I ran across this video the other day of an orthopedic surgeon doing a shoulder examination. I thought this guy presented it so well, that I had to share it.
Dr. Hawkins of the Steadman Hawkins Clinic starts out by talking about how the usual shoulder exam goes straight to the point. If you are talking to a patient, and the patient’s history of injury points to a labrum tear, then you would just go straight to labrum tear tests. If you have an elderly patient with an obvious rotator cuff rupture, then you wouldn’t do all of the shoulder tests. You would just confirm the obvious injury.
This video talks about a comprehensive shoulder examination. This involves inspection, palpation, range of motion testing, neurological testing, and orthopedic testing.
Starting with inspection, you take a look at the patient and notice the standing anatomy of the shoulder. Look for any scapular winging, muscle wasting. Inspect and palpate the supraspinatus and infraspinatus. Run along the top of the trapezius, deltoid, clavical. Down at the throacic outlet, there is a depression just proximal to the AC joint that surgeons use for labrum tear surguries. This is called the neviaser portal.
Todd Lloyd, DC
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