The document outlines a comprehensive examination procedure for the shoulder, covering visual inspection, palpation, range of motion, and special tests. Key tests include the Neer impingement test, Jobe's empty can test, and the drop arm test for assessing rotator cuff injuries. It emphasizes the importance of checking for skin changes, limb attitudes, swelling, and muscle power.

1. Shoulder examination
WIPER ..

2. EXAMINATION OF THE SHOULDER (FRONT, BACK, SIDE)
Expose the whole upper limb & neck
1.LOOK
- Skin Changes (Color, Scar, Sinus)
- Attitude of limb
- Swelling
- Muscles Wasting
- Deformity
- Congenital Abnormalities
2. FEEL
- Confirm the above findings
- Ask for & feel
- Temperature
- Tenderness
- Muscles
- Swellings
- Sensations & Power

3. 3.MOVE – Range of Movements (FLX,EXT,ABD,ADD,IR,ER)
- Active movements

4. - Passive movements

5. 4.MEASUREMENT
5.SPECIAL TESTS:
- Neer impingement test (Rotator cuff – Supraspinatus)

6. - Jobe`s empty can test (Rotator cuff – Supraspinatus)
- Lift off test (Rotator cuff – Subscapularis)

7. - Test for infraspinatus – push out
- Yergason test (Rotator cuff – Biceps)

8. - Test for teres minor

9. - Apprehension test (For Dislocation) supine position:

10. . Perform the Drop Arm Test to assess supraspinatus (and rotator cuff) injuries or tendon tears
 Abduct the patient’s arms passively to 90 by holding their wrists
 Release the patient’s wrists and instruct the patient to slowly lower the arms to the sides
 The test is positive if the patient is unable to return his arms to the sides in a smooth and
controlled fashion and his arms drop to the sides

11. Hornblower test