Get the free shoulder exam template

Mid-County Orthopedic Surgery and Sports Medicine Initial Shoulder Evaluation Name: Which shoulder/extremity bothers you? Right / Left / Both If both, which hurts worse: R / L How long has it bothered

How to fill out shoulder exam template form

How to fill out shoulder evaluation template:

1. Start by gathering the patient's personal information, including name, age, and contact details.
2. Move on to documenting the patient's medical history, including any previous shoulder injuries, surgeries, or chronic conditions.
3. Include a section to record the patient's current symptoms, such as pain, inflammation, or limited range of motion.
4. Use objective measures to assess shoulder function, such as the ability to raise the arm or perform specific movements.
5. Consider including a pain scale for the patient to rate their pain level during specific activities or at rest.
6. Include any relevant diagnostic imaging results, such as X-rays or MRI scans, in the evaluation.
7. Document any additional assessments, such as strength testing or sensory examinations.
8. Finally, conclude the evaluation by providing an overall assessment of the patient's shoulder condition and any recommendations for further treatment or referrals.

Who needs shoulder evaluation template:

1. Medical professionals such as doctors, orthopedic specialists, or physical therapists who are assessing patients with shoulder issues.
2. Individuals who have experienced shoulder injuries or conditions and are seeking a thorough evaluation of their shoulder function and symptoms.
3. Insurance companies or legal entities involved in personal injury claims or workers' compensation cases that require documentation of a shoulder evaluation.

People Also Ask about

What are the special tests for the shoulder?

Special Tests for the Shoulder Exam Subacromial Impingement Syndrome. Hawkins Test. Neer's Test. Hawkins Test. Rotator Cuff Disease: Supraspinatus. Empty Can Test. Empty can test of shoulder” Drop Arm Test. Proximal Biceps Tendon Injuries. Yergason's Test. [9] Speeds Test.

What are 3 special tests for the shoulder?

Neer's Test. Hawkins / Kennedy Impingement Test. Painful Arc. Yocum's Test.

What are 2 special tests for the rotator cuff?

The special tests described in this review evaluate specific tendons of the rotator cuff. The Jobe's test and drop arm test evaluate the supraspintus whereas the lift-off test, passive lift-off, and external rotation lag signs assess the infraspinatus and teres minor.

Which 2 special tests are used to evaluate for instability in the shoulder?

The sulcus test. Caudal traction is applied to the humerus in an attempt to displace the humerus inferiorly. If this test is positive, multidirectional instability is present. The anterior apprehension test, or crank test, is also used to evaluate shoulder instability.

What 4 motions would you assess during an examination of the shoulder?

Evaluate the range of motion in forward flexion, abduction, external rotation, and internal rotation. If the patient has full active range of motion, there is no need to assess the passive range of motion. However, if the patient does not have full range of motion, assistance should be provided.

How do you remember shoulder special tests?

I PASS stands for Inspection, Palpation, Active ROM (& Passive ROM), Strength, Special Tests. This is a good mnemonic for doing Musculoskeletal exams e.g. shoulder, knee, etc.

What should a complete shoulder examination include?

A complete physical examination includes inspection and palpation, assessment of range of motion and strength, and provocative shoulder testing for possible impingement syndrome and glenohumeral instability.

What are red flags in shoulder assessment?

Red flags include: Trauma, pain and weakness, or sudden loss of ability to actively raise the arm (with or without trauma): suspect acute rotator cuff tear. Any shoulder mass or swelling: suspect malignancy. Red skin, painful joint, fever, or the person is systemically unwell: suspect septic arthritis.

For pdfFiller’s FAQs

How can I send shoulder exam template form for eSignature?

shoulder exam template form is ready when you're ready to send it out. With pdfFiller, you can send it out securely and get signatures in just a few clicks. PDFs can be sent to you by email, text message, fax, USPS mail, or notarized on your account. You can do this right from your account. Become a member right now and try it out for yourself!

How do I execute shoulder exam template form online?

pdfFiller has made it simple to fill out and eSign shoulder exam template form. The application has capabilities that allow you to modify and rearrange PDF content, add fillable fields, and eSign the document. Begin a free trial to discover all of the features of pdfFiller, the best document editing solution.

How do I edit shoulder exam template form on an Android device?

With the pdfFiller mobile app for Android, you may make modifications to PDF files such as shoulder exam template form. Documents may be edited, signed, and sent directly from your mobile device. Install the app and you'll be able to manage your documents from anywhere.

What is shoulder evaluation template?

The shoulder evaluation template is a structured document used by healthcare professionals to assess the condition, function, and range of motion of a patient's shoulder.

Who is required to file shoulder evaluation template?

Healthcare providers, such as physical therapists, orthopedic surgeons, and occupational therapists, are typically required to file the shoulder evaluation template to document patient assessments.

How to fill out shoulder evaluation template?

To fill out the shoulder evaluation template, the healthcare provider should gather information on patient history, perform a physical examination, assess range of motion, strength, and pain levels, and then input this data into the relevant sections of the template.

What is the purpose of shoulder evaluation template?

The purpose of the shoulder evaluation template is to standardize the assessment process, ensure thorough documentation, track patient progress, and aid in the diagnosis and treatment planning.

What information must be reported on shoulder evaluation template?

Information that must be reported includes patient demographics, medical history, current symptoms, physical examination results, range of motion measurements, strength assessments, and any clinical findings related to shoulder function.