Practical Approach for the Examination of Recurrent Shoulder Dislocation

Look - from front side and back

            Alignment of Upper Extremity - Normal

            No fixed attitude

            Fullness anterior shoulder

           skin normal

           muscule wasting around shoudler - anteriorly , deltoid contour and supraspinatus and

            infraspinartus fossae

Feeling


          Temperature normal

          tenderness on anterior shoulder

           palpate axilla -axillary artry , lymph node palpable or not


Movement

          Abduction

          Adduction

         Felxion

         Extension

         ER

          IR

Special Tests

          Sitting position

                                Apprehension ,
                         
                                anterior drawer test

                                Sulcus test
          Lying  Position

                                 Jobe's relocation test

                                 Laxity test - Load and shift - anterior and posterior direction

                                         (supine , arm flexion and adduction )


                               Jerk Test

                                Circumduction test





Laixty test

Distal Neurovascular test




In summary - in sitting and lying positions



 tests for anterior instability

          Apprehension test and relocation test

          Load and Shift test

        anterior drawer test

  tests for posterior instabilty

       Posterior drawer test

       Load and shift

       Jerk test

      Circumduction test



In multidirectional instability , sulcus sign and laxity tests are positive.














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