Upper Limb MSK

1) Introduction
2) Ask for Name
3) Privacy confidentality and Consent
4) Explain to patient the need for exposure, allow to stop if pain , and wash hands

5)Inspection!
Look for Sweats Signs + compare ( give a open commentary)

6) FEEL!
Jugular notch--->clavicle----> acromion---> superior border----> spine----> lateral border---> inferior angle---> medial border

coracoid process---> bicipital tendon--tenderness (ask patient to flex if you want)

7) MOVE!!
Place hand on acromio-clavicular joint when moving arm--> check for crepitus
ACTIVE FIRST, then passive

Flexion, extension
Abduction, adduction
Internal and external rotation

8) Painful arc syndrome - 60 degress to 120 degrees