Shoulder Instabilities are underdiagnosed and underexamined! Sharpen your diagnostic certainty with these Physical Examination maneuvers. This video explains the Philosophy of examining for shoulder instabilities and a follow up video demonstrates how to perform the maneuvers. This is part of a 6 hours QME Continuing Education Home Study Course entitled "Special Tests in the QME Exam - Upper and Lower Extremities" by Perry J. Carpenter DC QME
Many structures contribute to the stability of the shoulder joint - which is an unstable joint to begin with....Muscles, tendons, ligaments, and smaller connective tissues can be easily injured in the shoulder and when they are, instability of the shoulder results. Unfortunately, this is often misdiagnosed as a rotator cuff strain, bicep tendon strain, labrum tear, or joint arthritis. Not surprisingly, treatment efforts fail because they don't address the true cause of the pain. This video e
The AMA Guides 5th Edition describes 3 examination maneuvers for the assessment of shoulder instability - 1. The Loading Anterior/Posterior Drawer, 2. The Apprehension Sign, and 3. The Relocation Maneuver. This video explains how to properly perform the maneuvers and how to assess for true objective findings indicative of shoulder hyperlaxity/instability.
Shoulder Instability is underexamined and underdiagnosed! Shoulder instability syndromes are often misdiagnosed as 1) rotator cuff injury, 2) bicep tendon injury, 3) glenoid labrum injury, 4) joint degenerative conditions. Misdiagnosis leads to inappropriate and unnecessary treatments - including surgery. These Physical Examination maneuvers accurately identify shoulder instability syndromes - which then can be properly treated to full recovery.
There are many methods for rating Permanent Impairment of the shoulder. However, often overlooked are Impairments related to "Shoulder Instability." And, often controversial is rating by analogy to "resection of the distal clavicle" in those surgical cases that DO NOT actually involve resection. This video is a complete course in examining and evaluating the shoulder. Special discussion is reserved for 1) shoulder instability, and 2) analogous impairment to "resection of the distal clavicle
Carpal tunnel syndrome is a common presenting complaint in clinical practice, and in Workers' Compensation Qualified Medical Evaluations. Some tests for assessing carpal tunnel syndrome are better than others and this Program demonstrates the most sensitive and most specific tests that we have. Some of these may be new to you - even if you are a seasoned practitioner. As always, proper performance of the maneuver is critical.
The AMA Guides provide for 3 levels of Permanent Impairment due to post-surgical "carpal tunnel syndrome." However, The Guides are vague on Permanent Impairment in non-surgical cases, and, in cases where there is obvious impairment, however, electrodiagnostic studies are "normal." This video is extracted from a 6 Hour QME Continuing Education Home Study Program entitled "Upper Extremity Impairments due to Entrapment Neuropathies"
The AMA Guides provide for 3 levels of Permanent Impairment due to post-surgical "carpal tunnel syndrome." However, The Guides are vague on Permanent Impairment in non-surgical cases, and, in cases where there is obvious impairment, however, electrodiagnostic studies are "normal." This video is extracted from a 6 Hour QME Continuing Education Home Study Program entitled "Upper Extremity Impairments due to Entrapment Neuropathies"

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