Shoulder Examination: Difference between revisions
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<u><span>References</span></u> | <u><span>References</span></u> | ||
<!--[if !supportLists]--><span><span style="mso-list:Ignore">1.<span> </span></span></span><!--[endif]--><span>Calis M, et al. Diagnostic values | <!--[if !supportLists]--><span><span style="mso-list:Ignore">1.<span> </span></span></span><!--[endif]--><span>Calis M, et al. Diagnostic values | ||
of clinical diagnostic tests in subacromial impingement syndrome. Ann Rheum | of clinical diagnostic tests in subacromial impingement syndrome. Ann Rheum | ||
Dis, 2000 59, 44-47. | Dis, 2000 59, 44-47.</span> | ||
<!--[if !supportLists]--><span><span style="mso-list:Ignore">2.<span> </span></span></span><!--[endif]--><span>Park HB, et al. Diagnostic | <!--[if !supportLists]--><span><span style="mso-list:Ignore">2.<span> </span></span></span><!--[endif]--><span>Park HB, et al. Diagnostic | ||
accuracy of clinical tests for the different degrees of subacromial impingement | accuracy of clinical tests for the different degrees of subacromial impingement | ||
syndrome. J Bone Joint Surg Am, 2005 87(7), 1446-1455. | syndrome. J Bone Joint Surg Am, 2005 87(7), 1446-1455 .</span> | ||
<!--[if !supportLists]--><span><span style="mso-list:Ignore">3.<span> </span></span></span><!--[endif]--><span>Kelly S, Nicola B. The value of | <!--[if !supportLists]--><span><span style="mso-list:Ignore">3.<span> </span></span></span><!--[endif]--><span>Kelly S, Nicola B. The value of | ||
physical tests for subacromial impingement syndrome: a study of diagnostic | physical tests for subacromial impingement syndrome: a study of diagnostic | ||
accuracy. Clin Rehab, 2010 24: 149–158. | accuracy. Clin Rehab, 2010 24: 149–158 .</span> | ||
<!--[if !supportLists]--><span><span style="mso-list:Ignore">4.<span> </span></span></span><!--[endif]--><span>Holtby R, Razmjou | <!--[if !supportLists]--><span><span style="mso-list:Ignore">4.<span> </span></span></span><!--[endif]--><span>Holtby R, Razmjou | ||
H. Accuracy of the Speed's and Yergason's tests in detecting biceps pathology | H. Accuracy of the Speed's and Yergason's tests in detecting biceps pathology | ||
and SLAP lesions: comparison with arthroscopic findings. Arthroscopy, 2004 3, | and SLAP lesions: comparison with arthroscopic findings. Arthroscopy, 2004 3, | ||
231-6 | 231-6</span> .<span></span> | ||
<!--[if !supportLists]--><span class="apple-style-span"><span><span style="mso-list:Ignore">5.<span> | <!--[if !supportLists]--><span class="apple-style-span"><span><span style="mso-list:Ignore">5.<span> | ||
</span></span></span></span><!--[endif]--><span class="apple-style-span"><span>SH | </span></span></span></span><!--[endif]--><span class="apple-style-span"><span>SH | ||
Kim et al. A Novel Test for Posteroinferior Labral Lesion of the Shoulder—A | Kim et al. A Novel Test for Posteroinferior Labral Lesion of the Shoulder—A | ||
Comparison to the Jerk Test. Am J Sports Med, 2005 33(8): 1188-92 | Comparison to the Jerk Test. Am J Sports Med, 2005 33(8): 1188-92.</span></span> | ||
<!--[if !supportLists]--><span class="apple-style-span"><span><span style="mso-list:Ignore">6.<span> | <!--[if !supportLists]--><span class="apple-style-span"><span><span style="mso-list:Ignore">6.<span> | ||
Line 71: | Line 71: | ||
et al. The validity and accuracy of clinical tests used to detect labral | et al. The validity and accuracy of clinical tests used to detect labral | ||
pathology of the shoulder--a systematic review. Man Ther. 2009 | pathology of the shoulder--a systematic review. Man Ther. 2009 | ||
