2 The 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.
3 Pathology Young – Instability Middle age - Frozen shoulder, Calcific TendonitisElderlyCuff TearOARheumatoid
4 Exposure To waist ideally Watch them undress! Must look from the back Deformity and contoursScarsWasting go on to palpation
5 Feel Pain? Sternoclavicular jt AC joint Subacromial bursa Humeral head ScapulaFeel muscle wasting. Palpable swellings. Prominent coracoid- post dislocation
6 Movements Look from behind Active and then passive Examine asymptomatic side firstTrick movements
7 Forward flexionExtension?- view from sideAbductionFunctional internal rotation (Gerber’s)External rotation
8 Special 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
9 Instability/Laxity Sulcus sign Load shift test Apprehension Jobe’s relocationPosterior apprehension test