PACES: Musculoskeletal - Shoulder and Hand examination

Question 1

Shoulder and Hand examination

What is the set up of a Shoulder Examination?

Answer 1

Question 2

Shoulder and Hand examination

What are the main features of look for on inspection in a Shoulder Examination?

Answer 2

• Skin
• Shape
• Deformity

Question 3

Shoulder and Hand examination

What are the key Skin feature to look out for on inspection in a Shoulder Exam?

Answer 3

Question 4

Shoulder and Hand examination

What are the key Shape feature to look out for on inspection in a Shoulder Exam?

Answer 4

Question 5

Shoulder and Hand examination

What are the key Deformity feature to look out for on inspection in a Shoulder Exam?

Answer 5

Question 6

Shoulder and Hand examination

What are the signs on Palpation in a Shoulder Exam?

Answer 6

Question 7

Shoulder and Hand examination

What are the main movement considerations in a Shoulder Exam?

Answer 7

• Functional Screen
• Abduction and adduction
• Flexion and extension
• Internal and external rotation

Question 8

Shoulder and Hand examination

What are is the functional screen in a shoulder exam?

Answer 8

Question 9

Shoulder and Hand examination

What are the abduction and adduction features in a shoulder exam?

What muscles are responsible for each part of abduction movement?

What are the palpation signs?

What does pain at different angles inducate?

Answer 9

Question 10

Shoulder and Hand examination

What are the Flexion and extension, Internal and external rotation features in a shoulder exam?

Answer 10

Question 11

Shoulder and Hand examination

What are the special tests in a shoulder exam?

Answer 11

• Jobe’s Empty Can Test
• Infraspinatus + Teres Minor
• Gerber’s Lift Off
• Scarf test
• Hawkin’s Test
• Shoulder Apprehension Test

Question 12

Shoulder and Hand examination

What is the Jobe’s Empty Can Test?

Answer 12

Question 13

Shoulder and Hand examination

What is the test for Infraspinatus + Teres Minor?

Answer 13

Question 14

Shoulder and Hand examination

What is Gerber’s Lift Off test?

Answer 14

Question 15

Shoulder and Hand examination

What is the scarf test?

Answer 15

Question 16

Shoulder and Hand examination

What is the Hawkin’s Test Shoulder?

Answer 16

(Subacromial impingement)

Question 17

Shoulder and Hand examination

What is the Apprehension Test?

Answer 17

Question 18

Shoulder and Hand examination

What is needed to complete a Shoulder exam?

Answer 18

• Examine the cervical spine and elbow
• Perform a neurovascular assessment

Question 19

Shoulder and Hand examination

What are the features of Winging of the Scapula?

Answer 19

Question 20

Shoulder and Hand examination

What are the differentials for Shoulder pain and reduced range of movement?

Answer 20

Question 21

Shoulder and Hand examination

What is needed to set up a Hand examination?

Answer 21

Question 22

Shoulder and Hand examination

What is are the main features of inspection in a Hand examination?

Answer 22

• Dorsum and palms
• Skin
• Muscle Wasting
• Joints Swellings

Question 23

Shoulder and Hand examination

What is are the skin signs on inspection in a Hand examination?

Answer 23

Question 24

Shoulder and Hand examination

What is are the Muscle Wasting signs on inspection in a Hand examination specific to nerves?

Answer 24

Question 25

**_Shoulder and Hand examination_** What are the joint swelling signs on inspection in a Hand examination?

Answer 25

Question 26

**_Shoulder and Hand examination_** What are the palpation signs in a Hand examination?

Answer 26

Question 27

**_Shoulder and Hand examination_** What are the wrist, thumb and finger movement signs in a Hand examination?

Answer 27

Question 28

**_Shoulder and Hand examination_** What are the key functional signs in a Hand examination?

Answer 28

Question 29

**_Shoulder and Hand examination_** What are the Special Tests in a Hand examination?

Answer 29

Question 30

**_Shoulder and Hand examination_** What is needed to complete a Hand examination?

Answer 30

Question 31

**_Shoulder and Hand examination_** What are the deformities in a hand examination?

Answer 31

Question 32

**_Shoulder and Hand examination_** What are the nail signs in a Hand examination?

Answer 32

* Onycholysis * repetitive trauma * Pitting * Inflammatory (Psoriasis) * Subungal Hyperkeratosis * Fungal infection

Question 33

**_Shoulder and Hand examination_** What are the extra signs in a Hand examination?

Answer 33

Question 34

**_Shoulder and Hand examination_** What are the autonomous sensory areas?

Answer 34

Question 35

**_Shoulder and Hand examination_** What are the autonomous motor areas of the hand?

Answer 35