Shoulder clinical examination
Shoulder examination follows normal examination pattern of look, feel, move and special tests. I have previously posted a presentation about shoulder examination at this link.
Useful internet resources detailing outline of shoulder examination.
- Shoulder examination by Prof L Funk (2003) from Orthoteers (available as PDF Document – link).
- The five minute shoulder exam by Mario R. Taillon, MD, FRCSC ( link )
Inspection – look from front, side, back. Look for scars of injury or previous operation, deformity, sinuses, muscle bulk, and swellings.
- Shoulder examination video showing how to do shoulder inspection by the San Jose O’Connor Hospital Family Medicine Residency Program. (youtube video link)
Palpation – systematic approach palpate clavicle, AC joint, Acromian, spine of the scapula, arm, and fore arm.
- Video showing surface anatomy and palpation of bony landmarks around shoulder
- Video by Dr Mark Hutchinson showing Inspection and Palpation
Movements – Active and Passive, flexion, extension, external rotation, internal rotation, and adduction. Measure rythem of shoulder movement. Assess extent of glenohumeral movement versus scapulothoracic movement by stabilising shoulder.
- Video by Dr Mark Hutchinson showing how to perform Shoulder Range of motion
- Shoulder Examination: Assessing scapular control (video by Dr Mark Hutchinson)
Neurovascular assessment
Sensory and Motor
Axillary nerve sensation
Pulse – radial
Special tests
Muscle testing – Deltoid, Rotator cuff, Biceps
Impingement signs and tests:
- Neers sign (video, Info from shoulderdoc),
- Neers test,
- Hawkins and Kennedy test (video by Kathleen Carr)
Testing for SLAP Tear
- Video by Dr Mark Hutchinson showing how to examine for SLAP tear. This video show how to perform O’Briens test, Apprehension test, Mayo Shear test, Crank test, Biceps provacation test, Load shift test, Jobe relocation test.
Testing for acromio clavicular joint
- Shoulder examination video by Dr Mark Hutchinson showing how to examine Acromioclavicular Joint and Biceps
Labral tears – crank test, Snider test
Instability testing – sulcus test, anterior and posterior drawer tests, load and shift test, anterior apprehension test, posterior apprehension test, relocation test
- Shoulder examination video by Akues82 showing how to test for shoulder instability
Examinination of Neck:
- Video by Dr Mark Hutchinson: Shoulder Examination, Assessment of the neck and kinetic chain
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