Shoulder Exam Flashcards
1
Q
Inspection
A
- For obvious unnatural movement or posture
- For topical abnormalities such as Scars/Keloids, Discoloration, Abrasions, Blebs, or other apparent pathology
- For any asymmetry of structure: Clavicle dislocation or fracture, deltoid atrophy, flaring, or dislocation shape changes, scapular winging or congenital deformity
2
Q
Boney Palpation
A
Sternoclavicular articulation Clavicle Coracoid Process Acromioclaviulcar articulation Acromion Greater Tuberosity of the humerus Bicipital groove Lesser tuberosity of the humerus Spine of the scapula Body of the scapula scapulothoracic articualtion
3
Q
Tissue Palpation
A
Rotator Cuff Mussles: Supraspinatous, infraspinatus, teres minor, subscapularis
Subacromial bursa
subdeltoid bursa
Axillary Borders: Pec Major, serratus anterior, axillary lymph nodes, Latissimus dorsi, bicipital tendon
Prominent muscles of the Region: SCM, Biceps, Deltoid (as a group and individually) Trap, Rhomdoids (as a unit and individually)
4
Q
Active and Passive Range of Motion
A
Flexion: 180 Extension: 60 Abduction: 180 Adduction: 50 External Rotation = (from horizontal abduction of arm) 90 Internal rotation = (from horizontal abduction of arm) 70 Scapular retraction (attention) Scapular protraction (reaching ) Shoulder elevation (shoulder shrug)
5
Q
Reflex
A
Biceps
Triceps
6
Q
Order of shoulder exam
A
Inspection Bony Palpation Soft Tissue Palpation Range of Motion: Active/Passive, Reflex, Sensation Special Tests
