PHYSICAL EXAMINATION OF THE SPINE AND EXTREMITIES STANLEY HOPPENFELD, M.D. ‘Associate Clinical Professor of Orthopedic Surgery, Director of Scoliosis Service, Albert Einstein College of Medicine, Bronx, New York; Deputy Director of Orthopedic ‘Surgery, Attending Physician, Bronx Municipal Hospital Genter, Bronx, New York; Asso- Ciate Attending Physician, Hospital for Joint Dis- eases, New York, New York In collaboration with I[CHARD HUTTON Medical iNustrations by HUGH THOMAS, PRENTICE HALL UPPER SADDLE RIVER, NJ 07458Contents Acknowledgments Preface 1, Puysican ExAMINAaTION OF THE SHOULDER 2. Puysica EXaMmnaTION oF THE ELBOW 8B. Prysicat EXAMINATION OF THE Waist anp Hann Prysicat, EXAMINATION OF THE CERVICAL Spine AND TEMPOROMANDIBULAR JOINT a Examination or Garr PuysicaL EXAMINATION OF THE Hip AND PELvis PrysicaL EXAMINATION OF THE KNEE ora PiysicaL EXAMINATION OF THE Foor AND ANKLE 9. PrysicaL EXAMINATION OF THE Lumpar SPINE Bibliography Index 35 7” 105 133 143 im 197 237 265 2671 Physical Examination of the Shoulder INSPECTION BONY PALPATION Suprasternal Notch Sternoclavicular Joint Clavicle Coracoid Process Acromioclavicular Articulat ‘Acromion Greater Tuberosity of the Humerus Bicipital Groove Spine of the Scapula Vertebral Border of the Scapula SOFT TISSUE PALPATION BY CLINICAL ZONES Zone | — Rotator Cuff Zone || — Subacromial and Subdeltoid Bursa Zone Ill — The Axilla Zone IV — Prominent Muscles of the Shoulder Girdle RANGE OF MOTION Active Range of Motion Tests Quick Tests, Passive Range of Motion Tests ‘Abduction ____ 180° ‘Adduction 4 (ay Extension 45° Internal Rotation 55° External Rotation 40°45" NEUROLOGIC. EXAMINATION Muscle Testing Reflex Testing ‘Sensation Testing SPECIAL TESTS ‘The Yergason Test Drop Arm Test Apprehension Test for Shoulder Dislocation EXAMINATION OF RELATED AREAS