Shoulder Exam Explained - Master Your OSCE! - Clinical Skills Revision - Dr Gill
The most complicated orthopaedic clinical examination is the shoulder assessment. We know this for a fact, as there are over 70 special tests for the shoulder exam - with most of them only having weak clinic significance - ie this is a tough examination and everyone is trying to develop a way to do it effectively
With that said, your orthopaedic shoulder OSCE will have a protocol your institution is expecting your to follow - THIS VIDEO IS AIMED TO ASSIST PEOPLE LEARNING ABOUT THE SHOULDER EXAMINATION PLEASE ENSURE THAT YOU FOLLOW YOUR INSTITUTIONS PROTOCOLS
In this video, we will go through the orthopaedic approach of LOOK, FEEL, MOVE, before demonstrating each section
We will also look at a selection of special tests, including:
- Hawkins-Kenndy
- Neer's Test
- Speed's Test
- Yergason's
There is an associated video to go along with this shoulder exam deep dive
shoulder examination demonstration - [ Ссылка ]
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Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.
However during OSCE assessments. Different medical schools, nursing colleges, and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments.
The examination demonstrated here is derived from Macleods Clinical Examination - a recognized standard textbook for clinical skills.
Some people watching this video may experience an ASMR effect
#ShoulderExamination #ClinicalSkills #DrGill
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - [ Ссылка ]
00:00 - Overview of Shoulder Examination
00:22 - Look, Feel, Move Approach
00:35 - Understanding Anatomical Movements of the Shoulder
01:15 - Identifying Abnormal Range of Movements
02:40 - Consent and Preliminary Checks
03:15 - Checking Muscle Bulk
04:03 - Assessing the Posterior of the Shoulder
04:35 - Checking for Scapula Issues
04:56 - Palpating Around the Shoulder
08:23 - Assessing Range of Motion
10:00 - Assessing Subscapular Movement
10:39 - Gerber's Test for Subscapular Dysfunction
11:05 - Muscles of Shoulder Abduction
12:22 - Checking for Smooth Range of Movement
13:03 - Special Tests
13:48 - Hawkins-Kennedy Impingement Test
14:12 - Neer's Impingement Test
14:39 - Empty Can (Jobe's) Test
15:18 - Resisted External Rotation
15:57 - Painful Arch / Drop Arm Test
19:05 - Scarf Test - Acromioclavicular Disease
19:34 - Speed's Test - Labral Tears & Bicep Tendonitis
20:40 - Yergason's Test - Bicep Tendon Pathology, Unstable SLAP Lesions
21:38 - Conclusion
