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Objectives
• To review the key components of a musculoskeletal
examination including special tests
• To discuss and practice the knee and shoulder examination
• To review top 5 sports injuries for the shoulder and knee
Key Components of the Musculoskeletal Examination
1. Inspection
2. Palpation
3. Range of Motion
4. Strength
5. Neurovascular
6. Special Tests
Musculoskeletal Examination
• Shoulder:
• Rotator cuff testing
• Subacromial bursa
• Bicep tendon
• Acromioclavicular joint
• Instability
• Labral Injury
Shoulder Anatomy
• Glenoid labrum
• Rotator cuff muscles
• Shoulder is vulnerable to injury and age-related degenerative changes due to its large ROM.
Knee Anatomy • Four Bones
• Three compartments
• Three articulations
• Stability: menisci (medial,
lateral), anterior/posterior cruciate ligaments, medial/lateral collateral ligaments.
Musculoskeletal Examination
• Low back:
• Nonspecific vs. radiculopathy/spinal stenosis vs. other systemic causes
• Disc herniation
• Fracture
• Cancer
• Infection
• SI joint dysfunction
Top 5 Sports Medicine Dysfunctions & Take Home Points • Shoulder
1. Rotator cuff injury
2. Impingement syndrome
3. AC joint sprain and separation
4. Shoulder instability
5. Bicep tendonitis
• Knee
1. Patellofemoral knee syndrome
2. Liganentous injury
3. Meniscal injury
4. Osteoarthritis
5. Apophysitis and bursitis
Top 5 Sports Medicine Dysfunctions & Take Home Points
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