18-physical examination of the shoulder
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TexasOrthopedicsSportsandRehabilitationAssociates
Austin,Texas
History Mechanismofinjury
Impact
Forcedabduction/externalrotation
C aractero symptoms
Sharp
Radiating
Constantoractivityrelated
PhysicalExamination Routine
Performingtheexamthesamewayeverytimeallowsyou
to
establish
aroutine
or
flow
e ucesc anceo m ss ng agnos s
Youmaynotseeitbutitseesyou!
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PhysicalExamination Exposure/Inspection
Entireshouldergirdle
Bothsides
rontan ac
Symmetry
Atrophy
Swellingorprominence
PhysicalExamination CervicalSpine
ROM
Radiatingsymptoms/radicularsigns
ens ons gns
Compression
Distraction
Spurlingsmaneuver
PhysicalExamination Shoulder
ROMinallplanes
Active
Observefromfrontandback
Scapularwinging
Scapularsubstitution
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PhysicalExamination Activestrengthtesting(RotatorCuff)
Liftofftest
Modifiedbelly
press
test
Resistedinternal externalrotation
Resistedscaption
RotatorCuffImpingement(Subacromialoroutlet) NeerImpingement
HawkinsImpingement
PhysicalExamination Acromioclavicularjoint
Stepoff
Palpation
nsta ty (w t pass veoract vemot on)
Painwithcrossbodyadduction
Referredpaintobaseofneck
PhysicalExamination LabralInjury
CrankTest
OBriensTest(SLAPtear)
B cepspat o ogy
Speedssign
Instability
Shoulderglide(seated)
Sulcussign
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PhysicalExamination Musclestrengthtesting
Biceps(C6)
Triceps(C7)
WristFlexors(C7) WristExtensors(C6) IntrinsicMuscles(C8T1)
Dermatomaldistribution(radiculopathy) PeripheralNerveTesting(motorandsensory)
Median(carpaltunnelsyndrome) Radial Ulnar(cubitaltunnelsyndrome)
PhysicalExamination Supine
Passiveexternalrotationinadduction
Abduction/externalrotation(arcofmotion)
orwar ex on(scapu asta ze )
FulcrumTest(apprehensionorpain)
Relocation
Loadandshift
Posteriorloadtest
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SubacromialImpingementNeerImpingement
HawkinsImpingement
AnteriorInstabilityApprehensionSign RelocationSign
PosteriorInstability
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AcromioclavicularJointPain
Biceps/AnchorPathologySpeedsSign OBriensTest
NeurologicalExamBicepsC6 TricepsC7
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NeurologicalExamWristExtensorsC6 WristFlexorsC7
RadialNerve
MedianNerve UlnarNerve
RadialNerveC7
Ulnar NerveC8MedianNerveC6
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VascularExam
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