Shoulder and upper arm diagnoses - Revision history

Rossdonaldson1: /* See Also */

2024-02-14T21:53:04Z

2020-05-21T20:53:56Z

← Older revision		Revision as of 20:53, 21 May 2020
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	==Background==		==Background==
	[[File:Gray326.png\|thumb\|Shoulder anatomy]]		[[File:Gray326.png\|thumb\|Shoulder anatomy]]
			[[File:Shoulder_joint_back-en.png\|thumb\|Shoulder anatomy, anterior.]]
			[[File:Shoulder joint back 05r4v.png\|thumb\|Shoulder anatomy, posterior.]]

	==Differential Diagnosis==		==Differential Diagnosis==

2019-10-29T17:11:58Z

← Older revision		Revision as of 17:11, 29 October 2019
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			==Background==
	[[File:Gray326.png\|thumb\|Shoulder anatomy]]		[[File:Gray326.png\|thumb\|Shoulder anatomy]]

			==Differential Diagnosis==
			{{Shoulder DDX}}

	==Evaluation==		==Evaluation==
	===Rotator Cuff Tests===		===Rotator Cuff Tests===
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	**Then rotate shoulder internally bringing the arm across the front of the pt		**Then rotate shoulder internally bringing the arm across the front of the pt
	**Positive sign is pain during this maneuver		**Positive sign is pain during this maneuver

	~~==Differential Diagnosis==~~
	~~{{Shoulder DDX}}~~

	==See Also==		==See Also==

2019-10-28T19:28:44Z

2019-10-28T19:28:18Z

Evaluation

← Older revision		Revision as of 19:28, 28 October 2019
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			[[File:Gray326.png\|thumb\|Shoulder anatomy]]
	==Evaluation==		==Evaluation==
	===Rotator Cuff Tests===		===Rotator Cuff Tests===

2019-10-18T17:27:12Z

← Older revision		Revision as of 17:27, 18 October 2019
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	===Rotator Cuff Tests===		===Rotator Cuff Tests===
	*Supraspinatus Test (+ LR 3.2)		*Supraspinatus Test (+ LR 3.2)
	**Abduct arm to 90', forward flex it 30' with thumb down ("~~empy~~ beer can position")		**Abduct arm to 90', forward flex it 30' with thumb down ("empty beer can position")
	**Test for pain/weakness against resistance to continued abduction		**Test for pain/weakness against resistance to continued abduction
	*Infraspinatus and Teres Minor Test		*Infraspinatus and Teres Minor Test
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	===Impingement Tests===		===Impingement Tests===
	*Maneuver of Neer		*Maneuver of Neer
	**Prevent scapular rotation with one hand while ~~rasing~~ patient's straightened arm in full forward flexion to overhead		**Prevent scapular rotation with one hand while raising patient's straightened arm in full forward flexion to overhead
	**Positive sign is pain in the arc ~~bewtween~~ 70-120'		**Positive sign is pain in the arc between 70-120'
	*Hawkins Impingement Test		*Hawkins Impingement Test
	**Position the shoulder at 90' of abduction and elbow at 90' of flexion		**Position the shoulder at 90' of abduction and elbow at 90' of flexion

2019-10-01T21:44:04Z

2019-06-15T06:18:17Z

Rotator Cuff Tests

← Older revision		Revision as of 06:18, 15 June 2019
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	==Evaluation==		==Evaluation==
	===Rotator Cuff Tests===		===Rotator Cuff Tests===
	*Supraspinatus Test		*Supraspinatus Test (+ LR 3.2)
	**Abduct arm to 90', forward flex it 30' with thumb down ("empy beer can position")		**Abduct arm to 90', forward flex it 30' with thumb down ("empy beer can position")
	**Test for pain/weakness against resistance to continued abduction		**Test for pain/weakness against resistance to continued abduction
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	**Support the arm to 20-30 degrees in scapular plane, externally rotated, elbow flexed to 90 degrees		**Support the arm to 20-30 degrees in scapular plane, externally rotated, elbow flexed to 90 degrees
	**Positive test is pain or difficulty in keeping the arm from internally rotating when clinician lets go		**Positive test is pain or difficulty in keeping the arm from internally rotating when clinician lets go
	*Subscapularis		*Subscapularis (+ LR 1.9)
	**Place hand behind lower back		**Place hand behind lower back
	**Test for pain/weakness as patient attempts to push examiner's hand away by moving dorsum of hand away from back		**Test for pain/weakness as patient attempts to push examiner's hand away by moving dorsum of hand away from back

2018-10-07T20:15:27Z

Rotator Cuff Tests

← Older revision		Revision as of 20:15, 7 October 2018
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	*External rotation lag sign - more specific to teres minor, given overlap between infraspinatus and teres minor<ref>Collin P et al. What is the Best Clinical Test for Assessment of the Teres Minor in Massive Rotator Cuff Tears? Clin Orthop Relat Res. 2015 Sep;473(9):2959-66.</ref>		*External rotation lag sign - more specific to teres minor, given overlap between infraspinatus and teres minor<ref>Collin P et al. What is the Best Clinical Test for Assessment of the Teres Minor in Massive Rotator Cuff Tears? Clin Orthop Relat Res. 2015 Sep;473(9):2959-66.</ref>
	**Support the arm to 20-30 degrees in scapular plane, externally rotated, elbow flexed to 90 degrees		**Support the arm to 20-30 degrees in scapular plane, externally rotated, elbow flexed to 90 degrees
	**Positive test is pain or difficulty in keeping the arm from internally rotating		**Positive test is pain or difficulty in keeping the arm from internally rotating when clinician lets go
	*Subscapularis		*Subscapularis
	**Place hand behind lower back		**Place hand behind lower back

2018-10-07T20:14:54Z

Rotator Cuff Tests

← Older revision		Revision as of 20:14, 7 October 2018
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	**Stabilize the elbow against the patient's waist and bend the elbow to 90'		**Stabilize the elbow against the patient's waist and bend the elbow to 90'
	**Test for pain/weakness against resistance to external rotation		**Test for pain/weakness against resistance to external rotation
	*Teres ~~minor~~ (~~Hornblower's sign~~)		*External rotation lag sign - more specific to teres minor, given overlap between infraspinatus and teres minor<ref>Collin P et al. What is the Best Clinical Test for Assessment of the Teres Minor in Massive Rotator Cuff Tears? Clin Orthop Relat Res. 2015 Sep;473(9):2959-66.</ref>
	**~~Arm~~ to 90 degrees in scapular plane, elbow flexed to 90 degrees		**Support the arm to 20-30 degrees in scapular plane, externally rotated, elbow flexed to 90 degrees
	**Positive test is pain or difficulty ~~when patient externally rotates against resistance~~		**Positive test is pain or difficulty in keeping the arm from internally rotating
	*Subscapularis ~~Test~~		*Subscapularis
	**Place hand behind lower back		**Place hand behind lower back
	**Test for pain/weakness as patient attempts to push examiner's hand away by moving dorsum of hand away from back		**Test for pain/weakness as patient attempts to push examiner's hand away by moving dorsum of hand away from back

← Older revision		Revision as of 21:53, 14 February 2024
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	==See Also==		==See Also==
	*[[Diagnoses by Body Part (Main)]]		*[[Diagnoses by Body Part (Main)]]
	*[[Shoulder X-ray]]		*[[Shoulder x-ray interpretation]]

	==References==		==References==