Clinical Examination Of Shoulder & Rotator Cuff - Everything You Need To Know - Dr. Nabil Ebraheim
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- เผยแพร่เมื่อ 25 ก.ค. 2024
- Dr. Ebraheim’s educational animated video describes clinical evaluation tests for rotator cuff tears and subacromial impingement.
Clinical Examination of Shoulder & Rotator Cuff
There are multiple tests that are used for clinical evaluation of the subacromial impingement and cuff pathology. In the Neer’s Test, the patient should be standing or sitting upright. The examiner will passively elevate the pronated arm of the patient above the level of the shoulder. Pain at the anterolateral aspect of the shoulder indicates subacromial impingement. In the Hawkin’s test, the patient should be standing or sitting upright with the arm fully adducted and forwardly flexed. The elbow is also flexed. The examiner will place one hand on the patient’s shoulder and apply internal rotation to the effected arm with the other hand. Pain at the shoulder indicates subacromial impingement. In the Drop Arm test, the patient should be standing or sitting upright. The patient is asked to hold the affected arm in abduction at the level of the shoulder then smoothly adduct the arm. A patient who is not suffering from a rotator cuff tear can lower the arm smoothly to the side. A patient suffering from a rotator cuff tear will not be able to hold the arm in abduction and the arm will drop rapidly. In the Belly-Press test, the patient should be standing with the hand of the affected arm at rest against the stomach with the elbow anterior to the midaxillary line. The patient is then asked to press the belling using the affected arm without moving the elbow. Failure to maintain the elbow anterior to the midaxillary line while pressing against the belly indicates subscapularis tear. In the Lift Off test, the patient should be standing with the affected arm internally rotated behind the back so that the dorsum of the hand will be resting on the lumbar area from the back. The examiner will passively lift the arm away from the patient’s back. Once the examiner releases the arm, failure to maintain the position of the arm away from the back indicates a subscapularis tendon tear. In the Adduction/External Rotation test, the patient should be standing with the affected arm abducted and the elbow flexed. The examiner will fully externally rotate the arm. With the release of the arm, failure to maintain active full external rotation indicates an infraspinatus tendon tear. Also, weakness of external rotation with the arm to the side could indicate an infraspinatus tendon tear. In the Jobe test, the patient should be standing or sitting upright. The arm should be anteriorly flexed at the level of the shoulder. The arm should be fully pronated into the “empty can position”. The patient should resist the downward force applied on the forearm by the examiner. Pain or weakness indicates a supraspinatus tendon lesion or tear.
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I love how short and clear these videos are
Perfect timing, we just did shoulder examination today
Like your videos, they help me to grasp concepts really fast
Concise and straightforward, thank you!
Doc, great video. Thanks!
You make a very good job of a cofusing array of tests ans its interpretation. Very user friendly demonstration...than you Dr
Thank you. Very good!
Great work sir
Thanks Doc very informative
thank you.nice clinical video
Excellently explained and presentation skills are superb
Great video! Thanks!
Thank you very much Pro.
Good info.... Sir any video on surgical explaination
Beautiful video i have learnt a lot from it but what to do for rotator cuff injury I have a lot of pain in it from 3or4 week
perfect....
Thank you. Supraspinatus pathology and subacromial impingement... :/
Extremamente útil!
Best ever
حضرتك موجود باقاهرة ؟
I need to come back 😔
Molto bene
I passed all these tests but still feel pain in my shoulder , I don’t understand
but still i can't find why my shoulder pain
Which test was positive for your shoulder pain?
Go for the urine test
which shoulder?
This was very helpful. I failed all the test. I told my dr almost a year ago about this pain, he took a exray and said my bra was giving me pain??? I cant even pick up a remote control now, brush my hair not put on my seat belt without leaning over to the passenger seat and using the right arm to reach over left shoulder. I guess its time for a second opinion. JazakAllahkheir
Are you using the nhs by any chance?
When I got a second opinion from an orthopedic I had a complete tare of my labrum, rotator cuff, and bicep, multiple bone spurs had broken off and a large cyst had developed which was about to rupture! I had the surgery to repair everything two months ago, and it looks like because there was so much damage, I will need a complete shoulder replacement!
@@SpokeNipples no, I dont even know what that is?
@@EllenCPickle I hope you get there in the end it’s so stressful to just get to the points and get it fixed. The nhs is the British healthcare system is absolutely awful and your condition ends up getting worse from there neglect, I’ve gone private now so hopefully I can get a true diagnosis soon. Goodluck!
@@EllenCPickle have you recovered well from all that damage? I had shoulder separations at ages 13 and 14 with possible rotator cuff and labrum tears. 11 years later my shoulder feels destroyed. I am trying to get an MRI because something gave way and now my shoulder is pretty much amputated.
That last one man i had to assist my arm up there n wen i let go half way thru the turn holy shit it hurt
But behind my back side to side at the elbow is fine but at rest and lifting arm arm ,.... jesus smh
Failed belly press and lift off test still cant get correct imaging feel like I'm about to loose function of my arm permanently. God bless insurance companies 🖕
Hawkins at 90 abduction and flexion not end range..
I think I have all those wtf
لو أري أخي بيد 😢