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EXAMINATION
the scapula is offset 30 degrees from the
frontal plane -- this is called the scapular
plane
Acromioclavicular joint
Coracoclavicular ligament:
controls vertical stability; restrains
superior and anterior displacement
Acromioclavicular ligament:
provides stability across the joint;
restrains posterior translation and
displacement of the clavicle
Glenohumeral joint
Coracohumeral ligament:
provides stability superiorly,
preventing superior translation
Rotator Cuff
Supraspinatus: abducts the
humeral head and acts as a humeral
head depressor
CHEST EXAMINATION
Shoulder examination
LOOK
TOUCH
MOVE
MEASURE
Inspection
Attitude
Front
Side
Back
Inspection
Front
Chest wall
Pect major
Clavicle/recess
AC joint alignment
Deltoid contour
Any other swellings
Side
Deltoid
AC joint
Wasting of cuff muscles
Swellings
head of humerus
Scapula
Apprehension
Special Tests - Impingement
Neers sign
Hawkins sign
Jobes sign
Special Tests - Impingement
Neers sign
Special Tests - Impingement
Hawkins test
Special Tests - Impingement
Jobes test
Special Tests - Rotator Cuff
External rotation lag sign (ERLS)
Hornblowers sign
Infraspinatus / teres minor
Internal rotation lag sign (IRLS)
Liftoff test
Subscapularis
Zaslavs internal impingement test
Special Tests - Rotator Cuff
External rotation lag sign (ERLS)
Infraspinatus / teres minor
Special Tests - Rotator Cuff
Internal rotation lag sign (IRLS)
Liftoff test Subscapularis
Special Tests - Rotator Cuff
Belly Press test
Special Tests - Rotator Cuff
Zaslavs internal impingement test
Special Tests - Biceps
Speeds test
Yergasons test
Special Tests - Biceps
Speeds test
Special Tests - Biceps
Yergasons tests
Special Tests – SLAP Lesions
O’Briens Test
Compression / rotation test
Pain Provocation test
Special Tests – SLAP Lesions
O’Briens Test
Special Tests – SLAP Lesions
Compression / rotation test
Special Tests – SLAP Lesions
Crank test
Special Tests – SLAP Lesions
Kiblers anterior slide test
Ac joint – cross arm test
Point tenderness over AC joint
Scarf test
Finally
Neurological examination
Hand functions
Pulses
Other shoulder
Same elbow
SPINE