Shoulder Exam

Question 1

Structures to Identify

Answer 1

clavical, humerus, scapular spine, Ac joint, acromion, glenoid, GH joint, sternoclavicular joint, infraspinatous, supraspinatous.

Question 2

Answer 2

Question 3

Inspection procedure (whatre you inspecting for)

Answer 3

looking for: wasting/atrophy, swelling, symmetry of: SWAS of the DSI

deltoids

supraspinatus

infraspinatus

looking for: abnormalities in the countour of: Con of SACA

• sternoclvicular joints
• clavicles
• AC joints
• acromion

Question 4

Palpating for __ __ __ __ TDWS on both sides at which structures

Answer 4

tenderness, deformities, warmth, swelling. S³C²BAG

1. sc joint
2. clavicle
3. coracoid process
4. bicipital groove
5. AC joint
6. GH joint
7. scapular spine (around the medial border and lateral border)
8. Subacromial bursa for tenderness

Question 5

Active ROM

Answer 5

forward flexion

backward extension

Abduction

Adduction

External Rotation in abduction and adduction

internal rotation in abduction and adduction

protraction

retraction

elevation

depression

Question 6

When should Passive ROM be checked

Answer 6

if active ROM is limited, except for abduction which should always be checked actively and passively.

Question 7

Passive ROM

Answer 7

flexion, extension, abduction, adduction,external rotation and internal rotation.

Question 8

Strength training

Answer 8

same motions as active.

forward flexoin

backward extension

abduction/adduction

external rotation and internal rotation in (abduction and adduction)

protraction

retracton

elevation

depression

Question 9

test for acromio-calvicular disorder

Answer 9

cross arm test

• pain in the acromioclavicular joint suggests arthritis or subluxation of this joint.
• this test puts pressure on the AC joint and will elicit pain if there is pathology in that joint

useful to differentiate from an impingement syndrome.

Question 10

the cross arm test can differentiate between an ___ disorder or an ___ syndrome

Answer 10

between an ac disorder or an impingement syndrome

Question 11

Two tests for bicipital tendonitis

Answer 11

1. yergasons test- supinate against resistence.
2. speeds test: have the patient flex forward the shoulder against resistance with the elbow in extension and foraem in supination

Question 12

frozen shoulder test

Answer 12

Passively abduct the shoulder while having the other hand on the scapulothoracic joint. if shoulder is frozen, you will feel the scapula provide most of the movement

Question 13

test for GH stability

Answer 13

appregension test

Question 14

3 tests for impingement syndrome

Answer 14

1. painful arc test: passively abduct the patients arm through 180 degrees. if the patient has pain throuhg the mid portion of this arc, it may suggest rotator cuff disorder or subacromial bursitis
2. neers test: passive or active: stabilize the scapular to minimize movement of the scapulothoracic joint. when the arm is in prone position, the arm is flexed though 180 degrees .if the patient feels pain in the subacromial area, this suggests a rotator tendon impingement.
3. hawkins test. flex the shoulder to 90 degrees. bend the elbow inwards 90 degrees the foricbly internally rotate the shoulder