Apr;14(2):119-30 | Apr;14(2):119-30.</span></span> | ||
<!--[if !supportLists]--><span class="apple-style-span"><span><span style="mso-list:Ignore">7.<span> | <!--[if !supportLists]--><span class="apple-style-span"><span><span style="mso-list:Ignore">7.<span> | ||
</span></span></span></span><!--[endif]--><span class="apple-style-span"><span>Kim | </span></span></span></span><!--[endif]--><span class="apple-style-span"><span>Kim | ||
SH, Ha KI, Ahn JH, Kim SH, Choi HJ. Biceps load test II: a clinical test for | SH, Ha KI, Ahn JH, Kim SH, Choi HJ. Biceps load test II: a clinical test for | ||
SLAP lesions of the shoulder.</span></span><span class="apple-converted-space"><span> </span></span><span class="apple-style-span">''<span>Arthroscopy</span>''</span><span class="apple-converted-space"><span> </span></span><span class="apple-style-span"><span>2001 February; 17(2):160-164. | SLAP lesions of the shoulder.</span></span><span class="apple-converted-space"><span> </span></span><span class="apple-style-span">''<span>Arthroscopy</span>''</span><span class="apple-converted-space"><span> </span></span><span class="apple-style-span"><span>2001 February; 17(2):160-164 .</span></span> | ||
<!--[if !supportLists]--><span><span style="mso-list:Ignore">8.<span> </span></span></span><!--[endif]--><span>Dessaur WA, Magarey | <!--[if !supportLists]--><span><span style="mso-list:Ignore">8.<span> </span></span></span><!--[endif]--><span>Dessaur WA, Magarey | ||
ME. Diagnostic accuracy of clinical tests for superior labral anterior | ME. Diagnostic accuracy of clinical tests for superior labral anterior | ||
posterior lesions: a systematic review. J Orthop Sports Phys Ther. 2008 | posterior lesions: a systematic review. J Orthop Sports Phys Ther. 2008 | ||
June;38(6):341-52. Epub 2008 Feb 22 | June;38(6):341-52. Epub 2008 Feb 22</span> .<span></span> | ||
<!--[if !supportLists]--><span><span style="mso-list:Ignore">9.<span> </span></span></span><!--[endif]-->[http://www.ncbi.nlm.nih.gov.libproxy.temple.edu/pubmed?term=%22Lo%20IK%22%5BAuthor%5D <span>Lo IK</span>]<span>,<span class="apple-converted-space"> </span>et al, An evaluation of the apprehension, relocation, and surprise tests for anterior shoulder instability. </span> | <!--[if !supportLists]--><span><span style="mso-list:Ignore">9.<span> </span></span></span><!--[endif]-->[http://www.ncbi.nlm.nih.gov.libproxy.temple.edu/pubmed?term=%22Lo%20IK%22%5BAuthor%5D <span>Lo IK</span>]<span>,<span class="apple-converted-space"> </span>et al, An evaluation of the apprehension, relocation, and surprise tests for anterior shoulder instability.</span><span class="apple-converted-space"><span> </span></span><span>2004 | ||
Mar;32(2):301-7. | Mar;32(2):301-7.</span> | ||
<span></span><span></span><span></span><span></span><span>10.<span style="mso-tab-count: 1"> </span>Gross ML, Distefano MC. Anterior release test. A new test for occult shoulder<span style="mso-spacerun:yes"> </span>instability. Clin Orthop Relat Res. 1997 Jun;(339):105-8. | <span></span><span></span><span></span><span></span><span>10.<span style="mso-tab-count: 1"> </span>Gross ML, Distefano MC. Anterior release test. A new test for occult shoulder<span style="mso-spacerun:yes"> </span>instability. Clin Orthop Relat Res. 1997 Jun;(339):105-8 .</span> | ||
<span>11.<span style="mso-tab-count:1"> </span>Nakagawa MD, et al. Forced Shoulder Abduction and Elbow Flexion Test: A New Simple Clinical Test to Detect Superior Labral Injury in the Throwing Shoulder. J arthro.<span style="mso-spacerun:yes"> | <span>11.<span style="mso-tab-count:1"> </span>Nakagawa MD, et al. Forced Shoulder Abduction and Elbow Flexion Test: A New Simple Clinical Test to Detect Superior Labral Injury in the Throwing Shoulder. J arthro.<span style="mso-spacerun:yes"> | ||
