Recommended
More Related Content
Similar to Shoulder joint examination.pptx by ortho
Similar to Shoulder joint examination.pptx by ortho (20)
Recently uploaded
Recently uploaded (20)
Shoulder joint examination.pptx by ortho
- 1. Shoulder joint examination By Dr. Muhammad khan PGR Orthopedics Unit II
- 2. Table of contents • Anatomy of shoulder joint • Physiology of shoulder joint • Examination of shoulder joint
- 3. Introduction • The shoulder joint is the synovial joint formed between humeral head and glenoid cavity of scapula • The other part of shoulder joint is the joint between the clavicle and acromion
- 4. Anatomy • Humerus • Head • Greater tubercle • Lesser tubercle • Bicipital groove • Deltoid tuberosity • Scapula • Angles • Superior • Inferior • Lateral (Head)
- 5. Muscles
- 7. Static stablizers of GH joint • Joint conformity • Glenoid labrum (50%) • Joint capsule • Ligaments • Bony restraints
- 8. Dynamic stabilizers of GH joint
- 9. Assessement • Clinical history • Inspection • Palpation • Active & passive motion • Strenght testing • Special test
- 10. Clinical history • Character of pain • Location of pain • Weakness • Deformity &Instability • Locking / Clicking / Clunking • Sport / Occupation • Previous treatments • Alleviating / Exacerbating • Acute vs. Chronic • Traumatic vs. Overuse • History of prior injury
- 11. Inspection • Front • Side • Behind • Above
- 12. Palpation • At rest & with movement • Bony structures • Joints • Soft tissues
- 13. Palpation • Surface Anatomy (Anterior) • Clavicle • SC Joint • Acromion process • AC Joint • Deltoid • Coracoid process • Pectoralis major • Trapezius • Biceps (long head)
- 14. Palpation • Surface anatomy (posterior) • Scapular spine • Acromion process • Supraspinatus • Infraspinatus • Deltoid • Trapezius • Latissumus dorsi • Scapula • Inferior angle • Medial border
- 15. Movements • Abduction • Adduction • Forward flexion • Backwards extension • Internal rotation • External rotation
- 16. Range of motion • Forward flexion: • 160 – 180° • Extension: • 40 - 60° • Abduction: • 180◦ • Adduction: • 45 ° • Internal rotation: • 60 - 90 ° • External rotation: • 80 - 90 °
- 17. Special Provocative Tests • Impingement Signs • Drop-Arm Test • Speed’s Test • Yergason Test • Cross-Arm Adduction • Sulcus Sign • Apprehension test • Relocation test • O’Brien’s Test • Crank test
- 18. Rotator cuff examination • Neer impingement sign • The Hawkins kennedy impingement sign • Cross body test
- 19. • Rotator cuff; • Supraspinatus…drop arm test • Instablity: • Apprehension test • Load and shift test • Sulucs tese • Release test • Yergasons test • Apley scratch test • Anterior drawer • Posterior drawer • O brien test • Speeds test • Jobs test
- 20. • Impigement • Neeers test • Cross arm test • Hawkins kennedy test • Full can test • Lateral rotational lag sign
Editor's Notes
- Character of pain Location of pain Weakness Deformity &Instability Locking / Clicking / Clunking Sport / Occupation Previous treatments Alleviating / Exacerbating Acute vs. Chronic Traumatic vs. Overuse History of prior injury