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Physical Exam Shoulder

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Introduction

  • Follows the IP-PASS examination methodology
    • Inspection
    • Palpation
    • Passive Range of Motion
    • Active Range of Motion
    • Strength & Neurovascular
    • Special Tests

Inspection

  • Skin
    • Color: erythema, ecchymosis, white, black
    • Trophic changes (altered hair growth, sweat production)
    • Scars
    • Swelling
  • Muscle tone: atrophy, hypertrophy
    • Rotator cuff atrophy
  • Deformity: asymmetry, rotation, amputation
  • Areas of emphasis for shoulder exam
    • Scapular winging?

Palpation


Range of Motion

  • Shoulder
    • Abduction: 180 degrees
    • Adduction: 50 degrees
    • Forward flexion: 180 degrees
    • Extension: 50 degrees
    • External Rotation: 90 degrees
    • Internal rotation: 90 degrees
  • Elbow
    • Flexion: 150-160
    • Extension: 0

Strength


Neurovascular

  • Motor Nerves:
  • Sensory Nerves
    • Needs to be updated
  • Dermatomes: C5-T1
    • Deltoid (C5)
    • Thumb (C6, median n)
    • Posterior 1st web space (C6, radial n)
    • Middle finger (C7, median n)
    • Little finger (C8, ulnar n)
    • Proximal medial forearm (T1)
  • Deep Tendon Reflexes (C5-C7)
    • Biceps (C5, C6)
    • Brachioradialis (C6)
    • Triceps (C7)
  • Myotomes: C5-T1
    • C5: shoulder abduction
    • C6: Elbow flexion Wrist extension
    • C7: Elbow extension
    • C8: Finger flexion
    • T1: Finger abduction
  • Vascular
    • Radial pulse
    • Ulnar pulse

Special Tests


See Also


Created by:
John Kiel on 17 January 2020 11:09:50
Authors:
Last edited:
19 August 2021 14:57:49
Category: