Shoulder OSCE

Question 1

Preparation:

Answer 1

Intro
Consent
Wash Hands
Position - standing

Question 2

Look

Answer 2

front, side and back
Posture
Wasting
Scars
Skin changes (thinning, bruises)
Swelling (joints)
Symmetry

Question 3

Feel

Answer 3

Temp - front of shoulder
Tenderness
Swelling
Bony landmarks:
- Sternoclavicular joint
- Clavicle
- Acromioclavicular joint (end of clavicle)
- acrominon process (below joint
-scapula

Joint:
- humeral head joint line

Muscle bulk

• deltoid
• Supraspinatus (upper scapula)
• Infraspinatus (lower scapula)

Question 4

Move:

Answer 4

Active then Passive
crepitus

Flexion (raise arm)
extension
Abduction (horizontal arm out)
adduction
External rotation - 90 arm by side, forearm out

Question 5

Function

Answer 5

Hands behind back

hands behind head