How To Examine The Shoulder
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Examination of the Shoulder 1. Observe the whole patient, front and back. (2 photos) 2. Observe the shoulder. 3. Observe the axilla.
Examination of the Shoulder
4. Palpate for tenderness over the sternoclavicular joint, clavicle, acromioclavicular joint, acromion process, supraspinatus tendon and the tendon of the long head of biceps. 5. Observe shoulder abduction from in front and behind, through the entire range of movement. Note the presence of difficulty in initiation or a painful arc. (3 photos)
Examination of the Shoulder 6. Secure the scapula to assess glenohumeral movement. 7. Assess flexion and extension. ( no photos) 8. Assess external rotation with elbows in to the sides and flexed to 90º . 9. Assess internal rotation by asking the patient to place both hands behind the head.
Examination of the Shoulder 10. Assess internal rotation by asking the patient to reach over their opposite shoulder, behind the neck and behind the back. (3 photos)
Examination of the Shoulder
11. Test biceps function by asking the patient to flex the elbow against resistance. 12. Test serratus anterior function by asking the patient to push against a wall, looking for winging of the scapula. 13. Test for pain with palpation of subacromial Bursa indicates impingement of the rotator cuff.
Examination of the Shoulder 14. The apprehension test standing. Abduct, externally rotate and extend the patient's shoulder while pushing on the head of the humerus with the opposite hand to test for anterior subluxation or dislocation. 15. Apprehension test lying down. 16. Assess any marked instability in the shoulder. Anterior instability (moves too far forward); Posterior instability (moves too far back). (2 photos)
Examination of the Shoulder 14. The apprehension test standing. Abduct, externally rotate and extend the patient's shoulder while pushing on the head of the humerus with the opposite hand to test for anterior subluxation or dislocation. 15. Apprehension test lying down. 16. Assess any marked instability in the shoulder. Anterior instability (moves too far forward); Posterior instability (moves too far back). (2 photos)
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Examination of the Shoulder
4. Palpate for tenderness over the sternoclavicular joint, clavicle, acromioclavicular joint, acromion process, supraspinatus tendon and the tendon of the long head of biceps. 5. Observe shoulder abduction from in front and behind, through the entire range of movement. Note the presence of difficulty in initiation or a painful arc. (3 photos)
Examination of the Shoulder 6. Secure the scapula to assess glenohumeral movement. 7. Assess flexion and extension. ( no photos) 8. Assess external rotation with elbows in to the sides and flexed to 90º . 9. Assess internal rotation by asking the patient to place both hands behind the head.
Examination of the Shoulder 10. Assess internal rotation by asking the patient to reach over their opposite shoulder, behind the neck and behind the back. (3 photos)
Examination of the Shoulder
11. Test biceps function by asking the patient to flex the elbow against resistance. 12. Test serratus anterior function by asking the patient to push against a wall, looking for winging of the scapula. 13. Test for pain with palpation of subacromial Bursa indicates impingement of the rotator cuff.
Examination of the Shoulder 14. The apprehension test standing. Abduct, externally rotate and extend the patient's shoulder while pushing on the head of the humerus with the opposite hand to test for anterior subluxation or dislocation. 15. Apprehension test lying down. 16. Assess any marked instability in the shoulder. Anterior instability (moves too far forward); Posterior instability (moves too far back). (2 photos)
Examination of the Shoulder 14. The apprehension test standing. Abduct, externally rotate and extend the patient's shoulder while pushing on the head of the humerus with the opposite hand to test for anterior subluxation or dislocation. 15. Apprehension test lying down. 16. Assess any marked instability in the shoulder. Anterior instability (moves too far forward); Posterior instability (moves too far back). (2 photos)
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