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Przemysław Lubiatowski MD, PhD. Department of Traumatology and Hand Surgery. University of Medical Sciences in Poznan. Head of Department: Prof. Władysław Manikowski. Upper Extremity Examination. EXAMINATION. Taking history Physical examination. EXAMINATION. Taking history.
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Przemysław Lubiatowski MD, PhD Department of Traumatology and Hand Surgery University of Medical Sciences in Poznan Head of Department: Prof. Władysław Manikowski
EXAMINATION Taking history Physical examination
EXAMINATION Taking history Knowledge of the disease process Main complaints (pain) Onset, Duration Dominant hand Prior therapy
EXAMINATION Physical examination Look Feel Move X-ray
HISTORY Main complaint • pain • instability • stiffness, limitation of ROM, snapping, crepitation Age > 70 y.o. < 30 y.o. Onset of symptoms Treatment Rotator cuff tear instability
HISTORY Main complaint • pain • instability • stiffness, limitation of ROM, snapping, crepitation Age > 70 y.o. < 30 y.o. Onset of symptoms Treatment Rotator cuff tear instability
HISTORY Main complaint • pain • instability • stiffness, limitation of ROM, snapping, crepitation Age > 70 y.o. < 30 y.o. Onset of symptoms Treatment Rotator cuff tear instability
HISTORY Evaluation systems specific • Simple Shoulder Test • UCLA • ASES general health • SF-36
HISTORY Pain ac. to ASES 0 10
HISTORY Instability ac. to ASES 0 10
PHYSICAL EXAMINATION Look Palpation
PHYSICAL EXAMINATION Range of motion
PHYSICAL EXAMINATION Range of motion
PHYSICAL EXAMINATION Range of motion
PHYSICAL EXAMINATION Instability drawer test • anterior • sitting, laying 0 0 –1 cm 1 - 2 cm > 2 cm
PHYSICAL EXAMINATION Instability sulcus sign • sitting, laying
PHYSICAL EXAMINATION Instability Evaluation under anesthesia
PHYSICAL EXAMINATION Instability (apprehension test) • sitting, laying
PHYSICAL EXAMINATION Instability (relocation test) • sitting, laying
PHYSICAL EXAMINATION Impingement syndrome Neer’s Test
PHYSICAL EXAMINATION Impingement syndrome Hawkins’ Test
PHYSICAL EXAMINATION Impingement syndrome Painful arch test lidocaine Test with lidocaine
PHYSICAL EXAMINATION Impingement syndrome (biceps brachii) Yergason’s Test Speed Test