Www.tennent.net Examination of the Shoulder Mr. T.D.Tennent FRCS(Orth)

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Presentation transcript:

Examination of the Shoulder Mr. T.D.Tennent FRCS(Orth)

Conditions Instability Subacromial impingement Rotator cuff rupture Adhesive capsulitis Calcific Tendinitis SLAP Lesions Superior labral anterior-posterior

History Pain Instability “Popping”

Preparation Expose to waist View front and back

Inspection Scars Open surgery Arthroscopic surgery Deformity Clavicle fractures ACJ dislocations Wasting Deltoid Supraspinatus

Palpation Along clavicle ACJ Greater tuberosity Long head biceps

Range of Movement Flexion Extension Abduction External Rotation Internal Rotation Passive and Active

Range of Movement

Special Tests - Instability Sulcus sign Anterior and posterior draw Anterior apprehension sign Relocation test

Special Tests - Instability Sulcus sign

Special Tests - Instability Anterior and posterior draw

Special Tests - Instability Anterior apprehension sign

Special Tests - Instability Relocation test

Special Tests - Impingement Neers sign Hawkins sign Jobes sign

Neers sign Special Tests - Impingement

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

Special Tests - Rotator Cuff External rotation lag sign (ERLS) Infraspinatus / teres minor

Special Tests - Rotator Cuff Internal rotation lag sign (IRLS) Liftoff testSubscapularis

Special Tests – SLAP Lesions O’Briens Test Compression / rotation test

Special Tests – SLAP Lesions O’Briens Test

Special Tests – SLAP Lesions Compression / rotation test

Summary Conditions Instability Subacromial impingement Rotator cuff rupture Adhesive capsulitis Calcific Tendinitis SLAP Lesions Superior labral anterior-posterior

Summary History Expose Palpate Active ROM Passive ROM Special Tests

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