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

Shoulder Inspection from the Front

Shoulder Inspection from the side

Shoulder Inspection Leaning against the Wall

all bony prominences, Joint Tenderness.

Palpation of Shoulder Joint

Range of Movement :

Shoulder Range of Motion Exercises

Special Test:
Apprehension test: for recurrent shoulder dislocation


Impingement Test:

neer impingement test shoulder

test shoulder impingement

Rotator Cuff tear Drop Arm test :

rotator cuff tear test

Slap Tear : O Briens Test :


Speed Test for Biceps :

speed test for biceps
Imaging of the Shoulder :

XRays :

shoulder ap x-ray

Shoulder AP


Shoulder Lateral

shoulder outlet view x ray

Scapular Outlet View

MRI of Shoulder :

nuclear magnetic resonance spectroscopy

normal rotator cuff mri