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Shoulder Clinical Examination - Medical School Clinical Skills - Dr Gill
Personally, I find the shoulder examination the most complex examination possibly as there are so many variations and special tests. Some of which overlap and some will relate specifically to a patients presentation.
Often in a medical school syllabus, only select special tests will be used. In this shoulder exam demonstration, we include the Hawkins-Kennedy Test looking for impingement. This is dovetailed with examination for bicipital tendonitis as this is another possible cause of impingement type symptoms.
This shoulder upper limb exam follows the standard "Look, Feel, Move" orthopaedic exam approach, and overall order as set out in MacLeods Clinical Examination
Watch further orthopaedic examinations for your OSCE revision:
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Hip Joint Clinical Examination
• Hip Joint Clinical Exa...
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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.
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You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...
00:00 - Introduction and Patient Identification
00:21 - Visual Inspection of Shoulders
00:47 - Wall Push Test for Scapular Evaluation
01:01 - Palpation for Pain or Tenderness
01:44 - Range of Motion Assessment: Hands Behind Back and Head
02:00 - Forward and Backward Arm Movement
02:10 - Upward Arm Movement and Assessment from Behind
02:52 - Internal and External Rotation Test
03:04 - Cross-Body Reach and Behind-the-Back Reach
03:22 - Resistance Tests for Shoulder Strength
04:02 - Shoulder Rotation and Thumb Position Test
04:23 - Conclusion