In each case it is important to be familiar with some basic examination tools that can help us confirm the presence of a shoulder lesion. This is a passive movement, so the patient should be relaxed. This shoulder examination osce guide provides a clear step by step approach to examining the shoulder, with an included video demonstration. Osce content outline american board of anesthesiology. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Check out the shoulder examination mark scheme here. If you remember these steps then it will help perform the exam. Shoulder examination osce guide old version youtube. See the written guide alongside the video here download the app here.
A collection of musculoskeletal msk osce guides including video demonstrations and osce mark schemes. Upper limb neurological examination neurology osce. Osce guides clinical skills communication geeky medics. Pain suggests ac pathology apprehension test o have the patient in the supine position, with the arm abducted 90 degrees and elbow flexed. Occasionally it can be the underlying cause of other conditions such as sciatica the spine examination, along with all other joint examinations, is commonly tested on in osces. Instability the common disorders arise from diseases of the following structures. Print pdf if theres any errors just leave a comment and it will be fixed asap. Kossopoulos, a 26 year old woman, for shoulder pain that has steadily worsening over the last few weeks, during which time shes been playing softball. Validity evidence for two objective structured clinical examination. In the real world it is not uncommon to face patients with rotator cuff injuries and dislocations, or. The shoulder examination, along with all other joint examinations, is commonly tested on in osces. Other causes are degenerative joint disease and arthritis.
Examination of the knee joint introduction introduce yourself wash hands briefly explain to the patient what the examination involves ask the patient remove their bottom clothing, exposing the knee inspection whilst patient standing patient gait assess for asymmetry. General principles musculoskeletal exam performed if symptoms i. Pdf background this article provides clinicians with a users guide on the performance of the shoulder physical examination tests most. The examination of all joints follows the general pattern of look, feel, move and occasionally some special tests. Musculoskeletal exam osce stations the medical textbook. Examination of the eyes and vision osce guide geeky medics.
Orthopaedicrheumatological hand and wrist examination. Pdf a users guide to performance of the best shoulder physical. Deformity of the joint and fractures and dislocations are usually obvious figure 37a,b. Gp assessment of the shoulder keith littlebury msc grad dip phys. The ottawa knee rules a useful clinical decision tool. Introduce yourself, confirm the patients name and date of birth. Osce example scenarios this document provides example scenarios for skills described in the applied examination objective structured clinical examination osce content outline. Offers examination of shoulder and hip, neurovascular exam and history.
Position always position your patient as you would like to examine them before you begin. The hand and wrist examination, along with all other joint examinations, is commonly tested on in osces. An extension to this station may be to assess the rotator cuff muscles individually, you should therefore be aware how to do this. This video aims to give you an idea of whats required in an elbow examination osce scenario. To complete exam to complete my examination i would examine the joint above and joint below, and also do a full neurovascular exam distal to.
This video aims to give you an idea of whats required in the osce and you can then customise the examination to suit your own personal style. The key principle with this phase of the shoulder examination is symmetry. Check out the geeky medics quiz platform, with over. The joint is susceptible to injury due to its high mobility and instability. Shoulder examination may be tested during the mrcs osce. Examination of the eyes and vision frequently appears in osces. Shoulder examination musculoskeletal osce skills medistudents. Case 5 shoulder pain tim milligan november 16, 2015 musculoskeletal you are seeing mrs. Explain the examination, obtain consent and a chaperone and then proceed to wash hands. Then flex the elbow to 90 so that this forearm is parallel to the floor. Start disable copy paste please help support osce i spend ages writing each station and updating the website. Shoulder pain is one of the most common complaints in the outpatient setting. The upper limb examination is another skill to elicit neurological signs, such as nerve problems that supply the arms and hands. The shoulder is a ball and socket joint formed from three bones the clavicle.
Clinical examination a comprehensive collection of clinical examination osce guides that include stepbystep images of key steps, video demonstrations and pdf mark schemes. Shoulder examination for the mrcs part b ocse surgery. Shoulder examination instructions examine the shoulder joint of this patient examiner summarise your. Each example consists of the materials that will be given to the candidate prior to entering the exam room for that skill. Function na to complete exam to complete my examination i would examine the joint above and joint below, and also do a full neurovascular exam distal to the joint would you like me to do this now. Osce stations examination mbbs4 orthopaedics shoulder exam shoulder exam may 28. A stepbystep guide to performing shoulder examination in an osce setting, with an included video demonstration. To complete exam to complete my examination i would examine the joint above, and also do a full neurovascular exam would you like me to do this now. Leicester sims leicester medical student hub presents a full shoulder examination.
The shoulder examination follows the look, feel, move rule of joint exams. Compared to other joint exams, the shoulder examination is often chosen as an osce station and you should prepare for it accordingly. Swelling of the shoulder joint may be visible due to a joint effusion, or synovial thickening. The video includes the empty can test, painful arc. Summarise and suggest further investigations you would do after a full history. Some differences can occur due to shoulder dominance. Shoulder exam stanford medicine 25 stanford medicine. The etiology is most of the time traumatic and related either to sport or accidents. Examination of the shoulder joint introduction introduce yourself wash hands briefly explain to the patient what the examination involves ask the patient to expose their shoulders fully inspection look anterior, lateral, and posterior asymmetry or deformity scars or skin changes muscle bulk palpate temperature.
Applied examination objective structured clinical examination osce content outline expanded each osce scenario will address one of the following skills. Briefly explain to the patient what the examination involves. You should ensure you are able to perform this confidently. Patients may present with a number of complaints including altered sensation, for example. Look inspect and observe the patient and around the patients bedside. Simple osce is designed to help students with their osce examinations, providing highquality markschemes. Feel for example, feeling a joint to see if it is hot or swollen. A collection of osce guides covering common osce stations with included video demonstrations and pdf mark schemes. This article will describe the requirements of the clinical examination part. Now, press down on the patients wrist and at the same time try to forcibly inwardly rotate the shoulder joint. Shoulder exam stanford medicine 25 stanford university. This guide provides a stepbystep approach to examining the eyes, assessing vision and performing fundoscopy.
The examination of all joints follows the general pattern of look, feel, move as well as. This basically presses the tendons of the shoulder cuff against the coracohumeral ligament. Common causes of back pain include arthritis, prolapsed disc, and muscular injuries. Vague shoulder pain with a normal physical examination should increase. Initial assessment of the injured shoulder pdf 431kb. Hand and wrist examination musculoskeletal osce skills. A comprehensive collection of clinical examination osce guides that include stepbystep images of key steps, video demonstrations and pdf mark schemes.
There are 6 main concepts that need to be remembered for all of the regional examination of the musculoskeletal system. This video produced by students at oxford university medical school in conjunction with the faculty demonstrates how to perform an orthopaedic examination of the shoulder joint. Discussion of treatment options and informed consent obtain informed consent from a patient. Pain suggests ac pathology apprehension test o have the patient in the supine position. To print or pdf mark sheets click the title to view and click on. Musculoskeletal exam osce stations in musculoskeletal exams it is all about 1 look, 2 feel, 3 move, 4 special tests. Back pain is one of the most common presentations to accident and emergency and general practice. Table 4 provides details of the muscles of the shoulder and figure 38ad illustrations of. The elbow examination, along with all other joint examinations, is commonly tested on in osces.
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