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    Shoulder Exam Checklist

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    Jaymin Bhatt
    This document provides a checklist for physically examining the shoulder, including: 1) Observation of bony and muscle abnormalities, and palpation of key structures like the acromioclavicular joint and biceps tendon. 2) Assessment of range of motion and strength for motions like abduction, external rotation, and internal rotation. 3) Performance of provocative tests like Neer's, Hawkins, and Yergason's to identify impingement or biceps tendonitis.

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    Shoulder Exam Checklist

    Uploaded by

    Jaymin Bhatt
    296 views2 pages
    This document provides a checklist for physically examining the shoulder, including: 1) Observation of bony and muscle abnormalities, and palpation of key structures like the acromioclavicular joint and biceps tendon. 2) Assessment of range of motion and strength for motions like abduction, external rotation, and internal rotation. 3) Performance of provocative tests like Neer's, Hawkins, and Yergason's to identify impingement or biceps tendonitis.

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    Shoulder examination

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    This document provides a checklist for physically examining the shoulder, including: 1) Observation of bony and muscle abnormalities, and palpation of key structures like the acromioclavicular joint and biceps tendon. 2) Assessment of range of motion and strength for motions like abduction, external rotation, and internal rotation. 3) Performance of provocative tests like Neer's, Hawkins, and Yergason's to identify impingement or biceps tendonitis.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    296 views2 pages

    Shoulder Exam Checklist

    Uploaded by

    Jaymin Bhatt
    This document provides a checklist for physically examining the shoulder, including: 1) Observation of bony and muscle abnormalities, and palpation of key structures like the acromioclavicular joint and biceps tendon. 2) Assessment of range of motion and strength for motions like abduction, external rotation, and internal rotation. 3) Performance of provocative tests like Neer's, Hawkins, and Yergason's to identify impingement or biceps tendonitis.

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    of 2

    Physical Exam of the Shoulder Checklist

    Observation:
    Bony abnormality
    Muscle abnormality

    Palpation: ABC’S
    Acromioclavicular joint
    Biceps tendon
    Coracoid
    Subacromial space

    ROM/Strength: SITS
    Supraspinatus/Deltoid: Abduction scapular plane
    ROM: assess ROM from 0-180 and +/- painful arc

    Full tear: Drop Arm Test


    Motor: Empty Can
    Infraspinatus/Teres Minor: External Rotation(ER)
    ROM: assess between 0-90
    Motor: resisted ER
    Subscapularis: Internal Rotation (IR)
    ROM: assess spinous level
    Motor: Gerber lift off

    Provocative Tests:
    Biceps:
    Yergason's (resisted supination)
    Speed's (resisted flexion)
    Impingement:
    Neer's
    Hawkins
    Acromioclavicular:
    Scarf
    Cross arm
    Range of Motion
    Forward flexion: Have the patient raise their arms as far as possible to the front. 0-160 degrees overhead is normal.
    Abduction: 0-180 degrees overhead is normal done in the scapular plane.
    External Rotation: Hold the elbow at the hip with the arm flexed to 90 degrees and rotate out. The patient should be
    able to rotate at least 30 degrees.
    Internal Rotation: Have the patient place one hand behind his back and reach as far superiorly as possible. Note the
    spinal level and compare both sides.

    Strength
    Supraspinatus: empty beer can: The patient's arm should be elevated to 90 degrees in the scapular plane, with the
    elbow extended, full internal rotation, and pronation of the forearm. Press firmly down on the forearms and ask the
    patient to resist.
    External rotators: Infraspinatus and Teres minor: Have the patient flex the elbow to 90 degrees and attempt external
    rotation against resistance.
    Gerber liftoff test: Subscapularis: Have the patient place one arm behind their lower back and try to push away from the
    body. Inability to perform the "lift off" represents subscapularis weakness from a tear or other injury.
    Drop arm test: Passively raise the patient's arm to 90 degrees of abduction and have the patient lower it slowly. If the
    patient is unable to maintain this position against gravity (the arm "drops"), this indicates supraspinatus pathology.

    Provocative Tests
    Yergason’s test: With the patient's elbow flexed at 90 degrees, have him supinate and flex the forearm against
    resistance. If this causes pain, the test is positive for biceps tendonitis or subluxation of the long head tendon.
    Speed’s test: Have the patient hold his arm in 60 degrees of forward flexion with the arm supinated. Ask the patient to
    attempt forward flexion of the arm against resistance while palpating the long head tendon of the biceps. If this test
    elicits pain at the biceps, it is considered positive, indicating biceps tendonitis.
    Hawkins test: Elevate the patient’s arm to 90 degrees in the scapular plane with the elbow flexed to 90 degrees,
    passively internally rotate the arm. Pain indicates impingement syndrome or rotator cuff tendonitis.
    Neer’s test: Raise the patient’s arm in forward flexion with the arm in internal rotation (thumb pointed to floor) to an
    overhead position. Positive for subacromial impingement if this movement causes pain.
    Cross arm test: Have the patient place his arm in 90 degrees of forward flexion, then cross the arm in horizontal
    adduction in front of the body and push against the examiner. Pain at the AC with this movement is a positive test for
    acromioclavicular joint pathology.
    Scarf test: Have the patient place his arm in 90 degrees of forward flexion, then cross the arm in horizontal adduction
    and wrap around the neck. Pain at the AC with this movement is a positive test for acromioclavicular joint pathology.

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