The Shoulder

Question 1

Describe how to find the intertubercular sulcus/bicipital groove

Answer 1

to the lateral side of the lesser tuberosity

Question 2

Describe how to find the spine of the scapula

Answer 2

small triangular area medially on the scapula which increases in size as the fingers move along it

Question 3

Describe how to find the long head of the biceps

Answer 3

can be found between the greater and lesser tuberosities where it lies in the bicipital groove

Question 4

Describe how to find the acromion

Answer 4

expmanded lateral end of spine

either found at the medial end joining with the clavicle or the lateral end by tracing along the spine of the scapula from its most lateral point (acromial angle)

Question 5

Describe how to find the coracoid process

Answer 5

an anterior projection below the lateral part of the clavicle

Question 6

Describe how to find the inferior angle of the scapular

Answer 6

lowest point of the scapular which cna be gripped between thumb and finger

Question 7

Describe how to find the sternoclavicular joint

Answer 7

medial end of the clavicle

Question 8

Describe how to find the acromioclavicular articulation

Answer 8

line of the joint can be palpated by applying downwards pressure to the lateral end of the clavicle

Question 9

Describe how to find the greater and lesser tuberosity of the humerus

Answer 9

• Greater
  
  • most lateral bony point of the shoulder, found by palpating the lateral margain of the acromion and then running fingers of its edge
• Lesser
  
  • can be felt through the deltoid, just lateral to the tip of the coracoid. can be felt to disappear on internal rotation of the shoulder

Question 10

Describe how to find the suprasternal notch

Answer 10

inferior margain of the deep hollow at the base of the neck i.e. top of sternum

Question 11

Describe how to find the clavicle

Answer 11

palpate laterally along the shaft

• medial 2/3 convex anteriorly
• lateral 1/3 concave

Question 12

Describe how to find the infraspinatus

Answer 12

palpated with the subject prone on elbows and the weight shifted over shoulder being examined

shoulder is in horizontal adduction, which brings infrapinatus out for palpation

palpated the spine of the scapula laterally to the posterior acromion and drop inferiorly to locate the infra. tendon

Question 13

Describe how to find the surface marking of the gleno-humeral joint

Answer 13

the mid point of the joint is approximately 1cm lateral to the apex of the coracoid process

a verticle line slightly concave laterally through this point gives an indication of the joint line

Question 14

Describe how to find the supraspinatus tendon

Answer 14

palpated at the anterolateral tip of the shoulder

subject sits supine or sitting with hand tucked behind the ipsilateral hip, causing shoulder to move into internal rotation and slight extension

brings the supraspinatus tendon nearer the surface to expose it from under the acromial arch