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- The thumb test attempts to replicate a posterior bone block procedure, helping to re-establish stability and relieve pain. The examiner places his or her thumb over the posterior glenohumeral joint line while the patient actively forward elevates the affected arm overhead.
www.arthroscopytechniques.org/article/S2212-6287(22)00139-6/fulltextThe Thumb Test: A Simple Physical Examination Maneuver for ...
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- Introduction
- Look
- Feel
- Move
- Special Tests
- To Complete The Examination…
- References
Wash your hands and don PPEif appropriate. Introduce yourself to the patient including your name and role. Confirm the patient’s name and date of birth. Briefly explain what the examination will involve using patient-friendly language. Gain consentto proceed with the examination. Adequately expose the patient’s upper bodyand provide a blanket to co...
Closer inspection of the shoulder
Ask the patient to stand andturn in 90° incrementsas you inspect the upper limbs from each angle for evidence of pathology.
Temperature
Assess and compare shoulder joint temperatureusing the back of your hands. Increased temperature of a joint, particularly if also associated with swelling and tenderness may indicate septic arthritis or inflammatory arthritis.
Shoulder joint palpation
Palpatethe various components of the shoulder girdle, noting any swelling, bony irregularities and tenderness: 1. Sternoclavicular joint:the joint between the sternum and the clavicle. 2. Clavicle:extends between the sternum and the acromion of the scapula. 3. Acromioclavicular joint:the joint between the acromion and the clavicle. 4. Acromion:a continuation of the scapular spine and the most superolateral bony prominence of the shoulder. 5. Coracoid process of the scapula:a small hook-like b...
The shoulder joint of each arm should be assessed and compared. If the patient is known to have an issue with a particular shoulder, you should assess the ‘normal’ shoulder firstfor comparison.
There are a wide range of special tests that can be performed in a shoulder examination and the choice of which to include in an assessment will depend on what the examiner has asked you to do, the patient’s background and your clinical findings so far.
Explain to the patient that the examination is now finished. Thank the patientfor their time. Dispose of PPE appropriately and wash your hands. Summariseyour findings.
Dwaipayanc. Adapted by Geeky Medics. Winged scapula. Licence: CC BY-SA.Dana, Charles Loomis. Adapted by Geeky Medics. Trapezius and deltoid muscle wasting.Siegertmarc. Adapted by Geeky Medics. Clavicular fracture repair. Licence: CC BY.Inspect the shoulder from the front, side, and behind for muscle wasting, swelling, deformity, or bruising. Palpate the shoulder bones (clavicle, proximal humerus, and scapula) and joints (sternoclavicular, acromioclavicular, glenohumeral), looking for tenderness, warmth, swelling, and crepitus.
The thumb test attempts to replicate a posterior bone block procedure, helping to re-establish stability and relieve pain. The examiner places his or her thumb over the posterior glenohumeral joint line while the patient actively forward elevates the affected arm overhead.
Biceps tendinitis causes pain in the biceps tendon that is aggravated by shoulder flexion or resisted supination of the forearm. Examiners can elicit palpable tenderness proximally over the bicipital groove of the humerus by rolling (flipping) the bicipital tendon under their thumb.
- Alexandra Villa-Forte
- 4399 min
Diagnosis of Shoulder problems in Primary Care: Guidelines on treatment and referral. Red Flags = Urgent Referral. 1. •Ask the patient the neck and then shoulder. • Which reproduces. - ?
Conducting a proper shoulder exam is crucial to treating shoulder pain, a common outpatient complaint. No matter the cause, it is important to be familiar with some basic examination tools that can help us confirm the presence of a shoulder lesion.
