Upper Limb examination

Question 1

What are general inspection for upper limb exam?

Answer 1

Postural asymmetry 
Mobility problems
Scars
Ask about pain
Ask dominant arm

Question 2

what do you need to comment on for closer upper limb inspection?

Answer 2

Upper limb inspection:
Posture
Wasting

Question 3

what do you need to do for Shoulder Palpation?

Answer 3

Look for signs of swelling
Check with back of hands the temperature
Palpation of landmarks:
	1. Sternoclavicular joints
	2. Across clavicle
	3. AC joints (clavicle and acromion joint)
	4. Coracoid process
	5. Head of the humerus 
	6. Greater tuberosity of the humerus 
7. Borders and spine of the scapula

Question 4

what range of motions for the shoulder?

Answer 4

Abduction
Flexion
External rotation
Internal rotation

Question 5

what are the two shoulder stability tests?

Answer 5

Sulcus sign (yank down while standing)
apprehension test (on back)

Question 6

what are the special tests for the elbow?

Answer 6

Hawkins test –> patient arm up –> internal rotation

Painful arc –> passive up –> patient drop slow

Question 7

what palpation for the elbow?

Answer 7

1. Lateral epicondyle
2. Olecranon process
3. Medial epicondyle
4. Elbow flexed to 90 degrees palpate biceps tendon

Question 8

what are the special tests for elbow?

Answer 8

Tennis elbow –> elbow at 90 degrees and make a fist –> support elbow and put hand under fist –> can you push your wrist down to my hand

Resisted flexion –> elbow at 90 degrees and make a fist –> support elbow and put hand on wrist –> can you turn push your wrist up to my hand