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Shoulder Examination

Categories
  • Examination
  • Shoulder
  • Shoulder Examination
Tags
  • Examination
  • Shoulder
  • Shoulder Examination
Shoulder

Shoulder Examination

Mechanical alignment

Assess bilateral upper limbs: Look for muscle wasting

Shoulder Examination
Shoulder Examination
Shoulder Examination
Shoulder Examination

Shoulder range of motion (ROM)

Shoulder Abduction

Shoulder Examination

Shoulder Flexion

Shoulder Examination

Shoulder range of motion (ROM)

Shoulder External rotation (ER)

Shoulder Examination

Shoulder Internal rotation (IR)

Shoulder Examination

Shoulder range of motion (ROM)

Shoulder Internal rotation (IR):

  • the degree of IR can be quantified relative to the position along the spine. The highest position up the spine is quantified as the endpoint value.

Shoulder IR: The model can IR to a level of T6

Shoulder Examination

Shoulder impingement

Shoulder impingement test: Abduct arm to 90 degrees. Internally rotate the arm and assess for pain.

Shoulder Examination
Shoulder Examination

Shoulder rotator cuff strength

Supraspinatus: Resisted abduction with arm 90 degrees abducted & thumb pointing down (pronated)

Shoulder Examination
Shoulder Examination

Shoulder rotator cuff strength

Subscapularis: Lift off test. Arm internally rotated at the back with resisted lifting of the arm.

Shoulder Examination
Shoulder Examination

Resisted internal rotation with arm in abduction

Shoulder Examination

Lift off test

Shoulder rotator cuff strength

Infraspinatus (IS)/Teres minor(TM): Resisted external rotation.

Shoulder Examination

IS & TM is responsible for external shoulder rotation.

Lateral rotation lag sign (IS spring back): keep shoulder in external rotation, if shoulder rotates internally after releasing it is the sign of torn IS/TM as the unopposed agonistic subscapularis pulls the shoulder internally

Shoulder Examination

Shoulder biceps tests

Speed: extend arm then resisted shoulder flexion with forearm supinated then pronated with elbow completely extended.

Yergasons: Resisted supination with forearm flexed and pronated while patient also laterally rotates arm.

Shoulder Examination
Shoulder Examination

Resisted arm flexion

Shoulder Examination
Shoulder Examination

Shoulder stability tests

Anterior apprehension: Abduct arm to 90 degrees and externally rotate while eliciting apprehension.

Posterior apprehension: sitting or standing the shoulder is elevated to 90 degrees and a posterior directed force is applied to the elbow while stabilizing the scapular with other hand and eliciting apprehension.

Inferior:

Pull down on arm while it is at the side of chest. Presence of sulcus indicative of  inferior instability.

Anterior instability test

Shoulder Examination

Inferior instability test

Shoulder Examination

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