Developing an evidence-based approach to shoulder pain can provide the clinician focused, validated physical exam maneuvers and imaging modalities to promote timely and accurate diagnosis. In this paper, we will attempt to provide an evidence-based approach to three common causes of shoulder pain (...
a thorough history and physical exam should be obtained for proper patient selection. Obtaining the history of present illness should focus on gathering information about the location of the injury and how it occurred. A focused physical exam with special maneuvers should be used to localize the in...
Bexkens R, Washburn FJ, Eygendaal D, van den Bekerom MP, Oh LS. Effectiveness of reduction maneuvers in the treatment of nursemaid's elbow: A systematic review and meta-analysis. The American journal of emergency medicine. 2017 Jan:35(1):159-163. doi: 10.1016/j.ajem.2016.10.059. Epu...
Shoulder painPhysical examinationClinical testDiagnosisSLAP (superior labral anterior posterior) lesionRotator cuff tearSubacromial impingementSystematic reviewMeta-analysisPhysical examination tests of the shoulder (PETS) are clinical examination maneuvers designed to aid the assessment of shoulder complaints. ...
Physical examination was performed systemically as follows: 1) area of tenderness; 2) range of passive and active shoulder motion; 3) impingement tests; 4) maneuvers for determining the location of the tendon lesions. US investigations included the biceps, the supraspinatus, infraspinatus, and ...
In the primary outcome measure evaluating the pre/post videotaped shoulder examination, significant improvement was seen in 21 of 23 shoulder examination maneuvers. Secondary outcomes include changes in learner confidence and knowledge. Greatest gains in learner confidence were seen in performing the ...
.AIM To compare the diagnostic values of shoulder maneuvers with MRI for supraspinatus tendon tears in patients undergoing shoulder arthroscopy.METHODS A total of 199 consecutive patients from four orthopedic centers met the eligibility criteria of shoulder pain persisting for at least four weeks.They ...
The integrity and stability of the capsulo-labral complex can be assessed with provocative maneuvers:鈥 the active compression test (pain and/or clicking with resisted forward elevation in slight horizontal adduction and internal rotation vs. external rotation) may suggest a superior labral (SLAP) ...
Initial evaluation and management of an acute dislocation include a thorough history and physical exam, high-quality radiographs, and prompt reduction, with a variety of reduction maneuvers that are available to the clinician. Standard treatment for patients with a first-time dislocation is typically ...