Key points. Whilst doing so, palpate the shoulder with the other hand to feel for crepitus. Professor in Residence UCSF Department of Orthopaedic Surgery Chief, Sports Medicine and Shoulder Physical Examination-5 minute office exam Visual inspection Palpation Motion Cuff-Specific testing Biceps Testing Resisted shoulder tests - abdn, med rotn, lat rotn • 4. Crepitus is common in the elderly and can be entirely normal. If you are interested in learning more advanced content, we urge you to look at our insider access pages.These focus on … Shoulder This website is powered by SportsEngine's Sports Relationship Management (SRM) software, but is owned by and subject to the Physical Therapy Haven privacy policy. 13). III. Discover different shoulder assessment tests! A doctor or physiotherapist can use one of more than 25 functional tests during a physical exam to diagnosis a torn rotator cuff. Therapist stands behind the patient. In the event of a-c joint pathology the patient will likely complain of pain in both positions of the test. o. Shoulder Orthopaedic Tests Shoulder Palpation Anterior Aspect Clavicle and Sternoclavicular and Acromioclavicular Joints Descriptive Anatomy The clavicle is slightly anterior and inferior to the top of the shoulder. In arthritis of the shoulder, the history will be important to establish the stage (see Ch. Cluster for Patients with Shoulder Pain Likely to Benefit from Cervicothoracic Manipulation (Mintken et al, 2010):-Pain-free shoulder flexion <127 deg-Shoulder IR <53 deg at 90 deg abduction (-) Neer Test-Not taking medications for shoulder pain-Symptoms < 90 days 2 positive: Sn .9, Sp .61, +LR 2.3 3 positive: Sn .51, Sp .9, +LR 5.3 A shoulder impingement test is one way to diagnose a shoulder injury. Orthopedic Exam / Special Tests for Physical Therapy: SHOULDER Adson’s Test: Thoracic Outlet Syndrome (TOS) Thoracic Outlet Syndrome involves the compression at the superior thoracic outlet, resulting from excess pressure placed on a neurovascular bundle passing between the anterior scalene and middle scalene muscles. significance. Your physical therapist or doctor may perform one or more type of this physical exam on your shoulder … Introduction. The acromioclavicular joint, which is lateral, attaches the clavicle… Tendinitis (Supraspinatus) Supraspinatus tendinitis is a common inflammatory condition of the shoulder that causes anterior shoulder pain. Places hand on opposite shoulder, moves elbow to forehead - (+)intensifies & localized pain - Codman Sign - tests passive motion of shoulder. Special tests – Special tests can be categorized into three groups: 1) Stress tests – These tests stress structures for instability (checks ligaments) 2) Provocative tests – These try to reproduce the patient’s pain; 3) Functional tests – These tests assess the function of … This video will focus on the maneuvers evaluating muscle strength and a few special tests for specific shoulder injuries and diseases. E. Special Tests: 1) Impingment: Neer’s, Hawkin’s 2) Biceps/Labrum: Speed’s, Yergason’s , Obriens, Labral Crank 3) Instability: Apprenhension , Relocation, Sulcus 4) Rotator cuff: Drop arm test, Ext Rotation Lag Test Neer’sTest Hawkins-Kennedy Test Yergason’s Test Speed’s Test In other disorders it is of less . laterally (loss of external rotation = frozen shoulder) Internal rotation: patient try to touch their scapula with their fingers behind their back (normal to base of scapula (T6/7)) PASSIVE MOVEMENTS: hold shoulder and move in all directions passively (feel for crepitus). Elbow fully extended, shoulder max ER & forearm supinated Apply valgus & axial compression force at elbow & supination force to forearm Results in rotatory subluxation of ulnohumeral joint with a posterolateral dislocation of radial head Testing for: the integrity of the acromioclavicular joint. To earn continuing education credit for History and physical examination of patients with shoulder pain has traditionally been a cornerstone of the diagnostic process. O'Brian's Test Traditionally Orthopaedic Special tests were used to assist in the diagnostic process by implicating specific tissue structures that are either dysfunctional, pathological, or lack structural integrity, confirming the findings from the physical assessment and providing a tentative diagnosis. Proceed to performing the special tests on each shoulder. Inspection; Palpation of sternoclavicular joint, clavicle, acromioclavicular joint, subacromial bursa, bicipital tendon. 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