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Published byTreyton Varvel Modified over 9 years ago
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Anatomy History Observation Palpation Neurological exam Circulatory exam
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Clavicle Scapula Humerus Articulations: ◦ Sternoclavicular joint ◦ Acromioclavicular joint ◦ Glenohumeral joint
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Ligaments ◦ AC ◦ Glenohumeral ligaments/joint capsule Labrum
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Musculature ◦ “Rotator cuff” Subscapularis Supraspinatus Infraspinatus Teres Minor
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Musculature ◦ Pectoralis major ◦ Deltoid ◦ Trapezius
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Subacromial bursa
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Mechanism of injury: 1. Describe the mechanism of injury 2. Was there a direct blow? 3. What was the angle of impact? 4. What was the position of the arm at impact? 5. Did you hear or feel anything at the time of injury? 6. Was the arm forced beyond normal limits? 7. Did the injury occur due to forced muscular contractions?
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Pain/Symptoms: 8. Demonstrate what movements aggravate pain? 9. What activities increase pain? 10. Describe the onset of symptoms 11. Describe symptoms? 12. Sharp or dull? 13. Constant or intermittent? 14. Localized or diffuse? 15. Aggravated by movement? 16. Relieved by rest?
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Pain/Symptoms (cont.): 17. Where is the pain? 18. Do you feel pain radiating down the arm? 19. Is there any numbness, burning, tingling or weakness in the upper extremity? 20. Do you feel tightness, tension, locking, swelling, or crepitation?
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Previous injuries: 21. Have you had a previous injury? 22. Are the symptoms you are experiencing currently similar to those associated with the previous injury (‘Your’ pain)? 23. What treatment was used? 24. What rehabilitation was used? 25. Were you fully recovered?
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1. Swelling 2. Skin color 3. Signs of trauma 4. Skin temperature 5. Sprengel’s deformity 6. Atrophy 7. Abnormal position
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1. Swelling 2. Skin color 3. Signs of trauma 4. Skin temperature 5. Sprengel’s deformity 6. Atrophy 7. Abnormal position
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8. Arm hanging limp 9. Appear to be in pain 10. Compare 11. Symmetry 12. Deformities 13. Muscle spasm 14. Holding or supporting arm 15. Moving or using involved extremity 16. Overall position, posture, and alignment
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1. Acromion process 2. Clavicle 3. Acromio-Clavicular (AC) joint 4. Sterno-Clavicular (SC) joint 5. Coraco-Clavicular (CC) joint 6. Coracoid process 7. Axilla
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8. Head of humerus 9. Greater tuberosity 10. Lesser tuberosity 11. Bicepital groove 12. Deltoid tuberosity 13. Humerus 14. Scapula
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Sensory dermatomes C2-C3: Occipital area and angle of jaw C4: Supraclavicular area Axillary Nerve Patch: Lateral aspect of shoulder C5: Lateral upper arm C6: Lateral forearm, thumb, and index finger C7: Middle finger and palmar aspect of hand C8: Small finger, ring finger, and medial portion of palmar surface T1: Medial side of forearm and elbow T2: Medial aspect of upper arm T3: Medial aspect of upper arm
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C1-C2: Neck flexion C1-C2: Neck extension C3: Neck lateral flexion C4: Shoulder elevation C5: Shoulder abduction and external rotation C6: Elbow flexion and wrist extension C7: Elbow extension and wrist flexion C8: Thumb abduction and ulnar deviation T1: Finger approximation
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Biceps (C5-C6) Supinator (C5-C6) Triceps (C7-C8)
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Carotid Brachial Radial
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Muscular anatomy Special tests
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