Shoulder Exam Flashcards
What does the shoulder girdle comprise of (bones and joints)
Clavicle and scapula (which articulate with the humerus)
Joints: Sternoclavicular Acromioclavicular Scapulothoracic joints Glenohumeral
What muscles make up the rotator cuff muscles
SITS (SubSTI in order from medial to lateral)
Supraspinatus (Greater tubercle)
Infraspinatus (Greater tubercle)
Teres Minor (Greater tubercle)
Subscapularis (Lesser tubercle)
() = insertion onto humerus
Which ligament prevents anterior displacement
Glenohumeral ligament
Organise the rotator cuff muscles into internal and external rotators
Internal rotators:
Subscapularis
Supraspinatus
External rotators:
Infraspinatus
Teres Minor
What is within the shoulder joint to reduce friction
Bursa:
Subacromial bursa
Subcoracoid bursa
Subscapular bursa
Overworked joint can cause bursitis
Which muscle is involved with the first 15 degrees of shoulder abduction
Supraspinatus
What do you inspect for during general inspection:
front
side
behind
Head & neck posture Symmetry of shoulders Deltoid wasting Alignment of shoulder girdle Scars
Side:
Scars
Behind: Scars Deltoid wasting Alignment of shoulder girdle Trapezius wasting Paravertebral muscle wasting Scoliosis Winged scapula
What are you looking for when the patient presses their hands against the wall
Winged scapula - cause of long thoracic nerve injury
What does hand behind head and shoulder retraction test for in movement
Shoulder abduction and external rotation (with elbow flexion)
What does reaching up your back test for
Shoulder internal rotation
What is normal active shoulder flexion range
150-180 degrees
What is normal active shoulder extension range
40 degrees
What is normal active shoulder abduction range
(up to) 180 degrees
What is normal active shoulder adduction range
30-40 degrees
What is normal active shoulder external rotation range
80-90 degrees
