis major, latissimus dorsi, anterior deltoid, subscapularis, teres major.
      • 90 degrees.
  • Abduction.
    • With arms straight and down by side, move out to the side and above the head.
      • Middle deltoid and supraspinatus.
      • 180 degrees.
  • Adduction.
    • Arms down by side, carry in front of body to the opposite side.
      • Pectoralis major and latissimus dorsi.
      • 50 degrees.
  • Crepitus.
3
Q
  • What are the four special tests for the shoulder exam?
    • How are they done?
      • What do they test?
A
  • Empty the can test.
    • Arms abducted to 90 degrees and forward flexed to 30 degrees, and arms internally rotated so thumbs point to the ground.
    • Patient then resists against adduction.
      • Supraspinatus.
      • Weakness → tear.
      • Pain → impingement or tendonitis.
  • Hawkin’s impingement test.
    • Weave arm so hand rests on patient’s acromion and then internally rotate arm.
    • Perform first with no flexion, and then 30 degree flexion.
      • Pain → positive test.
  • External rotation against resistance.
    • Elbow at 90 degrees, patients externally rotates against resistance.
      • Tests infraspinatus.
      • Weakness → tear.
      • Pain → tendonitis.
  • Lift off test.
    • Hand behind back, move hand to new position away from back and see if patient can hold it there.
    • Test further by asking patient to resist against hand being pushed into the back.
      • Subscapularis.
      • Weakness → tear.
      • Pain → tendonitis.
4
Q

Match the special test and the muscle it is testing.

  1. Empty the can test.
  2. Lift-off test.
  3. External rotation against resistance.
  4. Infraspinatus.
  5. Supraspinatus.
  6. Subscapularis.
A
  • Empty the can test.
    • Supraspinatus.
  • Lift-off test.
    • Subscapularis.
  • External rotation against resistance.
    • Infraspinatus.