Painful

Musculoskeletal System


{"ops":[{"insert":"The drop arm test"},{"insert":"\n","attributes":{"header":1}},{"insert":"The drop arm test determines the ability of the patient to sustain humeral joint motion through eccentric contraction.\n\nThe affected arm should be passively abducted to 90\u00ba and flexed to 30\u00ba with the thumb pointing downwards; the examiner should then let go.\n\nInability to maintain the posture following release constitutes a positive test, and indicates underlying rotator cuff dysfunction (most likely, tears in, or weakness of, the supraspinatus muscle).\n"},{"insert":"Red flags in shoulder pain"},{"insert":"\n","attributes":{"header":1}},{"insert":"In the evaluation of patients with acute shoulder pain, it is always essential to keep an eye out for \u0027red flag\u0027 signs and symptoms which may potentially signify underlying serious disease.\n\nKey red flag symptoms include:\n\n- a history of preceding trauma or epileptic fits\n- a history of cancer, symptoms suggestive of malignancy, or an unexplained deformity, mass or swelling\n- symptoms suggestive of infection or risk factors for infection such as immunosuppression or a penetrating wound\n- significant motor weakness, sensory disturbances, or acute disabling pain\n\nImportant red flag examination findings include:\n\n- loss of rotation or normal anatomical shape of the joint, suggesting at an unreduced dislocation\n- a positive drop arm test, indic"}]}

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