Shoulder

Question 1

What exams will you do for shoulder pain?

Answer 1

Inspection
palpation
range of motion
External rotation lag
Internal rotation lag
Painful arc test
Drop-arm test

Question 2

what are you assess with the shoulder inspection?

Answer 2

anterior and lateral aspects of the shoulder, shoulder girdle and upper limb
- scars, bruising, swelling, boney prominences, deltoid wasting

inspect the scapula and muscles posterior
- scars, trapezius, supraspinatus and infraspinatus asymmetry
scoliosis
winged scapula (have patient push up against a wall)?

Question 3

what are you assessing in the shoulder palpation

Answer 3

first assess shoulder joint temperature using back of hands (inflammation or arthritis)

• SC joint
• clavicle
• AC joint
• acromion
• coracoid process
• spine of scapula
• greater tubercle of humerus
• biceps tendon
• Subacromial and subdeltoid bursae
• Supraspinatus is directly below the acromion,
• Infraspinatus is posterior to supraspinatus, Teres minor is posterior and inferior to supraspinatus