Kinesiology 2236A/B Lecture Notes - Lecture 32: Rotator Cuff Tear, Palpation, Glenohumeral Ligaments

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Moi reports traumatic onset of pain when trying to catch a high ball and then hitting the ground. Tried to continue for a while but arm felt dead . When asked where it hurt, he point to his right anterior shoulder/deltoid area. Pain: 7/10 worse in abduction and external rotation. No numbness or tingling in hand or arm at present. What are we looking for: swelling, obvious deformity at acromioclavicular joint and glenohumeral joint guarded/painful movement. Loss of deltoid contour shoulder not rounded distal end of clavicle. Objective: observation obvious deformity: at ac joint no, at deltoidno. Cross flexion ok, some guarding noticed when taking shirt off, moving into glenohumeral external rotation and a bit of abduction. Selective tissue tension test: anterior inferior glenohumeral ligament on stretch with external rotation at 90. 0 abduction or above: coracobrachialis is a shoulder flexor (musculocutaneous n- c5,6,7, deltoid is a shoulder flexor (ant), shoulder abductor above 20.

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