Demonstrate examination of the shoulder Flashcards
What may weakness upon the empty can test indicate?
a tear in the supraspinatus tendon
What does the painful arc assess?
impingement of supraspinatussupraspinatus tendonitis
What is the normal range of movement for external rotation of the shoulder?
80º-90º
What are the symptoms of shoulder impingement syndrome?
painweaknessreduced range of active movementnormal passive movement
What is shoulder impingement syndrome most commonly associated with?
supraspinatus tendonitis
What is the normal range of movement for shoulder flexion?
150º-180º
What does an inability to keep the arm externally rotated in abduction (eg. the arm falls back to internal rotation) suggest?
teres minor pathology or an axillary nerve lesion
What is the normal range of movement for internal rotation of the shoulder?
The patient should be able to reach the level of T4-T8
What is the normal range of movement for shoulder adduction?
30º-40º
What does external rotation against resistance assess for?
function of the infraspinatus muscle and teres minor
What is adhesive capsulitis?
“frozen shoulder”
involves stiffness and pain in the shoulder joint
What does internal rotation against resistance assess?
function of the subscapularis muscle
What is the normal range of movement for shoulder abduction?
180º
How does axillary nerve palsy typically present upon clinical examination?
loss of sensation over the lateral deltoid regiondeltoid muscle weaknessloss of shoulder abduction
What does the scarf test assess?
the function of the acromioclavicular joint
What typically causes axillary nerve palsy?
shoulder dislocation
What does external rotation in abduction (putting the hand as far up the back as possible) assess?
the function of the teres minor muscle
What is the normal range of movement for shoulder extension?
40º
How would adhesive capsulitis present in a clinical examination?
significant reduction in the range of active and passive movementpalpation of the joint does not typically cause pain
What may pain on resisted external rotation suggest?
infraspinatus tendonitis
What is adhesive capsulitis?
“frozen shoulder”
involves stiffness and pain in the shoulder joint
How can the painful arc test help identify impingement or supraspinatus tendonitis?
it typically causes pain between 60º-120ºof abduction
What does the empty can test assess?
weakness and/or impingement of the supraspinatus muscle
How can you identify long thoracic nerve lesions
winging of the scapula
What is shoulder impingement syndrome?
inflammation of tendons of the rotator cuff muscles as they pass through the subacromial space
What may an inability to apply resistance whilst internally rotating the shoulder suggest?
pathology of the subscapularis muscle or a subscapular nerve lesion
