18-physical examination of the shoulder

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    . , . .

    TexasOrthopedicsSportsandRehabilitationAssociates

    Austin,Texas

    History Mechanismofinjury

    Impact

    Forcedabduction/externalrotation

    C aractero symptoms

    Sharp

    Radiating

    Constantoractivityrelated

    PhysicalExamination Routine

    Performingtheexamthesamewayeverytimeallowsyou

    to

    establish

    aroutine

    or

    flow

    e ucesc anceo m ss ng agnos s

    Youmaynotseeitbutitseesyou!

    36th Annual Symposium On Sports Medicine

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    PhysicalExamination Exposure/Inspection

    Entireshouldergirdle

    Bothsides

    rontan ac

    Symmetry

    Atrophy

    Swellingorprominence

    PhysicalExamination CervicalSpine

    ROM

    Radiatingsymptoms/radicularsigns

    ens ons gns

    Compression

    Distraction

    Spurlingsmaneuver

    PhysicalExamination Shoulder

    ROMinallplanes

    Active

    Observefromfrontandback

    Scapularwinging

    Scapularsubstitution

    36th Annual Symposium On Sports Medicine

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    PhysicalExamination Activestrengthtesting(RotatorCuff)

    Liftofftest

    Modifiedbelly

    press

    test

    Resistedinternal externalrotation

    Resistedscaption

    RotatorCuffImpingement(Subacromialoroutlet) NeerImpingement

    HawkinsImpingement

    PhysicalExamination Acromioclavicularjoint

    Stepoff

    Palpation

    nsta ty (w t pass veoract vemot on)

    Painwithcrossbodyadduction

    Referredpaintobaseofneck

    PhysicalExamination LabralInjury

    CrankTest

    OBriensTest(SLAPtear)

    B cepspat o ogy

    Speedssign

    Instability

    Shoulderglide(seated)

    Sulcussign

    36th Annual Symposium On Sports Medicine

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    PhysicalExamination Musclestrengthtesting

    Biceps(C6)

    Triceps(C7)

    WristFlexors(C7) WristExtensors(C6) IntrinsicMuscles(C8T1)

    Dermatomaldistribution(radiculopathy) PeripheralNerveTesting(motorandsensory)

    Median(carpaltunnelsyndrome) Radial Ulnar(cubitaltunnelsyndrome)

    PhysicalExamination Supine

    Passiveexternalrotationinadduction

    Abduction/externalrotation(arcofmotion)

    orwar ex on(scapu asta ze )

    FulcrumTest(apprehensionorpain)

    Relocation

    Loadandshift

    Posteriorloadtest

    36th Annual Symposium On Sports Medicine

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    SubacromialImpingementNeerImpingement

    HawkinsImpingement

    AnteriorInstabilityApprehensionSign RelocationSign

    PosteriorInstability

    36th Annual Symposium On Sports Medicine

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    AcromioclavicularJointPain

    Biceps/AnchorPathologySpeedsSign OBriensTest

    NeurologicalExamBicepsC6 TricepsC7

    36th Annual Symposium On Sports Medicine

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    NeurologicalExamWristExtensorsC6 WristFlexorsC7

    RadialNerve

    MedianNerve UlnarNerve

    RadialNerveC7

    Ulnar NerveC8MedianNerveC6

    36th Annual Symposium On Sports Medicine

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    VascularExam

    36th Annual Symposium On Sports Medicine

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    36th Annual Symposium On Sports Medicine

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    36th Annual Symposium On Sports Medicine

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    36th Annual Symposium On Sports Medicine

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    36th Annual Symposium On Sports Medicine

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    36th Annual Symposium On Sports Medicine