What is the initial step in evaluating a patient presenting with shoulder pain?

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Last updated: November 3, 2025View editorial policy

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Initial Evaluation of Shoulder Pain

The initial step in evaluating a patient with shoulder pain is obtaining standard radiographs, which should include at least three views: anteroposterior (AP) projections in internal and external rotation, plus an axillary lateral view or scapular Y view. 1

Why Radiography First

Radiography serves as the essential initial screening modality for acute shoulder pain of all causes, regardless of suspected etiology 2. This approach is safe, fast, and cost-effective while demonstrating many forms of shoulder pathology including fractures, dislocations, and degenerative changes 2.

Critical Technical Requirements

  • Minimum three views with two orthogonal projections are mandatory for adequate evaluation 2, 1
  • Upright positioning is essential, as shoulder malalignment can be underrepresented on supine imaging 1
  • For trauma cases, a Grashey projection (30° posterior oblique) is recommended to properly profile the glenohumeral joint 2

Common Pitfall to Avoid

The axillary lateral or scapular Y view is non-negotiable when evaluating for instability or dislocation, as acromioclavicular and glenohumeral dislocations can be completely missed on AP views alone 1. However, exercise caution with the axillary view in recently dislocated shoulders, as the required positioning may cause redislocation 2.

Physical Examination Components

While radiography is the initial imaging step, the physical examination must assess:

  • Inspection and palpation to localize the injury 3, 4
  • Range of motion testing in all planes 4
  • Rotator cuff strength assessment 4
  • Provocative maneuvers for impingement, instability, and labral pathology 5
  • Neurovascular integrity 4

The physical examination helps determine the mechanism of injury and whether surgical intervention may be needed 3.

Red Flags Requiring Urgent Attention

  • Posterior sternoclavicular dislocations require urgent surgical referral 3
  • Fever, unusual fatigue, or respiratory symptoms accompanying shoulder pain may indicate pulmonary or systemic pathology rather than musculoskeletal disease 6
  • Displaced or unstable proximal humerus fractures warrant surgical consultation 3

References

Guideline

Appropriate Workup for Left Shoulder Pain

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Acute Shoulder Injuries in Adults.

American family physician, 2023

Research

Anatomy and Physical Examination of the Shoulder.

Sports medicine and arthroscopy review, 2018

Research

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

The Journal of the American Academy of Orthopaedic Surgeons, 2019

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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