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LMCC Part 2 - Shoulder Exam
LMCC Part 2 - Shoulder Exam
Inspection SEADS: swelling, erythema or ecchymosis, atrophy, deformity, skin changes clearly states comparison with contralateral joint
Palpation TEST CAA: tenderness, effusion, swelling, temperature, crepitus, atrophy, asymmetry palpate the sternoclavicular joint palpate the acromioclavicular joint palpate the thoracoscapular articulation palpate the acromion, spine, and body of the scapula palpate the greater tubercle of the humerus and the humeral head palpate the tendon of the long head of the biceps in the groove medial to the greater tuberosity
Range of motion active range of motion o looks for pain and limitation of movement throughout
palpates during active movement and comments on the presence of crepitus raise arms forward straight over the head - flexion extend arms backward - extension lift arms laterally over head - abduction swing arm across the chest adduction put hands behind the head - internal rotation put hands behind the back - external rotation
o o o o o o
passive range of motion o guides the shoulder through the same ROM as above - flexion, extension, abduction, adduction, internal rotation, external rotation
Power repeats above ROM but with the application of an opposing force; muscle power may be graded according to the Oxford scale acknowledges that reduced strength, particularly for abduction (arm across the chest) and external rotation (hand behind the back), is common with acute and chronic injuries of the rotator cuff
Diagnosis
defines most likely problem to the examiner and the patient summarizes findings for the patient
Joint assessment above and below shoulder joint Neck o Rules out referred pain by Spurlings sign
Elbow