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

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Presentation transcript:

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

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

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

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.

Rotator cuff integrity Subscapularis Lift-off Test Belly Press Test

Rotator cuff integrity Supraspinatus Jobe test

Rotator cuff integrity Infraspinatus

Rotator cuff integrity Teres minor

Rotator cuff integrity Lag signs Drop sign

Rotator cuff integrity Lag signs External Rotation Lag Sign

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

IMPINGEMENT TESTS Neer’s impingement sign.

IMPINGEMENT TESTS Internal Rotation Resistance Stress Test

IMPINGEMENT TESTS Hawkin’s impingement test.

IMPINGEMENT TESTS Empty Can Test

LAXITY TESTS Sulcus sign

TRANSLATION TESTS Anterior and posterior draw

TRANSLATION TESTS Load and Shift Test

INSTABILITY TESTS Apprehension Test

INSTABILITY TESTS Relocation testRelease test

INSTABILITY TESTS The Crank Test

SLAP O’Brien’s Active Compression Test

SLAP The pain provocation test Supination Pronation

SLAP Compression / rotation test

SLAP The biceps load test

AC joint Scarf test

Biceps Speed test

Biceps Yergason’s test

Special Tests - Instability Sulcus sign Sulcus sign