What is the recommended approach for a shoulder exam and management of shoulder pain?

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Comprehensive Shoulder Examination and Management of Shoulder Pain

A thorough shoulder examination should include assessment of tone, strength, soft tissue changes, joint alignment, pain levels, and orthopedic changes, followed by appropriate imaging and targeted treatment based on the specific diagnosis. 1

Initial Assessment

  • Begin with inspection for asymmetry, muscle atrophy, and deformity while obtaining a detailed history of the mechanism of injury 2
  • Palpate key anatomical structures including the acromioclavicular joint, rotator cuff tendons, and biceps tendon to identify areas of tenderness 2, 3
  • Assess range of motion both actively and passively, including forward flexion, abduction, external and internal rotation, with comparison to the unaffected side 3
  • Evaluate strength using a dynamometer if available, particularly for rotator cuff muscles (supraspinatus, infraspinatus, subscapularis) 3

Special Tests

  • Perform impingement tests (Neer's sign, Hawkins-Kennedy) to evaluate for subacromial impingement 4
  • Include rotator cuff integrity tests (empty can test, external rotation lag sign, lift-off test) 3
  • Assess for instability using apprehension test, relocation test, and load and shift test 4
  • Evaluate labral pathology with O'Brien's test, biceps load test, and other specific labral tests 4
  • Test for scapular dyskinesis during arm elevation and lowering 2

Imaging Recommendations

  • Standard radiographs should be the initial imaging study for traumatic shoulder pain, including anteroposterior views in internal and external rotation, plus axillary or scapula-Y view 1
  • For suspected rotator cuff pathology, MRI without contrast, MR arthrography, or ultrasound are all appropriate depending on local expertise 1
  • CT is superior for characterizing fracture patterns but inferior to MRI for soft tissue injuries 1
  • For suspected septic arthritis, ultrasound or x-ray guided arthrocentesis is recommended 1
  • In patients under 35 years with instability, MR arthrography is generally recommended 1

Management Approach

  • For limitations in range of motion, implement gentle stretching and mobilization techniques, focusing on external rotation and abduction 1
  • Gradually increase active range of motion while restoring alignment and strengthening weak shoulder girdle muscles 1
  • For pain management, use analgesics such as acetaminophen or ibuprofen if no contraindications exist 1
  • Consider corticosteroid injections for subacromial pain related to rotator cuff or bursa inflammation 1
  • For spasticity-related shoulder pain, botulinum toxin injections into the subscapularis and pectoralis muscles may be beneficial 1
  • Implement a multidisciplinary approach including physiotherapy and occupational therapy for chronic shoulder pain 5

Special Considerations

  • For hemiplegic shoulder pain following stroke, assess tone, strength, soft tissue changes, joint alignment, and pain levels 1
  • To prevent Complex Regional Pain Syndrome (CRPS), utilize active, active-assisted, or passive range of motion exercises 1
  • For suspected CRPS, look for pain and tenderness of metacarpophalangeal and proximal interphalangeal joints, edema, trophic skin changes, hyperesthesia, and limited range of motion 1
  • Consider early oral corticosteroids for CRPS management (30-50 mg daily for 3-5 days with tapering over 1-2 weeks) 1
  • Refer patients with acute injuries, failed non-surgical treatment, or "red flag" diagnoses for specialist care 5

Patient Positioning for Dynamic Examination

  • Position patient sitting with 90° elbow flexion and hand in supination on the thigh 6
  • Include active and passive external and internal rotation of the humerus through full range of motion with 90° flexed elbow 6

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Anatomy and Physical Examination of the Shoulder.

Sports medicine and arthroscopy review, 2018

Research

Clinical examination of the rotator cuff.

PM & R : the journal of injury, function, and rehabilitation, 2013

Research

Comprehensive Review of Provocative and Instability Physical Examination Tests of the Shoulder.

The Journal of the American Academy of Orthopaedic Surgeons, 2019

Research

Chronic shoulder pain.

Australian journal of general practice, 2023

Guideline

Shoulder Examination Techniques and Diagnostic Accuracy

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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