teaching block: musculoskeletal examination fileobjectives •to review the key components of a...
TRANSCRIPT
Teaching block: Musculoskeletal Examination Corey Dean MD
1-28-15
Objectives
• To review the key components of a musculoskeletal
examination including special tests
• To discuss and practice the knee and shoulder examination
• To review top 5 sports injuries for the shoulder and knee
Key Components of the Musculoskeletal Examination 1. Inspection
2. Palpation
3. Range of Motion
4. Strength
5. Neurovascular
6. Special Tests
Musculoskeletal Examination
• Shoulder:
• Rotator cuff testing
• Subacromial bursa
• Bicep tendon
• Acromioclavicular joint
• Instability
• Labral Injury
Shoulder Anatomy
• Glenoid labrum
• Rotator cuff muscles
• Shoulder is vulnerable to injury and age-related degenerative changes due to its large ROM.
Shoulder Exam: Special Tests
Hawkins & Neer Impingement
Empty Can Test & External ROM Resistance
Musculoskeletal Examination
• Knee:
• Patellofemoral knee joint
• Ligamentous
• Meniscal
Knee Anatomy • Four Bones
• Three compartments
• Three articulations
• Stability: menisci (medial,
lateral), anterior/posterior cruciate ligaments, medial/lateral collateral ligaments.
Knee Exam: Special Tests
Anterior Drawer and Lachman’s
Valgus & Varus Stress Test
McMurray Test & Joint Line Tenderness
Top 5 Sports Medicine Dysfunctions & Take Home Points • Shoulder
1. Rotator cuff injury
2. Impingement syndrome
3. AC joint sprain and separation
4. Shoulder instability
5. Bicep tendonitis
• Knee
1. Patellofemoral knee syndrome
2. Ligamentous injury
3. Meniscal injury
4. Osteoarthritis
5. Apophysitis and bursitis
Top 5 Sports Medicine Dysfunctions & Take Home Points