Z Orthop Unfall 2021; 159(03): 332-335
DOI: 10.1055/a-1440-2242
Videopaper

Evidence-Based Examination Techniques for the Shoulder Joint

Article in several languages: English | deutsch
1   Trauma and Reconstructive Surgery, Professional Association Trauma Clinic Tübingen, Germany
,
Maria-Christina Stefanescu
2   Trauma, Hand and Reconstructive Surgery Clinic, Johann Wolfgang Goethe University, Frankfurt am Main, Germany
,
Atesch Ateschrang
3   Orthopaedic and Trauma Surgery, Community Clinics Koblenz Mayen, Koblenz, Germany
,
Susanne Froehlich
4   Orthopaedic Clinic and Polyclinic, University Clinics Rostock, Rostock, Germany
,
Udo Obertacke
5   Orthopaedic and Trauma Surgery Centre, University Clinics Mannheim, Germany
,
Arndt Peter Schulz
6   Clinic for Surgery of the Musculoskeletal and Locomotor System of Lübeck University, Lübeck, Germany
7   Trauma Surgery and Orthopaedics, Professional Association Trauma Hospital Hamburg, Germany
,
Hauke S. Meyerhoff
8   Knowledge Media Institute, Tübingen, Germany
,
Eva J. Oswald
9   Media Competence Centre, Eberhard Karl University of Tübingen, Tübingen, Germany
,
Jasmina Sterz
2   Trauma, Hand and Reconstructive Surgery Clinic, Johann Wolfgang Goethe University, Frankfurt am Main, Germany
,
2   Trauma, Hand and Reconstructive Surgery Clinic, Johann Wolfgang Goethe University, Frankfurt am Main, Germany
› Author Affiliations

Abstract

Objective Digitalisation now almost covers all areas of medical student teaching. Teaching videos are a good way to help students learn practical skills. The existing evidence is a recognised aid for the classification of the respective technology.

Method This video presents the usual examination techniques of the shoulder joint on a patient with an unstable shoulder. The respective techniques, if available, were backed up with appropriate evidence.

Conclusion The examination techniques presented allow students to view them in a standardized manner on a patient. The evidence for the examination techniques can help with the classification of the respective technique.



Publication History

Article published online:
10 June 2021

© 2021. Thieme. All rights reserved.

