Exam

Shoulder History

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Shoulder History

  • History
  • Injury
  1. Mechanism of Injury
    1. Direct blow to Shoulder (e.g. Fall on Shoulder)
    2. Fall on Outstretched Hand
  2. Prior Shoulder injuries or dislocations
  • History
  • Age at onset
  • History
  • Provocative factors
  • History
  • Associated Symptoms
  1. Arm weakness
    1. Rotator Cuff Tear or Shoulder Impingement
    2. Glenohumeral Osteoarthritis
  2. Distal arm Paresthesias beyond elbow (esp. if Neck Pain)
    1. Cervical disc disorder
  3. Instability sensation (especially if history of prior Shoulder Dislocation)
    1. Glenohumeral Instability (Shoulder Dislocation, Shoulder Subluxation)
  4. Catching or locking sensation
    1. Glenohumeral labrum tear
    2. Glenohumeral Arthritis
  5. Comorbid conditions or referred pain
    1. See Shoulder Pain for differential diagnosis
    2. Diabetes Mellitus predisposes to Adhesive Capsulitis