Shoulder Exam Flashcards
What are the rotator cuff muscles
supraspinatus, infraspinatus, teres minor, subscapularis
What is often associated with rotator cuff problems
Biciptal head pathology
Inspection of Shoulder
Assymetry
Atrophy
Effusion
lesions
ROM for shoulder
flexion extension abduction adduction internal rotation ext rotation if any AROM impairment then check PROM
Strength tests
Flexion Extension Int. rot. - subscapularis Ext. rot - infraspinatus, teres minor Abduction Adduction
Palpation
Feeling for tenderness, warmth, crepitus, bony step offs, muscle tone SC joint Clavicle AC joint Coracoid process Subacromial bursa deltoid prox. humerus Biceps tendon/Bicipital groove pectoralis supraspinatus, infraspinatus, teres minor rhomboids C-spine Scapula
Special tests
Empy can test Neer's Hawkin's Sulcus Apprehension
Neuro
Radial: Wrist flexion and extension
Ulnar: Abduction of fingers
Median: Opposition of thumbs (okay sign)
Empty can test-how to perform it and testing for
Hold arms in 45 degrees of horizontal adduction; have pt turn thumbs down, apply pressure to forearms and tell pt not to let you push their arms down
+ supraspinatus tear
Neer’s-how to perform it and testing for
Thumb down, passive flexion while holding scapula in
+ impingement if pain at >90 degrees
Hawkin’s test-how to perform it and testing for
Shoulder at 90 degrees abduction and elbow at 90 degrees of flexion; passively int. rot.
+ subacromial bursitis, impingement
Sulcus test-how to perform it and testing for
pt relaxes arm and examiner applies a downward traction pull on the distal humerus
+ dislocation, instability
Apprehension test-how to perform it and testing for
shoulder at 90 degrees, elbow flexed, ext. rot. of arm with hand on scapua
+ anterior GH instability