</span>2005 November; 21(11): 1290-1295. | </span>2005 November; 21(11): 1290-1295 .</span> | ||
<!--[if !supportLists]--><span><span style="mso-list:Ignore">12.<span> | <!--[if !supportLists]--><span><span style="mso-list:Ignore">12.<span> | ||
</span></span></span><!--[endif]--><span>Hislop HJ, Montgomery J.<span style="mso-spacerun:yes"> </span>Daniels and Worthingham's Muscle Testing: Techniques of Manual Examination.<span style="mso-spacerun:yes"> </span><span class="apple-style-span"><span style="color:black">Saunders 2007, 8<sup>th</sup> | </span></span></span><!--[endif]--><span>Hislop HJ, Montgomery J.<span style="mso-spacerun:yes"> </span>Daniels and Worthingham's Muscle Testing: Techniques of Manual Examination.<span style="mso-spacerun:yes"> </span><span class="apple-style-span"><span style="color:black">Saunders 2007, 8<sup>th</sup> | ||
edition | edition</span></span> .</span> | ||
<!--[if !supportLists]--><span><span style="mso-list:Ignore">13.<span> | <!--[if !supportLists]--><span><span style="mso-list:Ignore">13.<span> | ||
</span></span></span><!--[endif]--><span>Flynn T, et al. Users’ guide to the | </span></span></span><!--[endif]--><span>Flynn T, et al. Users’ guide to the | ||
musculoskeletal examination fundamentals for the evidence-based clinician. | musculoskeletal examination fundamentals for the evidence-based clinician. | ||
Evidence in Motion; 2008. | Evidence in Motion; 2008 .</span> | ||
<!--[if !supportLists]--><span><span style="mso-list:Ignore">14.<span> | <!--[if !supportLists]--><span><span style="mso-list:Ignore">14.<span> | ||
</span></span></span><!--[endif]--><span>Rutkow IM.<span style="mso-spacerun:yes"> | </span></span></span><!--[endif]--><span>Rutkow IM.<span style="mso-spacerun:yes"> | ||
</span>Rupture of the spleen in infectious mononucleosis:<span style="mso-spacerun:yes"> </span>a critical review.<span style="mso-spacerun:yes"> </span>Arch Surg. 1978 Jun;113(6):718-20. | </span>Rupture of the spleen in infectious mononucleosis:<span style="mso-spacerun:yes"> </span>a critical review.<span style="mso-spacerun:yes"> </span>Arch Surg. 1978 Jun;113(6):718-20 .</span> | ||
<!--[if !supportLists]--><span><span style="mso-list:Ignore">15.<span> | <!--[if !supportLists]--><span><span style="mso-list:Ignore">15.<span> | ||
</span></span></span><!--[endif]--><span>Tamura M, Hoda MA, Klepetko W.<span style="mso-spacerun:yes"> </span>Current treatment paradigms of superior sulcus tumours.<span style="mso-spacerun:yes"> </span>Eur J Cardiothorac Surg. 2009 Oct;36(4):747-53. Epub 2009 Aug 20. | </span></span></span><!--[endif]--><span>Tamura M, Hoda MA, Klepetko W.<span style="mso-spacerun:yes"> </span>Current treatment paradigms of superior sulcus tumours.<span style="mso-spacerun:yes"> </span>Eur J Cardiothorac Surg. 2009 Oct;36(4):747-53. Epub 2009 Aug 20 .</span> | ||
<!--[if !supportLists]--><span><span style="mso-list:Ignore">16.<span> | <!--[if !supportLists]--><span><span style="mso-list:Ignore">16.<span> | ||
</span></span></span><!--[endif]--><span>Strauss E. Flanagin BA, Mitchell MT, | </span></span></span><!--[endif]--><span>Strauss E. Flanagin BA, Mitchell MT, | ||
Thistlethwaite WA, Alverdy JC. Usefulness of liver biopsy in chronic hepatitis | Thistlethwaite WA, Alverdy JC. Usefulness of liver biopsy in chronic hepatitis | ||
C.<span style="mso-spacerun:yes"> </span>Ann Hepatol 2010;9 Suppl:39-42. | C.<span style="mso-spacerun:yes"> </span>Ann Hepatol 2010;9 Suppl:39-42 .</span> | ||
