Shoulder ExaminationShoulder ExaminationIain BrownIain Brown

The Exam!The Exam!

PathologyPathology

Young Young – Instability– Instability

Middle ageMiddle age --Frozen shoulder, Frozen shoulder, Calcific TendonitisCalcific Tendonitis

ElderlyElderlyCuff TearCuff TearOAOA

RheumatoidRheumatoid

ExposureExposure

To waist ideallyTo waist ideally

Watch them undress!Watch them undress!

Must look from the backMust look from the back

FeelFeel

Pain?Pain?Sternoclavicular jtSternoclavicular jtAC jointAC jointSubacromial bursaSubacromial bursaHumeral head Humeral head ScapulaScapula

MovementsMovements

Look from behindLook from behind

Active and then passiveActive and then passive

Examine asymptomatic side firstExamine asymptomatic side first

Trick movementsTrick movements

Forward flexionForward flexion

Extension?- view from sideExtension?- view from side

AbductionAbduction

Functional internal rotation (Gerber’s)Functional internal rotation (Gerber’s)

External rotationExternal rotation

Special TestsSpecial Tests

Started with int and ext rotationStarted with int and ext rotation

Hawkin’s testHawkin’s test

Neer impingement signNeer impingement sign

Speed’s/ Yergason’s testsSpeed’s/ Yergason’s tests

Instability/LaxityInstability/Laxity

Sulcus sign Sulcus sign Load shift testLoad shift testApprehensionApprehensionJobe’s relocationJobe’s relocationPosterior apprehension test Posterior apprehension test

SLAP or no SLAP?SLAP or no SLAP?

O’Brien’s testO’Brien’s test

Thoracic Outlet SyndromeThoracic Outlet Syndrome

Adson’s- Ext rotate, extend and abduct to Adson’s- Ext rotate, extend and abduct to hold breathhold breath

Wright’s testWright’s test

Roos test- 3 mins!Roos test- 3 mins!

InvestigationsInvestigations

Neck ExaminationNeck Examination

Always express eagerness to examine the Always express eagerness to examine the neck!neck!

Recommended ReadingRecommended Reading

Oswestry Orthopaedic Clinical Oswestry Orthopaedic Clinical ExaminationExamination

Shoulderdoc.co.ukShoulderdoc.co.uk