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Shoulder exam example, Translations of Physical Medicine and Rehabilitation (PM&R)

Description of areas to be examined on an injured or arthritic shoulder

Typology: Translations

2024/2025

Uploaded on 04/10/2025

melissa-ashley
melissa-ashley 🇺🇸

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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)____/10
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 3-4/5
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

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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