1. Department of Traumatology and Hand Surgery
Przemysław Lubiatowski MD, PhD
Department of Traumatology and Hand Surgery
University of Medical Sciences in Poznan
Head of Department:
Prof. Władysław Manikowski

2. Upper Extremity Examination

3. EXAMINATION
Taking history
Physical examination

4. Taking history EXAMINATION Knowledge of the disease process
Main complaints (pain)
Onset, Duration
Dominant hand
Prior therapy

5. EXAMINATION
Physical examination
Look
Feel
Move
X-ray

6. Main complaint Age > 70 y.o. Onset of symptoms Treatment HISTORY
pain
instability
stiffness, limitation of ROM, snapping, crepitation
Age
> 70 y.o.
< 30 y.o.
Onset of symptoms
Treatment
Rotator cuff tear
instability

7. Main complaint Age > 70 y.o. Onset of symptoms Treatment HISTORY
pain
instability
stiffness, limitation of ROM, snapping, crepitation
Age
> 70 y.o.
< 30 y.o.
Onset of symptoms
Treatment
Rotator cuff tear
instability

8. Main complaint Age > 70 y.o. Onset of symptoms Treatment HISTORY
pain
instability
stiffness, limitation of ROM, snapping, crepitation
Age
> 70 y.o.
< 30 y.o.
Onset of symptoms
Treatment
Rotator cuff tear
instability

9. Evaluation systems specific general health Simple Shoulder Test UCLA
HISTORY
Evaluation systems
specific
Simple Shoulder Test
UCLA
ASES
general health
SF-36

10. Pain HISTORY ac. to ASES 10 Do you have pain in your shoulder ? Yes no
Mark location of pain
Do you have pain at night ?
yes
Do you take pain killers ?
Do you take narcotic drugs ?
How many tablets per day ?
Quantity
How severe is you pain ?
no as severe as possible 10

11. Instability ac. to ASES HISTORY Yes No
Do you have feeling of instability ? (as if your shoulder would drop of)
Yes No
How unstable is your shoulder (mark the line) ?
very very
stable unstable 10

12. PHYSICAL EXAMINATION
Look
Palpation

13. PHYSICAL EXAMINATION
Range of motion

14. PHYSICAL EXAMINATION
Range of motion

15. PHYSICAL EXAMINATION
Range of motion

16. 0 –1 cm 1 - 2 cm > 2 cm Instability drawer test anterior
PHYSICAL EXAMINATION
Instability drawer test
anterior
sitting, laying
0 –1 cm
1 - 2 cm
> 2 cm

17. Instability sulcus sign
PHYSICAL EXAMINATION
Instability sulcus sign
sitting, laying

18. Evaluation under anesthesia
PHYSICAL EXAMINATION
Instability
Evaluation under anesthesia

19. Instability (apprehension test)
PHYSICAL EXAMINATION
Instability (apprehension test)
sitting, laying

20. Instability (relocation test)
PHYSICAL EXAMINATION
Instability (relocation test)
sitting, laying

21. PHYSICAL EXAMINATION
Impingement syndrome
Neer’s Test

22. PHYSICAL EXAMINATION
Impingement syndrome
Hawkins’ Test

23. Impingement syndrome Painful arch test PHYSICAL EXAMINATION
lidocaine
Test with lidocaine

24. Impingement syndrome (biceps brachii) Yergason’s Test Speed Test
PHYSICAL EXAMINATION
Impingement syndrome (biceps brachii)
Yergason’s Test Speed Test