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    Shoulder Examination

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    Fahad M
    This document provides guidance on conducting a thorough shoulder examination. It outlines the key steps and assessments to perform, including: 1) Inspecting the skin, muscles, and joints for abnormalities like swelling or deformities from multiple angles. 2) Palpating the shoulder joint and muscles to check for tenderness. 3) Testing the active and passive range of motion in motions like flexion, abduction, and rotation. 4) Conducting special tests to isolate specific structures like the rotator cuff muscles, impingement, AC joint, biceps, and instability. Additional assessments of the joint above and below as well as neurovascular status are also recommended.

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    Shoulder Examination

    Uploaded by

    Fahad M
    11 views25 pages
    This document provides guidance on conducting a thorough shoulder examination. It outlines the key steps and assessments to perform, including: 1) Inspecting the skin, muscles, and joints for abnormalities like swelling or deformities from multiple angles. 2) Palpating the shoulder joint and muscles to check for tenderness. 3) Testing the active and passive range of motion in motions like flexion, abduction, and rotation. 4) Conducting special tests to isolate specific structures like the rotator cuff muscles, impingement, AC joint, biceps, and instability. Additional assessments of the joint above and below as well as neurovascular status are also recommended.

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    This document provides guidance on conducting a thorough shoulder examination. It outlines the key steps and assessments to perform, including: 1) Inspecting the skin, muscles, and joints for abnormalities like swelling or deformities from multiple angles. 2) Palpating the shoulder joint and muscles to check for tenderness. 3) Testing the active and passive range of motion in motions like flexion, abduction, and rotation. 4) Conducting special tests to isolate specific structures like the rotator cuff muscles, impingement, AC joint, biceps, and instability. Additional assessments of the joint above and below as well as neurovascular status are also recommended.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    11 views25 pages

    Shoulder Examination

    Uploaded by

    Fahad M
    This document provides guidance on conducting a thorough shoulder examination. It outlines the key steps and assessments to perform, including: 1) Inspecting the skin, muscles, and joints for abnormalities like swelling or deformities from multiple angles. 2) Palpating the shoulder joint and muscles to check for tenderness. 3) Testing the active and passive range of motion in motions like flexion, abduction, and rotation. 4) Conducting special tests to isolate specific structures like the rotator cuff muscles, impingement, AC joint, biceps, and instability. Additional assessments of the joint above and below as well as neurovascular status are also recommended.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 25

    Shoulder Examination

    Fahad M. Al-Suwayeh
    Orthopedic Resident
    KKUH
    Objectives
    • To cover the most important points of
    shoulder examination
    • To conduct an easy, fast, and comprehensive
    shoulder examination in clinic.
    • Before starting examining a patient make sure to:
    – WIPE
    • Inspection
    • Palpation
    • Range of Motion ( Active  Passive )
    • Special Tests
    • Joint above and below
    • Distal NeuroVascular
    Inspection
    • Position either sitting or standing
    • Inspections from anterior, posterior and sides
    • Acronym SEADS:
    Skin ( Open wounds, scars, hair loss, injections marks)
    Erythema/ Ecchymosis
    Atrophy/ Asymmetry
    Deformity
    Swelling
    Palpation
    ROM
    • Start with active if there is limitation, do
    passive.
    • Forward flexion (160-170)
    • Abduction (180)
    • External rotation, arm at the side (90)
    • External rotation, arm abducted 90
    • Internal rotation, ask to place arm behind the
    back and reach as high as possible ( T4-T8 )
    Special tests
    i. Rotator cuff muscles exam
    ii. Impingement syndrome
    iii. AC joint exam
    iv. Biceps exam
    v. Instability
    vi. Generalized ligament laxity
    1- RC muscles testing
    Empty can test
    Supraspinatous
    Hornblower test
    Teres minor
    • Infraspinatus:
    Arm at the side with elbow flexed, resist external
    rotation
    ER lag sign

    • Subscapularis:
    Left-off test
    belly press
    Impingement-2
    Hawkins test
    Neer impingement sign
    V.S Neer impingement test
    AC joint -3
    Biceps exam -4
    Instability -5
    Anterior
    Posterior
    Sulcus
    Generalized Laxity -6
    ,Thank you

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