Summary: <br> Dr. Ralph "Bud" Curtis goes live with Easy Shoulder Evals from Trinity University's Sports Medicine Symposium 2020.<br> <br> <br> <br> About Dr. Curtis:<br> <br> <br> <br> * 15 Years as being recognized as a Texas Super Doctor. Dr. Curtis has been recognized every year since 2005.* Fellowship-trained shoulder surgeon* Board of Directors, THSCA Professional Development Curriculum* 30 years, UIW* UIW Sports Hall of Fame* Shoulder consultant: S.A. Spurs, UTSA, Trinity Univ., UIW* Hall of Honor THSCA* Hall of Honor Southwest Athletic Trainers Association* Author of multiple book chapters on shoulder injuries* Adjunct Professor, Department of Orthopaedics, UT Health<br> <br> <br> <br> <br> <br> <br> <br> HAVE A SYSTEM<br> <br> <br> <br> Needs to be quick and reproducible<br> <br> <br> <br> Make sure it is age-based and know what is most likely for each age group<br> <br> <br> <br> Understand traumatic vs non-traumatic<br> <br> <br> <br> HS to the college level is most likely instability<br> <br> <br> <br> Sitting fashion helps them relax<br> <br> <br> <br> Try not to fight them<br> <br> <br> <br> Find out the background before ever touching the patient<br> <br> <br> <br> Then the provocative tests<br> <br> <br> <br> Sulcus test<br> <br> <br> <br> Load and shift - generalized laxity, not traumatic instability<br> <br> <br> <br> Neer impingement test is a pretty lousy test<br> <br> <br> <br> Hawkins impingement test<br> <br> <br> <br> Anterior apprehension for anterior instability<br> <br> <br> <br> Posterior instability including the jerk test<br> <br> <br> <br> AC joint pathology is going to be painful so it confuses the test<br> <br> <br> <br> Palm down O’brien’s test for SLAP<br> <br> <br> <br> Anterior dislocation - check to see if there is good smooth motion internally and externally<br> <br> <br> <br> Posterior instability the converse is true.<br> <br> <br> <br> These often get missed because they look normal until follow up with ortho.<br> <br> <br> <br> Once dislocation is reduced check for full internal and external rotation.<br> <br> <br> <br> ANTERIOR INSTABILITY - 18 minutes<br> <br> <br> <br> Look at ROM <br> <br> <br> <br> Click test is something that can be beneficial<br> <br> <br> <br> RCT -<br> <br> <br> <br> Empty can is often normal due to deltoid <br> <br> <br> <br> Arm inside external rotation<br> <br> <br> <br> Stinger / Burner<br> <br> <br> <br> C5/C6 <br> <br> <br> <br> Deltoid weakness<br> <br> <br> <br> External rotators weak<br> <br> <br> <br> Possibly weak biceps<br> <br> <br> <br> C7 cervical disk<br> <br> <br> <br> Strong delts and biceps<br> <br> <br> <br> Triceps are totally weak<br> <br> <br> <br> C8 is ok (can keep fingers spread)<br> <br> <br> <br> Watch the Easy Shoulder Evals Facebook live video<br> <br> <br> <br> <br> https://www.facebook.com/sportsmedicinebroadcast/videos/626240638142999/<br> <br> <br> <br> <br> Resources<br> <br> <br> <br> <br> <br> <br> <br> Other shows from Trinity University's Sports Medicine Symposium 2020<br> <br> <br> <br> <br> <br> <br> <br> Contact Us<br> <br> <br> <br> Jeremy Jackson<br> <br> <br> <br> Shawn Ready<br> <br> <br> <br> <br> <br> <br> <br> <br>
