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Virtual Shoulder Examination

Mar 19, 2024
That's why today we're going to do a

virtual

shoulder

exam. Let's start with the classification of patients. I can see everything and we're going to go ahead and have you do most of the things on the bad side. This person arrived with pain in his right

shoulder

. Let's start with the cervical exam. So I'm going to have you go ahead and look down, lower your head and that's neck flexion. And now go ahead and look up. Let me know if anything hurts. Very good. And come back. And now I'm going to do it. Have you been on your side, from ear to shoulder?
virtual shoulder examination
Good. And the other side. There you go. Good. And now I'm going to make you turn and look to the side. Look over your shoulder. There you go. And do the same on the other side. Yes. And now to the affected side. I'm going to have you look up at the ceiling and then to the right over your shoulder. It's Spurling we're looking for. Reproduction of pain through the arm. Very good. Alright. And now I'm just going to look at his shoulder. So I look for scars, atrophy, symmetry, alignment. Go ahead and turn to the side.
virtual shoulder examination

More Interesting Facts About,

virtual shoulder examination...

And I'm just looking at his posture again. Then his shoulder posture, his shoulders rounded as his head moves forward. Now I'll have you go ahead, turn around and face the wall for me. And now I'm looking at his scapula and his shoulders again, looking for symmetry, winged scapula, any atrophy. And then we'll do some shoulder abduction. So I'm going to have you raise your arms above your head. And I'm just looking again at the movement of the shoulders, how they move, how our scapula moves. Perfect. Now go ahead and turn around and face me. And while we're doing this, if there's anything that's uncomfortable for you, let me know.
virtual shoulder examination
So you would start by pointing out what is painful. And then we're just going to feel out some landmarks. So go ahead and feel your collarbones. Find your collarbones for me. Yes. And then I want you to walk along the collarbone to the top. It's kind of bumpy there. That's the air conditioning gasket. Now, go down your arm. Down the front of your arm. Yes. And go down a little. You can now move your arm, bend your elbow, and rotate your arm in and out. You will feel the tendons slip. That's the biceps tendon. And then you can go ahead and feel the side of your shoulder and let me know if it's uncomfortable to feel.
virtual shoulder examination
And if that's not uncomfortable, we'll go ahead and get into range of motion. I'm actually going to have you move a little bit to the left, just in terms of where the camera is, so that you're right in the middle of the frame. Good. Now I'm going to have you raise your arms above your head. Thumbs up. And now back off. And now flip your thumbs. And then I'll have you extend your left arm and push that right arm and resist. Let me know if that reproduces your pain. Now I will have you bring your elbows to your sides, your hands up as if you were riding a horse, and then your arms and hands extended.
Tuck your elbows in. Put your hands out for me. There you go. Good. And now turn inward. Now you are going to stretch your left arm again, grab your right wrist and push your hand out. Resist yourself. There you go. Good. That's the infraspinatus motor test. Now, man, turn around and I'll have you raise your thumb as far up your back as you can. And let's see how far his shirt goes. Good. Now let's compare it with the other side, raise the other thumb. There you go. And you can see that it's pretty much the same.
Now we're going to have you place your bad arm, put your hand on the small of your back, palm facing me. And now you're going to try to push your hand towards the camera, as if you were lifting it up. Let me know if that makes you uncomfortable. Now you're going to turn to the side, the bad side towards me, please. There you go. A little bit she's a little bit of an angle so you can see everything very well. And I'm going to go ahead and ask you to raise your arm parallel to the ground and then move your thumb back like you're hitchhiking.
And now you're going to go ahead and reach out with your left arm, grab your right wrist and resist. So push back with your right arm and forward with your left. Now, I'm going to ask you to lower your hand, relax your arm, reach out with your left hand, and grab your right wrist. There you go. Perfect. Grip it a little tighter and push and tell me if that reproduces your pain. Now drop your arm to your side. Move your thumb inward, rotate it toward your hip. Good. Grab your wrist and then you will lift everything over your head.
There you go. Good. Alright. Very good. Now I'm going to have you extend that arm as if you were carrying a tray. And I want you to reach with your left hand, push down and keep pushing up with your right hand and let me know if that bothers your shoulder. Good. And now, the last thing, you are going to cross. Give yourself a pat on the back. Very good. And again tell me if it hurts and that's it. Thank you.

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