Shoulder Evaluation

What is the first step in the clinical examination of a patient with shoulder pain according to Dr. Brenda Christopher?

• General inspection of the shoulder

• Assessment of the cervical spine

• Patient takes their shirt off

• Testing for rotator cuff tendons

Why is it important to examine the cervical spine before conducting a shoulder examination?

• To ensure no pathology is originating from there

• To check for spinal alignment

• To assess the patient's posture

• To prepare the patient for shoulder examination

Which tendon is tested by getting the patient in ninety degrees of abduction and thirty degrees of forward flexion?

• Supraspinatus

• Teres minor

• Subscapularis

• Infraspinatus

What does an abnormality or asymmetry in scapular rhythm often indicate?

• Cervical spine pathology

• Rotator cuff strength

• Pathology in the front of the shoulder

• A healthy shoulder condition

Which test is used to assess the integrity of infraspinatus and teres minor?

• Empty can test

• Internal rotation lag sign

• Resisting external rotation

• Gerber's liftoff

What is a common presentation in younger patients with rotator cuff pathologies?

• Complaint of an associated trauma

• Gradual onset of shoulder pain

• No associated trauma

• Immediate loss of shoulder function

Which test is specifically designed to diagnose impingement by decreasing the space and impinging on the supraspinatus?

• Hawkins-Kennedy test

• Nares test

• Empty can test

• Speed's test

What does a positive O'Brien's test indicate?

• Rotator cuff pathology

• Labral tear or SLAP lesion

• Adhesive capsulitis

• Acromioclavicular pathology

What is usually the first range of movement to be affected in adhesive capsulitis?

• Forward flexion

• Abduction

• Internal rotation

• External rotation

Which test compresses the acromioclavicular joint space and is used to diagnose acromioclavicular pathology?

• Crank's test

• Scarf test

• Sulcus sign

• Apprehension and relocation test