Checklist
Wash hands, introduce yourself, consent patient.
- LOOK
- Scars, swellings, deformities
- Muscle wasting
- Scapular winging at rest
- FEEL
- Temperature
- Bony prominences and joint: clavicle, GHJ line, scapular spine, AC joint
- MOVE
- Active, then passive movement and monitor for pain of:
- Abduction (0-180)
- Extension/Flexion (-30/180)
- ER (flexed elbow adjacent to body) (0-90)
- IR (reach hand behind back to contralateral scapula) (buttocks/lower back/scapula)
- Power in all of the above
- Active, then passive movement and monitor for pain of:
- SPECIAL
- Nerves:
- In addition to median, ulnar and radial
- Musculocutaenous
- Sensory – lateral forearm
- Motor – elbow flexion
- Axillary
- Sensory – lateral deltoid
- Motor – abduction
- Painful arc – rotator cuff
- Empty beer can – rotator cuff
- Speed’s test – biceps tendonitis
- Yergason’s – biceps tendonitis
- Apprehension – dislocation
- Sulcus – dislocation
- Nerves:
Omissions/Notes