2The Exam!All here to paas the exam. Have to be automatic. Waiting in the area for quite dome time. Dry mouth and nervous. When faced with that patient in first station what are you going to do?All about how you instruct the patient using appropriate language. You have to try this out in the clinics. Tomorrow! Talk to the patient.
3Pathology Young – Instability Middle age - Frozen shoulder, Calcific TendonitisElderlyCuff TearOARheumatoid
4Exposure To waist ideally Watch them undress! Must look from the back Deformity and contoursScarsWasting go on to palpation
5Feel Pain? Sternoclavicular jt AC joint Subacromial bursa Humeral head ScapulaFeel muscle wasting. Palpable swellings. Prominent coracoid- post dislocation
6Movements Look from behind Active and then passive Examine asymptomatic side firstTrick movements
7Forward flexionExtension?- view from sideAbductionFunctional internal rotation (Gerber’s)External rotation
8Special Tests Started with int and ext rotation Hawkin’s test Neer impingement signSpeed’s/ Yergason’s testsSpeed’s abducted, yergason’s arm is pronated and elbow 90 degrees
9Instability/Laxity Sulcus sign Load shift test Apprehension Jobe’s relocationPosterior apprehension test