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Musculoskeletal Exam. The basic screening musculoskeletal examination involves inspection, palpation, and range of motion. Muscular strength is covered under the motor exam in the neurological exam.

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musculoskeletal exam
Musculoskeletal Exam

The basic screening musculoskeletal examination involves inspection, palpation, and range of motion. Muscular strength is covered under the motor exam in the neurological exam.

The musculoskeltal examination may be divided into spine, upper extremities, and lower extremities.

Besides the basic screening exam there are many special maneuvers when examining a patient with musculoskeletal complaints.

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198. Cervical spine: flexion and extension (be sure full extension is done)

may be done from front or back, +/- palpate

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200.Cervical spine

Rotary movement, left and right, palpate

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202. Lumbar spine: lateral movement, left and right,

OK from front or back, +/- palpate

203. Lumbar spine: rotary movement, left and right,

OK from front or back, +/- palpate

the shoulder
The Shoulder

Areas to palpate in a more thorough exam of the shoulder.

 Sternoclavicular joint  Acromioclavicular joint  Clavicle

 Scapulae  Coracoid process  Greater trochanter of the humerus

 Bicepts groove The area muscles

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204. Shoulders: arms over head207. Note: Shoulders: palpation during maneuvers (not over gown)

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208. Elbows: flexion and extension

(be sure full extension is done)

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212. Wrists--Palpations of Wrist

Palpate -

•Distal radius and ulna

• Groove of joint

• Anatomic snuff box

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214: Hands: palpation of metacarpalphalangeal joints215: Hands: palpation of IPJs (PIP and DIP joints)

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Note draping of sheet

216. Hips: flexion (be sure full flexion is done and bilaterally)

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217. Hips: internal and external rotation

(hip at 900 and knee at 900 rotate on axis of femur)

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220. Palpation of Knees

Palpate

•Patella

• Patellar tendon

• Tibial tuburosisty

• Medial and lateral joint lines

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221. Ankles:

Dorsi and plantar flexion

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222. Ankles:

Inversion, eversion of foot (stabilize at ankle and invert and evert by heel)

subtalar joint

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223. Ankles

inversion eversion of foot (stabilize at heel and invert and evert by forefoot)

transverse tarsal joint

ankles palpation of ankle
Palpate:

Anterior aspect of joint

Achilles tendon

Medial and lateral malleoli

Ankles: palpation of ankle
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225. Feet

Palpation of metatarsophalangeal joints

(may put pressure across foot from the

1st to the 5th metatarsals)