The physical examination of the glenohumeral joint: emphasis on the stabilizing structures

The Journal of Orthopaedic and Sports Physical Therapy
K E WilkC A Arrigo

Abstract

Thorough descriptions of specific physical examination tests used to determine glenohumeral instability are lacking in the scientific literature. The purpose of this paper was to discuss the importance of the subjective history and illustrate the physical examination of the glenohumeral joint. Additionally, the authors will illustrate specific stability assessment for the glenohumeral joint based on current basic science and clinical research. The physical examination of a patient whose history suggests subtle glenohumeral joint instability may be extremely difficult for the clinician due to the normal amount of capsular laxity commonly present in most individuals. An essential component of the physical examination is a through and meticulous subjective history which includes the mechanisms of injury and/or dysfunction, chief complaint, level of disability, and aggravating movements. The physical examination must include an assessment of motion, static stability testing, muscle testing, and a neurologic assessment. A comprehensive understanding of various stability testing maneuvers is important for the clinician to appreciate. The evaluation techniques discussed in this paper should assist the clinician in determining the pass...Continue Reading

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Citations

Apr 10, 2008·Annals of Biomedical Engineering·Christopher J GattiRichard E Hughes
Feb 9, 2012·Sports Medicine and Arthroscopy Review·Brian J EckenrodeJohn D Kelly
Jun 22, 2005·The Journal of Orthopaedic and Sports Physical Therapy·Kevin E WilkJames R Andrews
Feb 6, 2009·The Journal of Orthopaedic and Sports Physical Therapy·Paula M Ludewig, Jonathan F Reynolds
Feb 6, 2009·The Journal of Orthopaedic and Sports Physical Therapy·Michael M ReinoldKevin E Wilk
Jan 1, 2003·Occupational Therapy in Health Care·S Beth Peters, Gregory P Lee
May 9, 2006·Journal of Shoulder and Elbow Surgery·Karen A GinnRobert D Herbert
Aug 22, 2001·Journal of Manipulative and Physiological Therapeutics·C E Moreau, S R Moreau
Aug 11, 2015·Topics in Stroke Rehabilitation·Gabriela Lopes Dos SantosThiago Luiz de Russo
Jul 28, 2016·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Gabriela Lopes SantosThiago Luiz Russo
Aug 16, 2012·Journal of Athletic Training·Wendy J Hurd, Kenton R Kaufman
Nov 23, 2012·The American Journal of Sports Medicine·Michael KnesekAsheesh Bedi
Nov 30, 2006·The American Journal of Sports Medicine·Michael BahkEdward G McFarland
Jul 22, 2004·Scandinavian Journal of Medicine & Science in Sports·Gul Baltaci, Volga Bayrakci Tunay

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