The Shoulder

Help - Examination

You are not sure whether there is a limitation of the lateral rotation .

  • make sure that the technical execution of the test is perfect and compare several times with the other side.
  • an asymmetry in the shouldergirdle can give the impression that the lateral rotation is being carried out less thoroughly. In that case, a good point of reference is the position of the forearm in relation to the spina scapulae. When a light inclination of the scapula is the cause of a diminished exorotation, then, a relatively enlarged medial rotation will make sure that the combined exo-endo movement has the same range on both sides.
  • when further in doubt: simultaneous passive bilateral lateral rotation in supine lying position. This gives a better relaxation and a better fixation of the shouldergirdle. By carrying out the movement bilaterally, a limitation can rather easily be discovered.

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