Examination of the shoulder Meet the speakers Dr Dr Da Dann nny - - PowerPoint PPT Presentation

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Examination of the shoulder Meet the speakers Dr Dr Da Dann nny - - PowerPoint PPT Presentation

Aug 27, 2023 780 likes •913 views

Examination of the shoulder Meet the speakers Dr Dr Da Dann nny y Mur urph phy Johan Holte Staff grade rheumatologist and GP Consultant Physiotherapist Learning outcomes 1. Gain confidence in taking an effective history from an MSK

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SLIDE 1

Examination of the shoulder

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SLIDE 2

Meet the speakers

Dr Dr Da Dann nny y Mur urph phy Staff grade rheumatologist and GP Johan Holte Consultant Physiotherapist

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SLIDE 3
  • 1. Gain confidence in taking an effective

history from an MSK patient, including eliciting red flags and psychosocial flags.

  • 2. Be able to demonstrate focused examination of

the MSK patient.

  • 3. Practice explanation of the diagnosis.
  • 4. Formulate a management plan, including

appropriate investigations, referral, safety net and follow-up.

Learning outcomes

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SLIDE 4

The MSK examination

How many ‘special tests’ are described for the shoulder?

Use basic anatomy and think about the structures you are examining Keep things simple and structured – five golden rules

129

It’s not about remembering lots

  • f special tests!
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SLIDE 5
  • Introduction and anatomy
  • Where’s the pain coming

from?

  • Examination demonstration

and practice

Shoulder examination

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SLIDE 6

The sub-acromial space and bursa

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SLIDE 7

Que Question stion: : Wha hat c t cou

  • uld this

ld this be be?

  • A. Is it red flag pain?
  • B. Is it traumatic?
  • C. Is this rotator cuff pain?
  • D. Is this glenohumeral pain?
  • E. Is this pain from outside of the shoulder?
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SLIDE 8

Clear the neck

  • Look
  • Feel
  • Move
  • ‘Foraminal

closure test’

Look

  • Scars
  • Wasting
  • Asymmetry
  • Winging

Feel

  • Tender

points

  • ACJ

Move

  • Active ER
  • Active IR
  • FF in neutral

then in IR (painful arc)

  • ABD (painful

arc)

Test

  • Empty can

test

Matrix for examination of the shoulder and neck

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SLIDE 9

Exercises

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SLIDE 10

Core skills Workshops

Remaining workshop dates for 2019: Wednesday 23 October – Leeds Tuesday 26 November – London Tuesday 10 December – Glasgow To book your place visit: www.coreskillsinmsk.co.uk For local workshops in your areas please contact Versus Arthritis on standK92 For free educational resources join the Versus Arthritis professional network: Visit https://www.versusarthritis.org/about-arthritis/healthcare- professionals/

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SLIDE 11

Thank you…

Questions?