Clinical Examination (Subscribe)  

Only moderate agreement was found on the classification of shoulder disorders, which implies that differentiation between the various categories of shoulder disorders is complicated. Especially patients with high pain severity, chronic complaints and bilateral involvement represent a diagnostic challenge for clinicians. As diagnostic classification is a guide for treatment decisions,...

These (physio) lab problems are designed to help students review hand anatomy, to relate their existing knowledge to functional considerations, and to introduce new material.
University of Oklahoma Health Sciences Center Department of Rehabilitation Sciences 2001

The complex challenge to the physician is to safely diagnose simple arthralgia from degenerative joint disease, inflammatory arthropathies or pain secondary to other diseases.
Updated 2010

Shoulder pain is defined as chronic when it has been present for longer than six months. Common conditions that can result in chronic shoulder pain include rotator cuff disorders, adhesive capsulitis, shoulder instability, and shoulder arthritis. Rotator cuff disorders include tendinopathy, partial tears, and complete tears. A clinical decision rule...

SUMMARY
* Equipment Needed
* General Considerations
* Motor
o Observation
o Muscle Tone
...

Video of routine hand/wrist examination from the Hospital for Special Surgery

Account of the Pivot Shift sign for ACL deficiency

POSTEROLATERAL INSTABILITY
= when stress testing the lateral tibial plateau rotates posteriorly in relation to the femur with lateral opening of joint associated with knee dislocation (see below)

Adequate pain assessment is critical for evaluating the efficacy of analgesic treatment in clinical practice and during the development of new therapies. Yet the currently used scores of global pain intensity fail to reflect the diversity of pain manifestations and the complexity of underlying biological mechanisms. We have developed a...

Achilles tendonitis This is inflammation of the tendon, usually resulting from overuse associated with a change in playing surface, footwear or intensity of an activity.
Updated 2011 The Achilles tendon is surrounded by a connective tissue sheath (paratenon or paratendon), rather than a true synovial sheath. The paratenon stretches with movement, allowing maximum...

Traumatic injury mostly occurs in severe road traffic accidents (especially on a motorcycle) and falls from heights. Young men are most commonly affected. The position of the arm (as the injury occurs) will determine the levels involved. If the arm was held at the side, a C8-T1 injury is usual....

The Simmonds–Thompson test, described in 1957 and 1962, respectively, remains the principal clinical test for rupture of an Achilles tendon. However, there is some discrepancy in the literature regarding its mechanical significance. A positive test has been reported to indicate a complete rupture of the tendon, and the cited mechanical...

Elbow and shoulder problems are very common in elderly people. The upper extremity examination is clinically important because upper extremity skills are essential for the performance of activities of daily living. The assessment mainly consists of careful examination of the elbow and shoulder.
Geriatric Physical Diagnosis: The Upper Extremities Mark E....

Video of Dr Farmer (Hospital for Special Surgery) demonstrating his routine for C Spine examination.
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Video of the routine taught at the Hospital for Special Surgery for neurological examination of the upper extremity - shoulder, arm and hand