Examine the shoulder from the front, the side and behind. Looking each time for:
- Obvious lack of symmetry
- Muscle wasting
- or Scars.
Temperature over the joint line should be assessed, by comparing it to other areas. Then the following areas should be palpated for tenderness.
- Bony landmarks
- The joint line
- and Surrounding muscles
Hands behind head, then down by side
- Tests shoulder function.
Hands behind back, lifting up as high as possible
- Tests internal rotation
Full extension, abduction and flexion should be assessed, both active and passive.
- Feel for crepitus.
- When passive a hand should be on top to isolate the gilina-humeral movement.
With the elbow flexed to 90 degress and held to the side, test external rotation.
- Tests for frozen shoulder.
Passive movement will be particularly helpful in assessing a painful arc in abduction.
- Pain may be felt between 10 and 120 degrees.
- Abduct the arm fully, whilst feeling and observing the scapula from behind the patient.