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  • References/Literatur

  • 1 Jang HW, Kim KJ. Use of online clinical videos for clinical skills training for medical students: benefits and challenges. BMC Med Educ 2014; 14: 56 DOI: 10.1186/1472-6920-14-56.
  • 2 Lenchus J, Issenberg SB, Murphy D. et al. A blended approach to invasive bedside procedural instruction. Med Teach 2011; 33: 116-123 DOI: 10.3109/0142159X.2010.509412.
  • 3 Friedrich MJ, Wirtz DC, Rößler PP. Klinische Basisuntersuchung der Schulter. Z Orthop Unfall 2018; 156: 449-451
  • 4 Farber AJ, Castillo R, Clough M. et al. Clinical assessment of three common tests for traumatic anterior shoulder instability. J Bone Joint Surg Am 2006; 88: 1467-1474 DOI: 10.2106/JBJS.E.00594.
  • 5 Tzannes A, Paxinos A, Callanan M. et al. An assessment of the interexaminer reliability of tests for shoulder instability. J Shoulder Elbow Surg 2004; 13: 18-23 DOI: 10.1016/j.jse.2003.09.002.
  • 6 Lo IK, Nonweiler B, Woolfrey M. et al. An evaluation of the apprehension, relocation, and surprise tests for anterior shoulder instability. Am J Sports Med 2004; 32: 301-307 DOI: 10.1177/0095399703258690.
  • 7 Kim S-H, Park J-S, Jeong W-K. et al. The Kim test: a novel test for posteroinferior labral lesion of the shoulder–a comparison to the jerk test. Am J Sports Med 2005; 33: 1188-1192
  • 8 Alqunaee M, Galvin R, Fahey T. Diagnostic accuracy of clinical tests for subacromial impingement syndrome: a systematic review and meta-analysis. Arch Phys Med Rehabil 2012; 93: 229-236 DOI: 10.1016/j.apmr.2011.08.035.
  • 9 [Anonym] Untersuchungstechniken des Schultergelenks. Obere Extremität 2012; 7: 1-67 DOI: 10.1007/s11678-012-0165-1.
  • 10 Noël E, Walch G, Bochu M. [Jobeʼs maneuver. Apropos of 227 cases]. Rev Rhum Mal Osteoartic 1989; 56: 803-804
  • 11 Nanda R, Gupta S, Kanapathipillai P. et al. An assessment of the inter examiner reliability of clinical tests for subacromial impingement and rotator cuff integrity. Eur J Orthop Surg Traumatol 2008; 18: 495-500
  • 12 Itoi E, Kido T, Sano A. et al. Which is more useful, the “full can test” or the “empty can test,” in detecting the torn supraspinatus tendon?. Am J Sports Med 1999; 27: 65-68 DOI: 10.1177/03635465990270011901.
  • 13 Castoldi F, Blonna D, Hertel R. External rotation lag sign revisited: accuracy for diagnosis of full thickness supraspinatus tear. J Shoulder Elbow Surg 2009; 18: 529-534
  • 14 Litaker D, Pioro M, El Bilbeisi H. et al. Returning to the bedside: using the history and physical examination to identify rotator cuff tears. J Am Geriatr Soc 2000; 48: 1633-1637 DOI: 10.1111/j.1532-5415.2000.tb03875.x.
  • 15 McFarland EG. Examination of the Shoulder. The complete Guide. New York: Thieme Medical Publishers; 2006: 142
  • 16 OʼBrien SJ, Pagnani MJ, Fealy S. et al. The active compression test: a new and effective test for diagnosing labral tears and acromioclavicular joint abnormality. Am J Sports Med 1998; 26: 610-613
  • 17 Hegedus EJ, Goode A, Campbell S. et al. Physical examination tests of the shoulder: a systematic review with meta-analysis of individual tests. Br J Sports Med 2008; 42: 80-92 discussion 92 DOI: 10.1136/bjsm.2007.038406.
  • 18 Caliş M, Akgün K, Birtane M. et al. Diagnostic values of clinical diagnostic tests in subacromial impingement syndrome. Ann Rheum Dis 2000; 59: 44-47 DOI: 10.1136/ard.59.1.44.
  • 19 Bak K, Sørensen AK, Jørgensen U. et al. The value of clinical tests in acute full-thickness tears of the supraspinatus tendon: does a subacromial lidocaine injection help in the clinical diagnosis? A prospective study. Arthroscopy 2010; 26: 734ø742 DOI: 10.1016/j.arthro.2009.11.005.
  • 20 Park HB, Yokota A, Gill HS. et al. Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. J Bone Joint Surg Am 2005; 87: 1446-1455
  • 21 MacDonald PB, Clark P, Sutherland K. An analysis of the diagnostic accuracy of the Hawkins and Neer subacromial impingement signs. J Shoulder Elbow Surg 2000; 9: 299-301
  • 22 Silva L, Andréu JL, Muñoz P. et al. Accuracy of physical examination in subacromial impingement syndrome. Rheumatology (Oxford) 2008; 47: 679-683 DOI: 10.1093/rheumatology/ken101.
  • 23 Hooker RS, MacDonald K, Patterson R. Physician assistants in the Canadian Forces. Mil Med 2003; 168: 948-950
  • 24 Bartsch M, Greiner S, Haas NP. et al. Diagnostic values of clinical tests for subscapularis lesions. Knee Surg Sports Traumatol Arthrosc 2010; 18: 1712-1717 DOI: 10.1007/s00167-010-1109-1.
  • 25 Kappe T, Sgroi M, Reichel H. et al. Diagnostic performance of clinical tests for subscapularis tendon tears. Knee Surg Sports Traumatol Arthrosc 2018; 26: 176-181
  • 26 Barth JR, Burkhart SS, De Beer JF. The bear-hug test: a new and sensitive test for diagnosing a subscapularis tear. Arthroscopy 2006; 22: 1076-1084
  • 27 Yoon JP, Chung SW, Kim SH. et al. Diagnostic value of four clinical tests for the evaluation of subscapularis integrity. J Shoulder Elbow Surg 2013; 22: 1186-1192 DOI: 10.1016/j.jse.2012.12.002.
  • 28 Hertel R, Ballmer F, Lambert S. et al. Lag signs in the diagnosis of rotator cuff rupture. Journal of shoulder and elbow surgery 1996; 5: 307-313
  • 29 Gerber C, Krushell RJ. Isolated rupture of the tendon of the subscapularis muscle. Clinical features in 16 cases. J Bone Joint Surg Br 1991; 73: 389-394
  • 30 Barth J, Audebert S, Toussaint B. et al. Diagnosis of subscapularis tendon tears: are available diagnostic tests pertinent for a positive diagnosis?. Orthop Traumatol Surg Res 2012; 98: S178-S185 DOI: 10.1016/j.otsr.2012.09.008.