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Shoulder Examination Iain Brown. The Exam! Pathology Young – Instability Young – Instability Middle age- Middle age- Frozen shoulder, Calcific Tendonitis.

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Presentation on theme: "Shoulder Examination Iain Brown. The Exam! Pathology Young – Instability Young – Instability Middle age- Middle age- Frozen shoulder, Calcific Tendonitis."— Presentation transcript:

1 Shoulder Examination Iain Brown

2 The Exam!

3 Pathology Young – Instability Young – Instability Middle age- Middle age- Frozen shoulder, Calcific Tendonitis Elderly Elderly Cuff Tear OA Rheumatoid Rheumatoid

4 Exposure To waist ideally To waist ideally Watch them undress! Watch them undress! Must look from the back Must look from the back

5 Feel Pain? Pain? Sternoclavicular jt Sternoclavicular jt AC joint AC joint Subacromial bursa Subacromial bursa Humeral head Humeral head Scapula Scapula

6 Movements Look from behind Look from behind Active and then passive Active and then passive Examine asymptomatic side first Examine asymptomatic side first Trick movements Trick movements

7 Forward flexion Forward flexion Extension?- view from side Extension?- view from side Abduction Abduction Functional internal rotation (Gerbers) Functional internal rotation (Gerbers) External rotation External rotation

8 Special Tests Started with int and ext rotation Started with int and ext rotation Hawkins test Hawkins test Neer impingement sign Neer impingement sign Speeds/ Yergasons tests Speeds/ Yergasons tests

9 Instability/Laxity Sulcus sign Sulcus sign Load shift test Load shift test Apprehension Apprehension Jobes relocation Jobes relocation Posterior apprehension test Posterior apprehension test

10 SLAP or no SLAP? OBriens test OBriens test

11 Thoracic Outlet Syndrome Adsons- Ext rotate, extend and abduct to hold breath Adsons- Ext rotate, extend and abduct to hold breath Wrights test Wrights test Roos test- 3 mins! Roos test- 3 mins!

12 Investigations

13 Neck Examination Always express eagerness to examine the neck! Always express eagerness to examine the neck!

14 Recommended Reading Oswestry Orthopaedic Clinical Examination Oswestry Orthopaedic Clinical Examination Shoulderdoc.co.uk Shoulderdoc.co.uk


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