Shoulder examination - questions from quiz

Question 1

What has happened to the patient ?

Answer 1

This protrusion or swelling is overlying the sternoclavicular joint suggests anterior subluxation or dislocation of this joint.

Question 2

Appreciate this pic of the shoulder anatomy

Answer 2

Appreciated

Question 3

What injury is suggested by the deformity shown?

Answer 3

This protrusion or swelling is overlying the acromioclavicular joint as suggests dislocation of this joint.

Question 4

What test would be positive in a acromioclavicular dislocation/subluxation?

Answer 4

Positive scarf test

Question 5

What inujry does the deformity shown suggest?

Answer 5

The contour of the right shoulder is abnormal. Look at the normal right side with the smooth shape produced by the trapezium muscle and the deltoid muscle. However on the left side it looks ‘squared off’. This is caused by the prominence of the acromion joint because the head of the humerus is displaced anteriorly and medially in this anterior shoulder dislocation.

Question 6

What injury is suggested by the deformity shown?

Answer 6

Clavicle fracture

Question 7

Which 2 muscle bulks are indicated by A and B?

Answer 7

A = Supraspinatus muscle (above spine of scpaula)

B = Infraspinatus muscle (below spine of scapula)

Question 8

Of the 6 possible movements of the shoulder which are tested during the shoulder examination?

Answer 8

• Flexion
• Abduction
• External rotation
• Internal rotation

Question 9

After active range of movement of the shoulder is tested is passive range of movement of the shoulder always tested?

Answer 9

No - only if active range of movement was reduced would you then test that movement passively

Question 10

What is a painful arc suggestive off ?

Answer 10

Rotator cuff tendon impingement.

Question 11

What does a positive jobes test indicate?

Answer 11

Supraspinatus tear

Question 12

True or false: A positive sulcus sign suggests significant shoulder instability.

Answer 12

True