Shoulder (Orthopedic)
Posture: including scapulae position Rule out cervical involvement: ROM, compression Special Tests ROM: including scapulae mobility during arm elevation MMT Joint mobility Palpation Passive scapular mobility Labral Lesions Labrum lesions often occur as a result of a traumatic incident, including a fall on outstretched hand (FOOSH), direct blow to or fall on the shoulder, a sudden pull or other overhead motion (trying to lift an object or trying to grab/hang from something to prevent a fall). Participation in certain activities may increase the risk of a labrum lesion, including weight lifting, throwing sports, sports with overhead activities (e.g., swimming), contact sports, rock climbing/bouldering. Many patients have experienced direct shoulder trauma, but onset may be insidious secondary to repetitive overuse of the shoulder. Surgical management: If patient fails to improve with conservative therapy (usually a trial of 6–12 weeks), labral repairs (including Bankart/SLAP repairs, bic