Recurrent Shoulder Dislocation
Look
Alignment of UE - Normal
Fullness of Anterior Shoulder
Skin - Normal
Muscles wasting
Always look from front , side and then back. If there is a mirror in front you can inspect shoulder movements from back also .
Feel
Temperature - Generally normal
Any tenderness ?
Lymph nodes on Axilla
Palpation starts from medial border of clavicle , along clavicle , shoulder joint, proximal humerus and then again back to joint, along spine of scapula and all 3 borders of scapula
Movement
Abduction
Adduction
Flexion
Extension
ER
Special Tests
Apprehension Test
Anterior Drawer Test
Jobe's Relocation Test
Sulcus Test
Pulsation of Brachial arteries
Sensation - Axillary N.
Radial N.
Ulnar N.
Median N.
Power of Muscles
Might not be accurate when shoulder not stable
Reflexes - Brachial and Triceps Reflex.
Recurrent Dislocation might be habitual or AMBRI or TUBS and treated accordingly.
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