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Shoulder Exam

Introduction

Greetings
Hand wash
Verify the patient's identity
Explanation of the examination
Obtain consent
Request patient to expose both shoulders
Ask about any current pain

Inspection

Assess posture
Look for scars
Check for deformities
Note any muscle wastage
Look for swelling

Palpation

Check skin temperature
Assess for tenderness
Palpate bony landmarks

Including sternoclavicular joint, clavicle, acromioclavicular joint, coracoid process, greater tubercle

Movement Assessment

Active Movements
Flexion
Extension
Abduction
Adduction
External rotation
Internal rotation
Passive Movements

Perform passive movements if active movements are limited

Special Tests

Apley scratch test

Assesses rotator cuff function

Painful arc test

Assesses for supraspinatus impingement

Empty can test

Assesses supraspinatus muscle

Resisted external rotation

Assesses infraspinatus and teres minor

Lift off test

Assesses subscapularis muscle

Conclusion

Summarize findings
Suggest further tests if needed

Exam Progress

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