!?

Clinically how to diagnosed the muscle tear

Take the patient history -1
A complete history begins with the patient's age, dominant hand and sport
or work activity. It is important to assess whether the injury prevents or
hampers normal work activities, hobbies and sports. The patient should be
.asked about the pain , instability, stiffness, locking, swelling
:Physical Examination -2
A complete physical examination includes inspection and palpation,
assessment of range of motion and strength, and provocative testing for
.possible impingement syndrome and instability

INSPECTION
The physical examination includes observing the way the patient moves , Swelling,
asymmetry, muscle atrophy, scars, ecchymosis and any venous distention
should be noted.

PALPATION

for tenderness areas " pain areas"

RANGE-OF-MOTION TESTING

the affected extremity should be compared with the unaffected side to

determine the patient's normal range. Active and passive ranges should
be assessed. For example, a patient with loss of active motion alone is
more likely to have weakness of the affected muscles than joint disease.

EVALUATING

In evaluating the extremity should always be compared with the

unaffected side to detect subtle differences in strength and motion. A key
finding, is pain accompanied by weakness. True weakness should be
distinguished from weakness that is due to pain.

FUNCTIONAL TESTS

Assessing the ability to carry out the following tasks gives the therapist
a clear picture about the patients current abilities.

They can also be used as objective markers to show progression once

treatment and rehabilitation have been initiated.

SPECIFIC TESTS

For example : Rotator Cuff Tears

 1 2 4
some of Specific tests for shoulder tear :

NEER'S TEST
HAWKINS' TEST
DROP-ARM TEST
CROSS-ARM TEST

REFERENCE:
HTTP://WWW.AAFP.ORG/AFP/2000/0515/P3079.HTML