Dr. Ralph “Bud” Curtis goes live with Easy Shoulder Evals from Trinity University's Sports Medicine Symposium 2020.
About Dr. Curtis:
- 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
HAVE A SYSTEM
Needs to be quick and reproducible
Make sure it is age-based and know what is most likely for each age group
Understand traumatic vs non-traumatic
HS to the college level is most likely instability
Sitting fashion helps them relax
Try not to fight them
Find out the background before ever touching the patient
Then the provocative tests
Load and shift – generalized laxity, not traumatic instability
Neer impingement test is a pretty lousy test
Hawkins impingement test
Anterior apprehension for anterior instability
Posterior instability including the jerk test
AC joint pathology is going to be painful so it confuses the test
Palm down O’brien’s test for SLAP
Anterior dislocation – check to see if there is good smooth motion internally and externally
Posterior instability the converse is true.
These often get missed because they look normal until follow up with ortho.
Once dislocation is reduced check for full internal and external rotation.
ANTERIOR INSTABILITY – 18 minutes
Look at ROM
Click test is something that can be beneficial
Empty can is often normal due to deltoid
Arm inside external rotation
Stinger / Burner
External rotators weak
Possibly weak biceps
C7 cervical disk
Strong delts and biceps
Triceps are totally weak
C8 is ok (can keep fingers spread)
Watch the Easy Shoulder Evals Facebook live video
Other shows from Trinity University's Sports Medicine Symposium 2020
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