<!--[if !supportLists]--><span><span style="mso-list:Ignore">17.<span> | <!--[if !supportLists]--><span><span style="mso-list:Ignore">17.<span> | ||
</span></span></span><!--[endif]--><span>Diagnosis and treatment of atypical | </span></span></span><!--[endif]--><span>Diagnosis and treatment of atypical | ||
presentations of hiatal hernia following bariatric surgery.<span style="mso-spacerun:yes"> </span>Obes Surg. 2010 Mar;20(3):386-92. Epub 2009 Oct 24. & | presentations of hiatal hernia following bariatric surgery.<span style="mso-spacerun:yes"> </span>Obes Surg. 2010 Mar;20(3):386-92. Epub 2009 Oct 24. </span> | ||
<!--[if !supportLists]--><span><span style="mso-list:Ignore">18.<span> | <!--[if !supportLists]--><span><span style="mso-list:Ignore">18.<span> | ||
</span></span></span><!--[endif]--><span>Pappano DA, Bass ES. Referred shoulder pain | </span></span></span><!--[endif]--><span>Pappano DA, Bass ES. Referred shoulder pain | ||
preceding abdominal pain in a teenage girl with gastric perforation. Pediatr | preceding abdominal pain in a teenage girl with gastric perforation. Pediatr | ||
Emerg Care. 2006 Dec;22(12):807-9. | Emerg Care. 2006 Dec;22(12):807-9 .</span> | ||
<!--[if !supportLists]--><span><span style="mso-list:Ignore">19.<span> | <!--[if !supportLists]--><span><span style="mso-list:Ignore">19.<span> | ||
</span></span></span><!--[endif]--><span>Handoll HH, Ollivere BJ.<span style="mso-spacerun:yes"> </span>Interventions for treating proximal humeral fractures in adults. Cochrane Database Syst Rev. 2010 Dec 8;(12):CD000434. | </span></span></span><!--[endif]--><span>Handoll HH, Ollivere BJ.<span style="mso-spacerun:yes"> </span>Interventions for treating proximal humeral fractures in adults. Cochrane Database Syst Rev. 2010 Dec 8;(12):CD000434 .</span> | ||
<!--[if !supportLists]--><span><span style="mso-list:Ignore">20.<span> | <!--[if !supportLists]--><span><span style="mso-list:Ignore">20.<span> | ||
</span></span></span><!--[endif]--><span>McKee MD. Clavicle | </span></span></span><!--[endif]--><span>McKee MD. Clavicle | ||
fractures in 2010: sling/swathe or open reduction and internal fixation? </span>[http://www.ncbi.nlm.nih.gov/pubmed/clipboard <span>Orthop | fractures in 2010: sling/swathe or open reduction and internal fixation? </span>[http://www.ncbi.nlm.nih.gov/pubmed/clipboard <span>Orthop | ||
Clin North Am.</span>]<span> 2010 Apr;41(2):225-31 | Clin North Am.</span>]<span> 2010 Apr;41(2):225-31</span> .<span></span> | ||
<!--[if !supportLists]--><span><span style="mso-list:Ignore">21.<span> | <!--[if !supportLists]--><span><span style="mso-list:Ignore">21.<span> | ||
</span></span></span><!--[endif]--><span>Altamimi SA, McKee MD.<span style="mso-spacerun:yes"> </span>Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures.<span style="mso-spacerun:yes"> </span>J Bone Joint Surg Am. 2008 Mar;90 Suppl 2 Pt 1:1-8. | </span></span></span><!--[endif]--><span>Altamimi SA, McKee MD.<span style="mso-spacerun:yes"> </span>Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures.<span style="mso-spacerun:yes"> </span>J Bone Joint Surg Am. 2008 Mar;90 Suppl 2 Pt 1:1-8 .</span> | ||
<!--[if !supportLists]--><span><span style="mso-list:Ignore">22.<span> | <!--[if !supportLists]--><span><span style="mso-list:Ignore">22.<span> | ||
</span></span></span><!--[endif]--><span>S Bot, C Terwee, D A W M van der Windt, L | </span></span></span><!--[endif]--><span>S Bot, C Terwee, D A W M van der Windt, L | ||
Bouter, J Dekker, and H C W de Vet.<span style="mso-spacerun:yes"> | Bouter, J Dekker, and H C W de Vet.<span style="mso-spacerun:yes"> | ||
