| Item | Procedure / Details |
|---|---|
| Opening | Introduction, explanation, exposure, and ensuring privacyZ . |
| Look | General shoulder appearance: position, swelling & extra findings |
| Skin: scars and color change . | |
| Muscle wasting: / feel deltoid, supraspinatus, infraspinatus . | |
| Deformity | |
| Inspection views: front, back, side, and from above . | |
| Feel | Tenderness: generalized or at specific bony landmarks (AC, clavicle, SC joint, scapular spine, biceps)Z |
| Temperature: compare both sides (proximal & distal) . | |
| Move | Active first (screen for pain), then passive |
| Abduction / Adduction | |
| Forward flexion / Extension | |
| External / Internal rotation (in adduction or abduction) . | |
| Special TestsZ | Apprehension test |
| AC joint — Cross-body adduction test | |
| Rotator cuff tests: supraspinatus, infraspinatus, teres minor, subscapularis ~ | |
| Biceps: Yergason or Speed testZ . | |
| Overall | Patient attitude, communication, and exam conduct . |