CLINICAL EXAMINATION SHOULDER

EXAMINATION OF SHOULDER
INSPECTION ROM
From Anterior aspect Active > Passive > Assisted
Clavicle (Deformity) Normal asymptomatic side > Affected side
SC joint (deformity)
AC joint (deformity) Abduction – 160 – 180
Pectoralis major (Atrophy/ Tightness) Painful arc Syndrome
Deltoid
Subacromial Bursa (swelling) Forward Flexion (160 – 180)
Biceps brachii (rupture of Long head) External Rotation (40 -60)
20 greater in dominant side

Internal Rotation (30- 45)

From Lateral Apect Lesser in Dominant side
Acromion Process Apley’s Scratch test – Female –T7; Male – T9 Spine.
More than 2 spinous level difference is abnormal
Middle deltoid
Adduction (20- 40)
Cross chest adduction
From Posterior Aspect
Scapula – Medial Border of both sides, Extension (40 -60)
Supraspinatus fossa, Infraspinatus fossa, Winging
Trapezius
Levator Scapulae
Rhomboids
Supraspinatus
Infraspinatus
Serratus anterior
Deltiod

ALIGNMENT
Both shoulder level
Scapulo thoracic Rhythm

Prep By: Maj Amit Kumar DEPT OF SPORTS MEDICINE AFMC 2018
 CLINICAL EXAMINATION SHOULDER

PALPATION SPECIAL TESTS

Temperature
Tenderness ROTATOR CUFF
Supraspinatus
CONFIRM INSPECTION FINDINGS  Jobe’s Supraspinatus test
From Anterior
 Location of pain Infraspinatus and T. Minor
 R/o causes  Dropping Arm Sign
 AC joint  External rotation lag sign ( Infraspinatus)
 SC joint  Horn Blower Sign (T. minor)
 Acromion
 Clavicle
 Greater Tuberosity Subscapularis
 Lesser tuberosity  Lift Off test
 Coracoid process  Belly press test
 Subacromial bursa
 Biceps tendon
 Pectoralis major Impingement tests
 Neer’s Impingement test
 Hawkin’s Impingement test
From Lateral
 Deltoid
AC joint
From Posterior  Painful Arc (140 – 180)
 Trapezius (look for trigger points/ bands)  Passive Cross chest adduction
 Rhomboids  Forced adduction test on hanging arm
 Supraspinatus

MMT SLAP lesion

 Strength of all muscles around the  O’Brien Test
shoulder
 Crank test
 Biceps load test

TESTS FOR STABILITY OF GH JOINT

Tests for Anterior Instability

 Apprehension test
 Relocation test
 Release test
 Anterior Drawer test
 Posterior Drawer test
 Load shift test

Prep By: Maj Amit Kumar DEPT OF SPORTS MEDICINE AFMC 2018
 CLINICAL EXAMINATION SHOULDER

Tests for Posterior Instability EXAMINATION OF KINETIC CHAIN

 Jerk test
 Circumduction test  Neck
 Anterior Drawer test  Elbow
 Posterior Drawer test
 Load shift test

Test for Inferior Instability R/O CAUSES OF REFERRED PAIN IN SHOULDER

 Inferior Apprehension test  Chest
 Sulcus Sign  CVS
 CNS
 Abdomen

Tests for Biceps Tendon

 Speed test
 Yergason Test
 Snap Test ( For Subluxation of Biceps
tendon in Bicipital groove)

Tests for Thoracic Outlet Syndrome

 Adson test
 Ross test
 Halstead’s Test
 Hyperabduction test

Prep By: Maj Amit Kumar DEPT OF SPORTS MEDICINE AFMC 2018
 CLINICAL EXAMINATION SHOULDER

Prep By: Maj Amit Kumar DEPT OF SPORTS MEDICINE AFMC 2018
 CLINICAL EXAMINATION SHOULDER

Prep By: Maj Amit Kumar DEPT OF SPORTS MEDICINE AFMC 2018