</span>Clinimetric evaluation of shoulder disability questionnaires: a systematic review of the literature.<span style="mso-spacerun:yes"> </span>Ann Rheum Dis. 2004 April; 63(4): 335–341. | </span>Clinimetric evaluation of shoulder disability questionnaires: a systematic review of the literature.<span style="mso-spacerun:yes"> </span>Ann Rheum Dis. 2004 April; 63(4): 335–341 .</span> | ||
<!--[if !supportLists]--><span><span style="mso-list:Ignore">23.<span> | <!--[if !supportLists]--><span><span style="mso-list:Ignore">23.<span> | ||
</span></span></span><!--[endif]--><span>Murphy D, Hurwitz R. A theoretical model | </span></span></span><!--[endif]--><span>Murphy D, Hurwitz R. A theoretical model | ||
for the development of a diagnosis-based clinical decision rule for the | for the development of a diagnosis-based clinical decision rule for the | ||
management of patients with spinal pain. 2007; 8: 1, 75. | management of patients with spinal pain. 2007; 8: 1, 75 .</span> | ||
<!--[if !supportLists]--><span><span style="mso-list:Ignore">24.<span> | <!--[if !supportLists]--><span><span style="mso-list:Ignore">24.<span> | ||
</span></span></span><!--[endif]--><span>Song L, Yan HB, Yang JG, Sun YH, Hu | </span></span></span><!--[endif]--><span>Song L, Yan HB, Yang JG, Sun YH, Hu | ||
DY.<span style="mso-spacerun:yes"> </span>Impact of patients' symptom interpretation on care-seeking behaviors of patients with acute myocardial infarction. Chin Med J (Engl). 2010 Jul;123(14):1840-5. | DY.<span style="mso-spacerun:yes"> </span>Impact of patients' symptom interpretation on care-seeking behaviors of patients with acute myocardial infarction. Chin Med J (Engl). 2010 Jul;123(14):1840-5 .</span> | ||
<!--[if !supportLists]--><span><span style="mso-list:Ignore">25.<span> | <!--[if !supportLists]--><span><span style="mso-list:Ignore">25.<span> | ||
</span></span></span><!--[endif]--><span>Bahrs et al.<span style="mso-spacerun:yes"> </span>Indications for Computed Tomography (CT-) Diagnostics in Proximal Humeral Fractures: A Comparative Study of Plain Radiography and Computed Tomograph.<span style="mso-spacerun:yes"> </span>BMC Musculoskeletal Disorders, 2009. | </span></span></span><!--[endif]--><span>Bahrs et al.<span style="mso-spacerun:yes"> </span>Indications for Computed Tomography (CT-) Diagnostics in Proximal Humeral Fractures: A Comparative Study of Plain Radiography and Computed Tomograph.<span style="mso-spacerun:yes"> </span>BMC Musculoskeletal Disorders, 2009 .</span> |
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Objective[edit | edit source]
Observation[edit | edit source]
- Posture
- Movement Patterns
Functional Tests
[edit | edit source]
Palpation[edit | edit source]
- supine
- prone
- seated
Neurologic Assessment
[edit | edit source]
Movement Testing[edit | edit source]
- AROM, PROM, and Overpressure
- Passive Intervertebral Motion
- Muscle Strength
Special Tests[edit | edit source]
References[edit | edit source]
References
1. Calis M, et al. Diagnostic values of clinical diagnostic tests in subacromial impingement syndrome. Ann Rheum Dis, 2000 59, 44-47.
2. Park HB, et al. Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. J Bone Joint Surg Am, 2005 87(7), 1446-1455 .
3. Kelly S, Nicola B. The value of physical tests for subacromial impingement syndrome: a study of diagnostic accuracy. Clin Rehab, 2010 24: 149–158 .
4. Holtby R, Razmjou H. Accuracy of the Speed's and Yergason's tests in detecting biceps pathology and SLAP lesions: comparison with arthroscopic findings. Arthroscopy, 2004 3, 231-6 .
