Musculoskeletal Examination (shoulder)

Question 1

Shoulder Flexion ROM

Answer 1

0-180°

Question 2

Shoulder Flexion Goniometer positions

Answer 2

S- // to mid-axillary line of thorax

F- Lateral aspect of greater tubercle

M- Lateral midline of humerus

Question 3

Shoulder Extension ROM

Answer 3

0-60°

Question 4

Shoulder Extension Goniometer positions

Answer 4

S- // to mid-axillary line of thorax

F- Lateral aspect of greater tubercle

M- Lateral midline of humerus

Question 5

Shoulder Abduction ROM

Answer 5

0-180°

Question 6

Shoulder Abduction Goniometer positions

Answer 6

S- // to anterior aspect of sternum
F- Anterior lip of acromion
M- Anterior midline of humerus

Question 7

Shoulder External Rotation ROM

Answer 7

0-90°

Question 8

Shoulder External Rotation Goniometer positions

Answer 8

S- Perpendicular to the floor
F- Olecranon process
M- In line w/ the ulna

Question 9

Shoulder Internal Rotation ROM

Answer 9

0-70°

Question 10

Shoulder Internal Rotation Goniometer positions

Answer 10

S- Perpendicular to the floor
F- Olecranon process
M- In line w/ the ulna

Question 11

Testing position for Pectoralis Major (sternal fibers)

Answer 11

Patient is supine. Shoulder abducted to 135°. Shoulder is externally rotated. Elbow extended.

Question 12

Assessment Method for Pectoralis Major (sternal fibers)

Answer 12

Tape measure from lateral epicondyle to table.

Question 13

Testing position for Pectoralis major (clavicular fibers)

Answer 13

Patient is supine. Shoulder abducted to 90°. Shoulder is externally rotated. Elbow extended.

Question 14

Assessment position for Pectoralis major (clavicular fibers)

Answer 14

Tape measure from lateral epicondyle to table.

Question 15

Testing position for Pectoralis minor

Answer 15

Patient is supine. Shoulders comfortably at sides.

Question 16

Assessment position for Pectoralis minor

Answer 16

Tape measure from posterior acromion to table.

Question 17

Testing position for Pectoralis (group)

Answer 17

Patient is supine. Hands loosely interlaced behind head. Elbows fall to table.

Question 18

Assessment position for Pectoralis (group)

Answer 18

Tape measure from olecranon to table.

Question 19

Testing position for Latissimus dorsi

Answer 19

Patient is supine. Shoulder flexion with arms close to head.

Shoulders in external rotation. Elbows fully extended.

Question 20

Assessment position for Latissimus dorsi

Answer 20

• Goniometric measure of shoulder flexion.

* Tape measure: Lateral epicondyle to table.

Question 21

MMT: Muscles tested for Shoulder Flexion

Answer 21

Anterior deltoid, Coracobrachialis, & clavicular portion of pectoralis major

Question 22

MMT: Muscles tested for Shoulder Extension

Answer 22

Posterior Deltoid, Teres Major, Latissimus Dorsi, & Long head of Triceps

Question 23

MMT: Muscles tested for Shoulder Horizontal Adduction

Answer 23

Pectoralis Major

Question 24

MMT: Muscles tested for Shoulder Internal Rotation

Answer 24

Subscapularis

Question 25

MMT: Muscles tested for Scapular Abduction & Upward Rotation

Answer 25

Serratus Anterior

Question 26

MMT: Muscles tested for Scapular Elevation

Answer 26

Trapezius (upper fibers) & Levator Scapula

Question 27

MMT: Muscles tested for Scapular Adduction (Retraction)

Answer 27

Trapezius (middle fibers) & Rhomboid major & minor

Question 28

MMT: Muscles tested for Scapular Depression & Adduction

Answer 28

Trapezius lower & middle fibers

Question 29

MMT: Muscles tested for Scapular Adduction (Retraction) & Downward Rotation

Answer 29

Rhomboids

Question 30

MMT: Muscles tested for Shoulder extension, adduction, & medial rotation

Answer 30

Latissimus Dorsi