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Medical history (the patient tells the doctor about an injury). For shoulder problems the medical history includes the patient's age, dominant hand, if injury affects normal work/activities as well as details on the actual shoulder problem including acute versus chronic and the presence of shoulder catching, instability, locking, pain, paresthesias (burning sensation), stiffness, swelling, and ...
Adhesive capsulitis (AC), also known as frozen shoulder, is a condition associated with shoulder pain and stiffness. [1] It is a common shoulder ailment that is marked by pain and a loss of range of motion, particularly in external rotation. [3] There is a loss of the ability to move the shoulder, both voluntarily and by others, in multiple ...
Kehr's sign is the occurrence of acute pain in the tip of the shoulder due to the presence of blood or other irritants in the peritoneal cavity when a person is lying down and the legs are elevated. Kehr's sign in the left shoulder is considered a classic symptom of a ruptured spleen .
The most common symptoms in impingement syndrome are pain, weakness and a loss of movement at the affected shoulder. [2] The pain is often worsened by shoulder overhead movement and may occur at night, especially when lying on the affected shoulder. The onset of the pain may be acute if due to an injury or insidious if due to a gradual process ...
Localized pain on the anterior shoulder suggests subacromial impingement, whereas posterior shoulder pain suggests internal impingement. [45] For the diagnosis of full-thickness rotator cuff tear, the best combination appears to include once more the painful arc and weakness in external rotation, and in addition, the drop arm sign . [ 42 ]
The capsule can become inflamed and stiff, with abnormal bands of tissue growing between the joint surfaces, causing pain and restricting the movement of the shoulder, a condition known as frozen shoulder or adhesive capsulitis. A SLAP tear (superior labrum anterior to posterior) is a rupture in the glenoid labrum. SLAP tears are characterized ...
Evaluation of passive and active range of motion: Neck range of motion should be assessed that may reveal a neck source of shoulder pain. The Apley scratch test specifically tests range of motion and in a normal exam, an individual should be able to reach C7 on external rotation, and T7 on internal rotation.
A 2007 meta-analysis described the shoulder abduction relief test as having low to moderate sensitivity and moderate to high specificity. [5] Another study in 1981 found that 15 of 22 patients with unremitting radicular pain reported relief with shoulder abduction.