5. SH Kim et al. A Novel Test for Posteroinferior Labral Lesion of the Shoulder—A Comparison to the Jerk Test. Am J Sports Med, 2005 33(8): 1188-92.
6. Munro et al. The validity and accuracy of clinical tests used to detect labral pathology of the shoulder--a systematic review. Man Ther. 2009 Apr;14(2):119-30.
7. Kim SH, Ha KI, Ahn JH, Kim SH, Choi HJ. Biceps load test II: a clinical test for SLAP lesions of the shoulder. Arthroscopy 2001 February; 17(2):160-164 .
8. Dessaur WA, Magarey ME. Diagnostic accuracy of clinical tests for superior labral anterior posterior lesions: a systematic review. J Orthop Sports Phys Ther. 2008 June;38(6):341-52. Epub 2008 Feb 22 .
9. Lo IK, et al, An evaluation of the apprehension, relocation, and surprise tests for anterior shoulder instability. 2004 Mar;32(2):301-7.
10. Gross ML, Distefano MC. Anterior release test. A new test for occult shoulder instability. Clin Orthop Relat Res. 1997 Jun;(339):105-8 .
11. Nakagawa MD, et al. Forced Shoulder Abduction and Elbow Flexion Test: A New Simple Clinical Test to Detect Superior Labral Injury in the Throwing Shoulder. J arthro. 2005 November; 21(11): 1290-1295 .
12. Hislop HJ, Montgomery J. Daniels and Worthingham's Muscle Testing: Techniques of Manual Examination. Saunders 2007, 8th edition .
13. Flynn T, et al. Users’ guide to the musculoskeletal examination fundamentals for the evidence-based clinician. Evidence in Motion; 2008 .
14. Rutkow IM. Rupture of the spleen in infectious mononucleosis: a critical review. Arch Surg. 1978 Jun;113(6):718-20 .
15. Tamura M, Hoda MA, Klepetko W. Current treatment paradigms of superior sulcus tumours. Eur J Cardiothorac Surg. 2009 Oct;36(4):747-53. Epub 2009 Aug 20 .
16. Strauss E. Flanagin BA, Mitchell MT, Thistlethwaite WA, Alverdy JC. Usefulness of liver biopsy in chronic hepatitis C. Ann Hepatol 2010;9 Suppl:39-42 .
17. Diagnosis and treatment of atypical presentations of hiatal hernia following bariatric surgery. Obes Surg. 2010 Mar;20(3):386-92. Epub 2009 Oct 24.
18. Pappano DA, Bass ES. Referred shoulder pain preceding abdominal pain in a teenage girl with gastric perforation. Pediatr Emerg Care. 2006 Dec;22(12):807-9 .
19. Handoll HH, Ollivere BJ. Interventions for treating proximal humeral fractures in adults. Cochrane Database Syst Rev. 2010 Dec 8;(12):CD000434 .
20. McKee MD. Clavicle fractures in 2010: sling/swathe or open reduction and internal fixation? [http://www.ncbi.nlm.nih.gov/pubmed/clipboard Orthop Clin North Am.] 2010 Apr;41(2):225-31 .
21. Altamimi SA, McKee MD. Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. J Bone Joint Surg Am. 2008 Mar;90 Suppl 2 Pt 1:1-8 .
22. S Bot, C Terwee, D A W M van der Windt, L Bouter, J Dekker, and H C W de Vet. Clinimetric evaluation of shoulder disability questionnaires: a systematic review of the literature. Ann Rheum Dis. 2004 April; 63(4): 335–341 .
23. Murphy D, Hurwitz R. A theoretical model for the development of a diagnosis-based clinical decision rule for the management of patients with spinal pain. 2007; 8: 1, 75 .
24. Song L, Yan HB, Yang JG, Sun YH, Hu DY. Impact of patients' symptom interpretation on care-seeking behaviors of patients with acute myocardial infarction. Chin Med J (Engl). 2010 Jul;123(14):1840-5 .
25. Bahrs et al. Indications for Computed Tomography (CT-) Diagnostics in Proximal Humeral Fractures: A Comparative Study of Plain Radiography and Computed Tomograph. BMC Musculoskeletal Disorders, 2009 .