Shoulder Exam

Question 1

LOOK

Adequate exposure‼️

Answer 1

Front= shoulder position, neck position, AC joint and clavicles,
scars, deltoid muscles and pecs wasting.
Side= shoulder position, neck lordosis.
Back= muscle wasting… Supra and infra scapularis , shoulder position,
prominent scapula

Question 2

FEEL

Answer 2

Quick neck screen: palpate C spine and neck movements

Back= medial scapula border, scap spine, acromion and AC joint.
Side= acromion ➡️ AC ➡️ clav➡️ sterno-clav
Axilllary nerve: deltoid sensation
Front: sterno-clav joint

Question 3

MOVE

Answer 3

Back- forward flexion. Active ➕passive
-therefore testing abduction.
- AND int. rotation ~ bra-strap
Front- ext. rotation ~fridge movement

Question 4

IMPINGEMENT TESTING

Answer 4

Neer’s sign - int rota and elevate in abduction @30*
- test ➕ if pain from 50-110*

Hawkins tests- abduct to 90* and int. Rotate @ diff positions

Scarf test- @90*

Question 5

ROTATOR CUFF TESTING

Answer 5

Supraspin- int rota & resisted elevation @30^

Infraspin- elbows @90^ & resisted ext rota

Supra scap - push off test (from lower back with resist)
- tummy elbow push off

Question 6

APPREHENSION TESTING

Answer 6

Whist pt laying on back.

Abduct ext rota @ 90^ ➡️ apply forward force & see if it rotates more

Sulcus sign- (whilst pt sitting or standing)stabilize AC & pull down on humerus

Question 7

BICEP TENDON

Answer 7

Speeds test- pain @ long head with resisted forward flexion with elbow in extension