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

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Presentation on theme: "Www.tennent.net Examination of the Shoulder Mr. T.D.Tennent FRCS(Orth)"— Presentation transcript:

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

2 www.tennent.net Conditions Instability Subacromial impingement Rotator cuff rupture Adhesive capsulitis Calcific Tendinitis SLAP Lesions Superior labral anterior-posterior

3 www.tennent.net History Pain Instability “Popping”

4 www.tennent.net Preparation Expose to waist View front and back

5 www.tennent.net Inspection Scars Open surgery Arthroscopic surgery Deformity Clavicle fractures ACJ dislocations Wasting Deltoid Supraspinatus

6 www.tennent.net Palpation Along clavicle ACJ Greater tuberosity Long head biceps

7 www.tennent.net Range of Movement Flexion Extension Abduction External Rotation Internal Rotation Passive and Active

8 www.tennent.net Range of Movement

9 www.tennent.net Special Tests - Instability Sulcus sign Anterior and posterior draw Anterior apprehension sign Relocation test

10 www.tennent.net Special Tests - Instability Sulcus sign

11 www.tennent.net Special Tests - Instability Anterior and posterior draw

12 www.tennent.net Special Tests - Instability Anterior apprehension sign

13 www.tennent.net Special Tests - Instability Relocation test

14 www.tennent.net Special Tests - Impingement Neers sign Hawkins sign Jobes sign

15 www.tennent.net Neers sign Special Tests - Impingement

16 www.tennent.net Special Tests - Impingement Hawkins test

17 www.tennent.net Special Tests - Impingement Jobes test

18 www.tennent.net Special Tests - Rotator Cuff External rotation lag sign (ERLS) Hornblowers sign Infraspinatus / teres minor Internal rotation lag sign (IRLS) Liftoff test Subscapularis

19 www.tennent.net Special Tests - Rotator Cuff External rotation lag sign (ERLS) Infraspinatus / teres minor

20 www.tennent.net Special Tests - Rotator Cuff Internal rotation lag sign (IRLS) Liftoff testSubscapularis

21 www.tennent.net Special Tests – SLAP Lesions O’Briens Test Compression / rotation test

22 www.tennent.net Special Tests – SLAP Lesions O’Briens Test

23 www.tennent.net Special Tests – SLAP Lesions Compression / rotation test

24 www.tennent.net Summary Conditions Instability Subacromial impingement Rotator cuff rupture Adhesive capsulitis Calcific Tendinitis SLAP Lesions Superior labral anterior-posterior

25 www.tennent.net Summary History Expose Palpate Active ROM Passive ROM Special Tests

26 www.tennent.net Thank You

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