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Department of Traumatology and Hand Surgery

Przemysław Lubiatowski MD, PhD. Department of Traumatology and Hand Surgery. University of Medical Sciences in Poznan. Head of Department: Prof. Władysław Manikowski. Upper Extremity Examination. EXAMINATION. Taking history Physical examination. EXAMINATION. Taking history.

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Department of Traumatology and Hand Surgery

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  1. Przemysław Lubiatowski MD, PhD Department of Traumatology and Hand Surgery University of Medical Sciences in Poznan Head of Department: Prof. Władysław Manikowski

  2. Upper Extremity Examination

  3. EXAMINATION Taking history Physical examination

  4. EXAMINATION Taking history Knowledge of the disease process Main complaints (pain) Onset, Duration Dominant hand Prior therapy

  5. EXAMINATION Physical examination Look Feel Move X-ray

  6. HISTORY Main complaint • pain • instability • stiffness, limitation of ROM, snapping, crepitation Age > 70 y.o. < 30 y.o. Onset of symptoms Treatment Rotator cuff tear instability

  7. HISTORY Main complaint • pain • instability • stiffness, limitation of ROM, snapping, crepitation Age > 70 y.o. < 30 y.o. Onset of symptoms Treatment Rotator cuff tear instability

  8. HISTORY Main complaint • pain • instability • stiffness, limitation of ROM, snapping, crepitation Age > 70 y.o. < 30 y.o. Onset of symptoms Treatment Rotator cuff tear instability

  9. HISTORY Evaluation systems specific • Simple Shoulder Test • UCLA • ASES general health • SF-36

  10. HISTORY Pain ac. to ASES 0 10

  11. HISTORY Instability ac. to ASES 0 10

  12. PHYSICAL EXAMINATION Look Palpation

  13. PHYSICAL EXAMINATION Range of motion

  14. PHYSICAL EXAMINATION Range of motion

  15. PHYSICAL EXAMINATION Range of motion

  16. PHYSICAL EXAMINATION Instability drawer test • anterior • sitting, laying 0 0 –1 cm 1 - 2 cm > 2 cm

  17. PHYSICAL EXAMINATION Instability sulcus sign • sitting, laying

  18. PHYSICAL EXAMINATION Instability Evaluation under anesthesia

  19. PHYSICAL EXAMINATION Instability (apprehension test) • sitting, laying

  20. PHYSICAL EXAMINATION Instability (relocation test) • sitting, laying

  21. PHYSICAL EXAMINATION Impingement syndrome Neer’s Test

  22. PHYSICAL EXAMINATION Impingement syndrome Hawkins’ Test

  23. PHYSICAL EXAMINATION Impingement syndrome Painful arch test lidocaine Test with lidocaine

  24. PHYSICAL EXAMINATION Impingement syndrome (biceps brachii) Yergason’s Test Speed Test

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