Upper body assessment

Define anterior/posterior

Anterior: towards front of body

Posterior: towards back of body

Define Medial/lateral

Medial: towards the midline of body

Lateral: away from midline

Define Superior/inferor

Superior: towards the head

Inferior: away from the head

Define Superficial/deep

Superficial: on the surface of body

Deep: away from the surface

Define proximal/distal

Proximal: near the origin of the extremity

Distal: away from the origin

Name the body planes and their axes.

What are red and yellow flags

Describe the different scoring of Manual Muscle Testing

Left shoulder pain. Potential red flag?

Can be a myocardial infarction.

Palpate the humerus

Palpate the acromion, the clavicle, the coracoid process and the scapula and the spine of scapula

Palpate the acromioclavicular joint, the sternoclavicular joint, the glenohumeral joint and the scapulothoracic joint

What are the shoulder joints.

Acromioclavicular, sternoclavicular, glenohumeral and scapulothoracic articulation.

Palpate the pectoralis major, deltodi, biceps brachi, brachialis, coracobrachialis

Palpate the serratus anterior, latissimus dorsi, trapezius, tricpes brachii and rhomboideus

Palpate the rotator cuff muscles.

Supraspinatus: (Adb)

Infraspinatus: ER

Teres minor: ER

Subscapularis: IR

Shoulder abduction gonio

Shoulder flexion gonio

Shoulder extension gonio

Shoulder IR/ER gonio

Shoulder Horizontal abduction gonio

MMT scapular eleevation

MMT shoulder flexion

MMT shoulder extension

MMT Shoulder abduction

MMT shoulder horizontal abduction

MMT shoulder horizontal adduction

MMT shoulder ER

MMT shoulder IR

Apley’s Scratch test

Test the apprehension of shoulder mobility

Test the supraspinatus/rotator cuff

Test subacromial pain

Test rotator cuff mucle lesion

Test tears of infra and supraspinatus

Test subscapularis

Palpate humerus, lateral and medial epicondyle, radial head, radius and ulna.

Palpate the lateral collateral lgiament, the medial collateral ligament and the olecranon bursa.

Palpate the heads of the triceps

Palpate the anterior forearm muscles

Flexor carpi ulnaris: most medial one, check by flexing and ulnar deviation

Palmaris longus: some people lack it.

Flexor digitorium superficialis: unable to palpate, deeper

Flexor carpi radialis: check by flexing hand

Pronator teres: most lateral one, check by pronation

Palpate the posterior forearm mucles

Extensor carpi ulnaris: ask for extension, medial (al lateral de tot)

Extensor carpi radialis: shake hands. Longus, more lateral (2nd metacarpal). Brevis, more medial (3rd metacarpal)

Palpate the ulnar nerve

Elbow flexion gonio

Elbow extension gonio

Forearm pronation gonio

Forearm supination gonio

MMT elbow extension

MMT elbow flexion

MMT elbow pronation

MMT elbow supination

Lateral epicondylagia assessment

Medial epicondylagia assessment

Test ulnar nerve entrapment

Test medial collateral ligament instability

Palpate the carpal bones and intercarpal joints

Palpate the anatomical snuffbox

Also named radial fossa

Palpate the radial and ulnar styloid process

Palpate the metacarpals and the phalanges

Test the carpal tunnel syndrome

Test the Quervain’s Tenosynovitis

Swelling of the tendon, pain in the wrist and forearm.

Test schapoid fracture

Test the ulnar collateral ligament of the 1st MCP joint

Test the 1st CMC joint

Test the collateral ligaments of the fingers

Test the DIP flexor and extendor tendons