Demonstrate examination of the shoulder

Question 1

What may weakness upon the empty can test indicate?

Answer 1

a tear in the supraspinatus tendon

Question 2

What does the painful arc assess?

Answer 2

impingement of supraspinatussupraspinatus tendonitis

Question 3

What is the normal range of movement for external rotation of the shoulder?

Answer 3

80º-90º

Question 4

What are the symptoms of shoulder impingement syndrome?

Answer 4

painweaknessreduced range of active movementnormal passive movement

Question 5

What is shoulder impingement syndrome most commonly associated with?

Answer 5

supraspinatus tendonitis

Question 6

What is the normal range of movement for shoulder flexion?

Answer 6

150º-180º

Question 7

What does an inability to keep the arm externally rotated in abduction (eg. the arm falls back to internal rotation) suggest?

Answer 7

teres minor pathology or an axillary nerve lesion

Question 8

What is the normal range of movement for internal rotation of the shoulder?

Answer 8

The patient should be able to reach the level of T4-T8

Question 9

What is the normal range of movement for shoulder adduction?

Answer 9

30º-40º

Question 10

What does external rotation against resistance assess for?

Answer 10

function of the infraspinatus muscle and teres minor

Question 11

What is adhesive capsulitis?

Answer 11

“frozen shoulder”

involves stiffness and pain in the shoulder joint

Question 12

What does internal rotation against resistance assess?

Answer 12

function of the subscapularis muscle

Question 13

What is the normal range of movement for shoulder abduction?

Answer 13

180º

Question 14

How does axillary nerve palsy typically present upon clinical examination?

Answer 14

loss of sensation over the lateral deltoid regiondeltoid muscle weaknessloss of shoulder abduction

Question 15

What does the scarf test assess?

Answer 15

the function of the acromioclavicular joint

Question 16

What typically causes axillary nerve palsy?

Answer 16

shoulder dislocation

Question 17

What does external rotation in abduction (putting the hand as far up the back as possible) assess?

Answer 17

the function of the teres minor muscle

Question 18

What is the normal range of movement for shoulder extension?

Answer 18

40º

Question 19

How would adhesive capsulitis present in a clinical examination?

Answer 19

significant reduction in the range of active and passive movementpalpation of the joint does not typically cause pain

Question 20

What may pain on resisted external rotation suggest?

Answer 20

infraspinatus tendonitis

Question 21

What is adhesive capsulitis?

Answer 21

“frozen shoulder”

involves stiffness and pain in the shoulder joint

Question 22

How can the painful arc test help identify impingement or supraspinatus tendonitis?

Answer 22

it typically causes pain between 60º-120ºof abduction

Question 23

What does the empty can test assess?

Answer 23

weakness and/or impingement of the supraspinatus muscle

Question 24

How can you identify long thoracic nerve lesions

Answer 24

winging of the scapula

Question 25

What is shoulder impingement syndrome?

Answer 25

inflammation of tendons of the rotator cuff muscles as they pass through the subacromial space

Question 26

What may an inability to apply resistance whilst internally rotating the shoulder suggest?

Answer 26

pathology of the subscapularis muscle or a subscapular nerve lesion