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Description of areas to be examined on an injured or arthritic shoulder
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Shoulder R L Injury__________________________________ Trauma? ________________ Sports injury_______________ Overhead injury (Date)________ Noninjury_____ How long has the problem been active _________ Popping_____ Clicking ________ Catching______ Night pain________________ Weakness in arm Sharp (when) _______________ Dull/Ache (when) ______________ Constant (at rest) __________ Pain Level (non-active) ____/10 (activity)____/ Maximum point of pain_____ What makes it worse: ______________________ Better: _____________________ Been seen for this in the past: ______________________ What tests or treatment_____________________ EXAM Inspection: Ecchymosis __Erythema or warmth____ Edema/Swelling____ Deformities______ Atrophy_____ Muscle asymmetry____ Scapular Winging_____ Palpation: Tenderness _____________ AC joint _____ Bicipital groove tenderness_____ Range of Motion: Extension_______ Passive: Extension _______ Internal Rotation______ External (80-80) _______ Strength: Adduction _____ Deltoid _____ RCT supraspinatus 3-4/ Rotator Cuff: AROM significantly less than PROM + Hawkin’s older=gradual onset youth=trauma Abduction: _____ External Rotation (elbow bent) _____ Gerber’s Lift off test _______ Empty Can _____ Joint Stability_____ Bicep/Labral: Speed’s _____ Yergason’s ______ O’Brien’s_______ Crank _______ Impingement: AC joint tenderness ______ Hawkins _______ NEER: _______ Neg: speed, yergson’s, Obrien's. AC Joint disease: Localized pain ______ Night Pain______ Step off pain______ Scarf (pressed crossbody) ______ Crepitus ____ Painful Arc @ 150-180 degrees. Chronic Shoulder Instability: Sulcus _____ Apprehension test with relief on pressure to joint _____ Neurovascularly Intact: __________ OA: Generalized Joint tenderness, AC tenderness with limited AROM