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Shoulder Examination and Tests Guide

The document describes procedures for examining a patient's shoulder. It lists ranges of motion that are inspected for the shoulder joint, including abduction, horizontal flexion, and internal and external rotation both with the arm at the side and abducted. Specific tests are outlined to check for rotator cuff tears, impingement, bicep tendonitis, glenohumeral joint instability, and to rule out cervical spine issues presenting as shoulder pain. Palpation is used to check for tenderness in the rotator cuff muscles and bicipital groove that could indicate injuries.

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776 views2 pages

Shoulder Examination and Tests Guide

The document describes procedures for examining a patient's shoulder. It lists ranges of motion that are inspected for the shoulder joint, including abduction, horizontal flexion, and internal and external rotation both with the arm at the side and abducted. Specific tests are outlined to check for rotator cuff tears, impingement, bicep tendonitis, glenohumeral joint instability, and to rule out cervical spine issues presenting as shoulder pain. Palpation is used to check for tenderness in the rotator cuff muscles and bicipital groove that could indicate injuries.

Uploaded by

abhandlung
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX or read online on Scribd
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EXPOSURE

POSITION

INSPECTION

• FRONT, BACK, SIDE AND ABOVE

PALPATION

• Tenderness over the greater tuberosity ( supraspinatus tendonitis )


• Bicipital groove ( bicep tendonitis)
• Diffuse tenderness with swelling
• Crepitus and defect over the rotator cuff insertion ( tear of the cuff )

ABDUCTION 0-160/180
HORIZONTAL FLEXION 0-140
BACKWARD EXTENSION 0-60
FORWARD FLEXION 0-165
INT.ROT& EXT.ROT ( ARM AT 0-70
SIDE)
INT.ROT & EXT.ROT (ARM ABD 0-90
90 )
MOVEMENT OF THE JOINT

(GLENOHUMERAL JOINT)

• Quick rotation screening test


• Specific movement

SPECIAL TEST

1) TESTING FOR ROTATOR CUFF TEAR


• EMPTY CAN TEST
• LIFT-OFF TEST
2) TESTING OF IMPINGEMENT
• HAWKIN’S IMPINGEMENT TEST
3) TESTING FOR LONG HEAD OF BICEP BRACHII TENDONITIS
• YERGASON TEST
• SPEED’S TEST
• “POPEYE SIGN”
4) TESTING FOR GLENOHUMERAL JOINT INSTABILITY
• LOAD AND SHIFT TEST
• SULCUS SIGN
• APPREHENSION TEST IN SUPINE POSITION ( FULCRUM TEST)
5) NEUROVASCULAR ASSESSMENT IN RELATION TO SHOULDER REGION
PATHOLOGY
•ADSON’S TEST
6) RULE OUT THE NON-SHOULDER PATHOLOGY (CERVICAL SPINE) THAT CAN BE
PRESENTED AS SHOULDER PAIN
•COMPRESSION TEST
•SPURLING’S TEST

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