Physical Exam of the Shoulder joint

1. Range of Motion exam

  • forward elevation: patient raises both hands over the head
  • Abduction
  • external rotation with arms rested on the sides
  • external rotation with arms at a 90 degree angle
  • internal rotation: hightest posterior anatomy reached with thumb

2. Impingement signs

  • I-passive forward elevation in slight internal rotation
  • II-passive abduction in 90 degree external rotaion
  • III-passive adduction: crossing over the arms

3. Strength

  • forward flexion
  • external rotation with arm comfortably on the side (moves the teres minor and infraspinatus)
  • internal rotation with arm comfortably on the side (moves subscapularis)
  • abduction (moves the supraspinatus)

for illustrations on the procedures mentioned above visit

http://www.aafp.org/afp/980215ap/fongemie.html

Lu

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~ by pcl4 on August 5, 2008.

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