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Shoulder Exams

AB
AbductionDeltoid and Supraspinatus
accessory motionscircumduction
acromioclavicular fractureindirect
Acromioclavicular jointPoint where the clavicle and scapula articulate;
acromioclavicular separationMOI includes falling on an outstretched hand or on tip of shoulder
acromion processis the boney projection found on the lateral end of the spine of the scapula
anterior dislocationforced external rotation and abduction
Apley Scratch TestTest for ADHESIVE CAPSULITIS or ROTATOR CUFF (SUPRASPINATUS part of cuff)
Apley's Scratch Testpat yourself on the back- same shoulder for internal rotation. Below and behind for internal rotation - If this is used as a ROM screening
Apprehension TestTest for glenohumeral joint ANTERIOR instability (chronic shoulder dislocation)
avulsion fracturecoracoid process (forceful throwing)
axillary border (lateral)the lateral border
bicep tendinitisdysfunction of GH joint; results from repetitive activities
burner/stingercompression or stretching on one side of the neck (brachial plexus; pain or burning sensation
clavicle fracturefrequent in sports
claviclecollarbone; S-shaped bone. Articulates with the Acromion Process of the Scapulae (AC joint) and with the sternum (SC Joint)
clavicular fracturerepetitive trauma or posttraumatic injuryto distal clavicle or AC joint
clavicular fracturesMOI includes falling on an outstretched hand on shoulder
coracoid processsmall hook-like structure on the lateral edge of the superior anterior portion of the scapula
distal bicep tendon rupturecommon in men over 40; prolonged tendinitis makes tendon vulnerable
Drop Arm TestRotator Cuff Tests for Supraspinatus
-painweakness or ratcheting motions
Ecchymosisbruise
Empty Can Test*Test for supraspinatus rotator cuff problem
ExtensionLatissimus Dorsi and Posterior Deltoids
External (Lateral) RotationInfraspinatus
FlexionAnterior Deltoid and Pectoralis Major
forceful abduction; forceful external rotation; joint capsule stretch or tear; humeral head moved anteriorly inferior; limited AROM; swellinecchymosis
Gerber's Lift-Off TestRotator Cuff Test for Subscapulis muscle
Glenohumeral Dislocationdislocation of the ball and socket joint
Glenohumeral Instabilitychronic shoulder dislocation
Glenohumeral jointSynovial ball and socket joint;
Largeloose joint capsule allows a lot of motion
Glenohumerol dislocationMOI is having the arm abducted and externally rotated
glenoid cavity (fossa)Forms a joint with the head of the humerus. The "socket of the ball and socket joint.
Head (of Humerous)What articulates with the glenoid fossa
humeral fracturedirect blow
inferior angleWhere the of the Vertebral Border (Medial) meets the Axillary (lateral) Border of the Scapulas
infraspinatusposterior aspect of the shoulder
infraspinous fossais the large shallow depression inferior (below) the Spine of the scapula .(Scapula)
Latissimus DorsiTeres Major
multidirectional; could result form bony instabilityflat glenoid fossa
Rotator Cuff Muscle Test for External RotationRotator Cuff Tests for
rotator cuff musclessupraspinatus
Rotator Cuff Straineffects rotator cuff muscles or tendons - errors in the execution of a throw or swing can contribute to overuse; pain during follow though phase of throwing motion.
rotator cuff tear2 ways of happening. a single traumatic event or wear and tear. s/s: thinning of muscles around the shoulder. pain when lifting lowering the arm from fully raised position
Scapula MotionsElevation
scapular fracturedirect or indirect force; minimal pain
Scapulothoracic JointNot a true joint; Refers to movement of the scapula relative to the rib cage.
shoulder bonesclavicle
Palpation (bony)1) Sternoclavicular articulation.
Inspection1) obvious unnatural movement or posture (Obvious Deformity )
2) special abnormalities. Scars/KeloidsAbrasions
Deltoid - atrophyflaring or dislocation shape changes
Palpation (soft tissue)1) Prominent Muscles of Regio
- Deltoid - anteriormiddle
Signs and symptoms of a glenohumerol dislocaitonshoulder joint deformity and down sloping shoulder contour
Spine of the scapulaa large ridge process on the posterior of the scapula that ends laterally at the acromion
sternoclavicular joint sprainindirect force
subluxations/dislocationsglenohumeral joint (ball & socket)
subscaplarisanterior aspect
Sulcus TestTest for glenohumeral joint INFERIOR instability
-You grasp the forearm and pull the arm distallytractioning the shoulder.
supraspinatustorn most often
supraspinous fossaA shallow depression Superior to the Spine of the Scapula
teres minorposterior aspect
The ball and socket joint.glenohumeral joint
The shoulder joint involves articulation between the acromion process and distal end of the clavicle.acromioclavicular joint
thoracic outlet syndromecompromise of brachial plexus or neurovascular bundle
vertebral border (medial)medial border of scapula; thinner edge facing the vertebral column.
What are the three joints of the shoulder?sternoclavicular
Yergason's TestTest for Bicipital Tendonitis
-bicipital tendonitistenosynovitis


Physical Medicine Instructor
Booker T Washington

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