Αποτελέσματα Αναζήτησης
1. Ask patient to abduct the shoulder as much as they are able to with the elbow extended. If patient able to abduct greater than 90 degrees, ask the patient to position the shoulder to 90° with the elbow flexed and the forearm pronated. 2. Provide stabilization proximal to the shoulder or on the opposite shoulder to prevent
• Quick screening test: "Arms above the head and behind the back " • Flexion : 0-180° • Abduction : 0-180° check for painful arc and watch the scapulohumeral rhythm
4 Αυγ 2023 · Speed’s test: A positive test consists of pain elicited in the bicipital groove when the patient attempts to forward elevate the shoulder against examiner resistance; the elbow is slightly flexed, and the forearm is supinated.
protraction. Test: passive forward elevation of the arm (fi gure 1). Pay attention to: pain in the shoulder. The pain is relieved by injecting 10 ml of lido-caine beneath the anterior acromion. Background: the tuberculum majus impinges the degenerated supraspina-tus and subacromial bursa against the acromion. Hawkins–Kennedy test 12
Kim test—The examiner should place the arm with the shoulder abducted to 90 degrees and forward flexed to 45 degrees. A posteriorly and inferiorly directed force is then applied to the humerus. The test is positive if the patient experiences pain and is highly indicative of a posteroinferior labral tear. Rotator cuff tear tests
Passively move the shoulder through forward flexion. Positive Test: Shoulder pain and a look of apprehension on the patient’s face indicate a positive sign. This suggests overuse injury of the supraspinatous muscle or biceps tendon.
Purpose: Review the exam skills and concepts needed in the typical internal medicine patient population. Review shoulder anatomy, landmarks and main diagnostic considerations. Provide an approach to the shoulder exam with an emphasis on evaluation of: Rotator cuff tear vs. mechanical impingement.
