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Shoulder diagnosis (Demographics 1. Age 2. Sex 3.PMH 4. Surgeries (Onset…
Shoulder diagnosis
Demographics 1. Age 2. Sex 3.PMH 4. Surgeries
Onset of symptoms
Traumatic
Acute
Mechanism Of Injury
Fall on shoulder
Rapid swelling, bruising, Loss of ROM, Increased pain
R/O fracture - refer for imaging
Pain thru arc of motion , ER
R/o RC strain, tear,
Drop Arm., Painful Arc, Infraspinatus MM test
R/o impingement
3/5
Hawkins Kennedy, Neer’s, Painful arc, empty can, ER resistance
Clicking , catching locking, feeling unstable
R/O labral tear. Anterior instability
Apprehension 2. Relocation, 3 Anterior Drawer
P! In anterior shoulder
R/o bicipital tendiinitis, pectoral strain, Subscapularis strain
P! in lateral shoulder
R/o Subacromial Pathology/Impingement
1/ +ve Hawkins - Kennedy. 2. Painful Arc. 3. Infraspinatus MM test
Fall on Elbow
Rapid swelling, bruising, Loss of ROM, Increased pain
R/O fracture - refer for imaging
Fall on Wrist
Rapid swelling, bruising, Loss of ROM, Increased pain
R/O fracture - refer for imaging
Chronic
Loss of motion
R/O frozen shoulder, OA
Painful Arc
R/o impingement, RC
3/5
Hawkins Kennedy, Neer’s, Painful arc, empty can, ER resistance
Drop Arm., Painful Arc, Infraspinatus MM test
Insidious
Chronic
R/o osteoarthritis, frozen shoulder
Acute
Loss of ROM Fl, AB, ER
R/o frozen shoulder
P! W/ elevation
P! In anterior shoulder
R/o bicipital tendinitis,. ACJ pathology
Palpation
ACJ Palpation Crossover Test
P! In lateral shoulder
R/ o RC strain, tear, impingement, Subacromial pathology
3/5
Hawkins Kennedy, Neer’s, Painful arc, empty can, ER resistance
Drop Arm., Painful Arc, Infraspinatus MM test