Shoulder Exam Flashcards Preview

Orthopedic Diagnosis > Shoulder Exam > Flashcards

Flashcards in Shoulder Exam Deck (11):
1

Inspection 1

1. for any obvious unnatural movement or posture


2

Inspection 2

2. for any topical abnormalities:
scars/keloids
discoloration
abrasions
blebs
other apparent pathology

3

Inspection 3

3. for any asymmetry of structure:
-clavicle - dislocation or fracture
-deltoid - atrophy, flaring or dislocation shape changes
-scapular winging or congenital deformity

4

Palpation - Bony palpation

1. sternoclavicular articulation
2. clavicle
3. coracoid process
4. acromioclavicular articulation
5. acromion
6. greater tuberosity of the humerus
7. bicipital groove
8. less tuberosity of the humerus
9. spine of the scapula
10. body of scapula
11. scapulothoracic articulation

5

palpation - soft tissue 1

1. rotator cuff muscles
-supraspinatus
- infraspinatus
-teres minor
-subscapularis

6

palpation - soft tissue 2 and 3

2. subacromial bursa
3. subdeltoid bursa

7

palpation - soft tissue 4

4. axillary borders
-pec major
-serratus anterior
-axillary lymph nodes
-latissimus dorsi
-bicipital tendon

8

palpation - soft tissue 5

5. prominent muscles of region
-sternocleidomastoid
-biceps
-deltoid (palpate as group and individually)
anterior portion, middle portion, posterior portion
-trapezius
-rhomboid muscles (palpate as unit and individually)
minor and major

9

range of motion - active and passive

flexion (forward) 180
extension 60
abduction 180
adduction 50
external rotation = from horizontal abd of arm 90
internal rotation = from horizontal abd of arm 70
scapular retraction (attention)
scapular protraction (reaching)
scapular elevation (shoulder shrug)

10

range of motion - reflex

biceps
triceps

11

range of motion - sensations

under cervical spine?