Evaluation and Investigations of Shoulder

Evaluation of the shoulder is divided into three categories :

• History
• Clinical examination with special tests
• Correct Imaging

History : 
General History:
Patient’s age, dominant hand, occupation, sporting activities, and activity level.

Specific History :
History of injury
History of Diabetes
Type, intensity and Location of Pain
Aggravating and Relieving Factors
Ability to do overhead activity History of previous dislocation episodes if any

Clinical Examination : 
Inspection:
From  the front, back and side Wasting of Muscles, Winging
of Scapula, Scars, Sinuses, Swelling.

Paplation:
all bony prominences, Joint Tenderness.

Range of Movement :

Special Test:
Apprehension test: for recurrent shoulder dislocation

Impingement Test:

Rotator Cuff tear Drop Arm test :

Slap Tear : O Briens Test :

Speed Test for Biceps :

XRays :

Shoulder AP

Shoulder Lateral

Scapular Outlet View

MRI of Shoulder :