UPPER LIMB ASSESSMENT Flashcards
Outline the physical assessment
Look
Feel
Move
- Active
- Passive
- Resisted
Joint above
Affected area
Joint below
RED FLAGS
Colour
Perfusion
Sensation
SWEADES
S - swelling
W - wounds
E - exudate
A - atrophy
D - deformity
E - eretyma
S - scars
Shoulder joint above
neck or spine - reffered pain - rule out
Spine - LOOK
Posture - scoliosis/ kyphosis
Deformities
Spine - FEEL
atrophy/hypertrophy
muscle/bony tenderness
irregular spinous process - tenderness
Spine - MOVE
flexion/extension - nodding
lateral flexion - ear to shoulder
rotation (sitting)
4 joints of the shoulder gurdle
sternoclavicular
acromioclavicular
glenohumeral
scapulothoracic
Sternoclavicular Joint
where the sternum and clavicle join
Acromioclavicular
Acromion process joins onto the clavicle
Glenohumeral joint (shoulder joint)
Glenoid meets the humerus - ball and socket
which joint is the most shallow and susceptible to dislocation?
Glenohumeral
Anterior (front) landmarks
Sternoclavicular joint
Clavicle
AC joint
Coracoid process
Posterior (back) landmarks
spine and borders of the scapula
Humeral landmarks
Head of humerus
tubercule - greater and lesser
Bicipital groove
Deltoid muscle
extension movement
0-60 degrees
external rotation
0-90 degrees
internal rotation
0-70 degrees - body wont allow anymore movement
Regimental badge sign
test for axillary nerve damage
- sensation
light stroke of both sides of shoulder
axillary nerve motor deficit sign
motor - abduction of the deltoid is limited
shoulder dislocation
Anterior - trauma
Posterior - FOOSH