Shoulder exam

Question 1

range of motion degrees

Answer 1

forward flexion 0 -170/180
external rotation 0 - 80
abduction 0 - 180
abduction + external rotation 0 - 90
abduction + internal rotation 0 - 70/90
internal rotation to spine T4-T8 considered normal

Question 2

what should you palpate for shoulder exam

Answer 2

cervical spinous processes
SC joint
clavicle
AC joint
acromion
coracoid
scapular spine
paraspinal muscles
periscapular region
deltoid muscle
rotator cuff tendon insertion / greater tubercle
long head of the biceps tendon in the groove

Question 3

dermatome sensation
C5

Answer 3

lateral arm

Question 4

dermatome sensation
C6

Answer 4

thumb

Question 5

dermatome sensation
C7

Answer 5

middle finger

Question 6

dermatome sensation
C8

Answer 6

pinky finger

Question 7

dermatome sensation
T1

Answer 7

medial arm (by elbow)

Question 8

dermatome sensation
T2

Answer 8

axilla

Question 9

reflex testing
C5

Answer 9

biceps

Question 10

reflex testing
C6

Answer 10

brachioradialis

Question 11

reflex testing
C7

Answer 11

triceps

Question 12

motor testing
C5

Answer 12

shoulder abduction – deltoid muscle
elbow flexion (palm up) – biceps muscle

Question 13

motor testing
C6

Answer 13

elbow flexion (thumb up) – brachioradialis
wrist extension – extensor carpi radialis longus

Question 14

motor testing
C7

Answer 14

elbow extension – triceps muscle
wrist flexion – flexor carpi radialis

Question 15

motor testing
C8

Answer 15

finger flexion, hand grip, thumb extension – flexor digitorum superficialis muscle

Question 16

motor testing
T1

Answer 16

finger abduction – interossei muscle (ulnar N)