Has there been a fall/ accident? | |
no, next |
|
Can the patient lift their arm above their head? | |
yes, next |
|
Is there pain in the middle of the movement? | |
|
yes, next |
Holding arm out in front, with thumb down, push up against physio’s hands. Is it painful? | |
|
yes, next |
Hold arm up at 90° flexion with elbow bent. Internally rotate. Is it painful? | |
|
yes |
Impingement
|
Has there been a fall/ accident? | |
no, next |
|
Can the patient lift their arm above their head? | |
|
no, next |
Is the patient between 45-55 years old? | |
|
no, next |
Can the patient move their arm as far as possible, even if painful, without help? | |
|
no, next |
Put hand behind back. Can the patient lift hand away from body? | |
|
no, next |
Can you lift the arm further than the patient can lift it? | |
|
yes |
Rotator cuff tear |
Has there been a fall/ accident? | |
no, next |
|
Can the patient lift their arm above their head? | |
yes, next |
|
Is there pain in the middle of the movement? | |
no, next |
|
Lift arm across body. is it painful? | |
|
yes, next |
Is the patient older than 60 years? | |
yes, next |
|
Is it painful to touch the edge of the bony tip of the shoulder? | |
|
yes |
Shoulder osteoarthritis |
Has there been a fall/ accident? | |
no, next |
|
Can the patient lift their arm above their head? | |
|
no, next |
Is the patient between 45-55 years old? | |
yes, next |
|
Is there a loss of external rotation? | |
|
yes |
Frozen shoulder |
Has there been a fall/ accident? | |
|
yes, next |
Is there an obvious step down deformity at the edge of the shoulder? | |
|
yes, next |
Touch edge of shoulder. Is it painful to feel corner of shoulder? | |
|
yes, next |
Lift arm across body. Is it painful? | |
|
yes |
A/C joint dislocation |
Has there been a fall/ accident? | |
|
yes, next |
Is there an obvious step down deformity at the edge of the shoulder? | |
no, next |
|
Is the ball of the shoulder joint positioned more to the front of the chest? | |
|
yes, next |
Can the patient lift their arm up? | |
|
no |
Shoulder dislocation |
Has there been a fall/ accident? | |
|
yes, next |
Is there an obvious step down deformity at the edge of the shoulder? | |
no, next |
|
Is the ball of the shoulder joint positioned more to the front of the chest? | |
no, next |
|
Feel along upper arm and around shoulder blade. Is it painful? | |
|
yes |
Shoulder fracture |