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Shoulder physical examination Abdulaziz Alomar, MD, MSc FRCSC Assistant Professor and consultant Orthopaedic surgeon. KKUH, KSU.

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Presentation on theme: "Shoulder physical examination Abdulaziz Alomar, MD, MSc FRCSC Assistant Professor and consultant Orthopaedic surgeon. KKUH, KSU."— Presentation transcript:

1 Shoulder physical examination Abdulaziz Alomar, MD, MSc FRCSC Assistant Professor and consultant Orthopaedic surgeon. KKUH, KSU

2 Special tests Rotator cuff. Rotator cuff. Instability Instability AC joint. AC joint. Impingement syndrome. Impingement syndrome. Biceps Biceps SLAP SLAP Thoracic outlet Syndrome Thoracic outlet Syndrome

3 Conditions Instability Instability Subacromial impingement Subacromial impingement Rotator cuff rupture Rotator cuff rupture SLAP Lesions SLAP Lesions Superior labral anterior-posterior Superior labral anterior-posterior

4 Rotator cuff ROTATOR CUFF INTEGRITY: ROTATOR CUFF INTEGRITY: Active ROM + strength of: Active ROM + strength of: Supraspinatus Supraspinatus Infraspinatus. Infraspinatus. Subscapularis Subscapularis Teres minor Teres minor Lag signs. Lag signs.

5 Rotator cuff integrity Subscapularis Lift-off Test Belly Press Test

6 Rotator cuff integrity Supraspinatus Jobe test

7 Rotator cuff integrity Infraspinatus

8 Rotator cuff integrity Teres minor

9 Rotator cuff integrity Lag signs Drop sign

10 Rotator cuff integrity Lag signs External Rotation Lag Sign

11 Rotator cuff integrity Lag signs Lift-off Test (Lag Sign)

12 IMPINGEMENT TESTS Neer’s impingement sign.

13 IMPINGEMENT TESTS Internal Rotation Resistance Stress Test

14 IMPINGEMENT TESTS Hawkin’s impingement test.

15 IMPINGEMENT TESTS Empty Can Test

16 LAXITY TESTS Sulcus sign

17 TRANSLATION TESTS Anterior and posterior draw

18 TRANSLATION TESTS Load and Shift Test

19 INSTABILITY TESTS Apprehension Test

20 INSTABILITY TESTS Relocation testRelease test

21 INSTABILITY TESTS The Crank Test

22 SLAP O’Brien’s Active Compression Test

23 SLAP The pain provocation test Supination Pronation

24 SLAP Compression / rotation test

25 SLAP The biceps load test

26 AC joint Scarf test

27 Biceps Speed test

28 Biceps Yergason’s test

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30 Special Tests - Instability Sulcus sign Sulcus sign

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