3 January 2010

Shoulder examination

Inspection:
  • scars
  • deltoid wasting
  • position - rotated arm
Palpation:
  • sternal-clavicular junction
  • clavicle
  • acromial-clavicular jt
  • scapular spine
  • greater tubercle
Movement:
  • flexion: 160
  • extension: 60
  • abduction: 90 (fix scapular angle)
  • adduction: 40
  • internal rotation: hand behind back and reach to top of scapular
  • external rotation: 75
Power:
  • shoulder abduction C4,5
  • elbow flexion C5,6
  • elbow extension C6,7
  • wrist extension C7
  • grip C8, T1
rotator cuff muscles (suprspinatus, infraspinatus, subscapularis, teres minor):
  • empty beer can - impingement of supraspinatus muscle
  • push off - subscapularis
cervical spine
sensation