Introduction + Vitals + General inspection.

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1) Shoulder Inspection:

• Back, side and front: Symmetry + SEADS

• Standing: place hands behind head and back for deformity

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2) Palpation:

• Joint temperature

• Sternal notch/sterno-clavicular joint / clavicle / acromioclavicular joint / deltoid / long head of the biceps / insertion of the rotator cuff muscles / spine of the scapula / medial border of scapula / spinal processes of the cervical spine for tenderness & crepitus

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3) ROM: Active, Passive & Power

• Flexion, extension, Abduction & adduction, Internal & external rotation

• Hands behind neck (abduction & ext rot)

• Hands behind back touch blades tip ( adduction & int rot)

4) Special tests:

For rotator cuff injury:

• Empty Can test

• External rotation lag sign

• Gerber lift-off test

For Subacromial impingement:

• Neer impingement sign

• Hawkins Impingement sign

To test the long head of the biceps:

• Speed's maneuver

• Yergason Test

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5) Thank the patient!

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6) Say: To complete my exam, I would like to do:

• Check the pulses of the upper limb (radial / ulnar / brachial)

• UL brief neurological exam

• Examine One joint above and one joint below examination (cervical spine / elbow)

• Examine the other shoulder examination