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"The Shoulder" Demo
6* Passive medial rotation
back to basic functional examination.
Elbow at a right angle
Elbow and upper arm against the trunk
Trunk and contralateral shoulder fixed
Take hold of the distal forearm
The arm is brought gently into full medial rotation until the endfeel is reached.
Normal endfeel: ligamentous
Make sure not to extend the shoulder during the movement. The elbow should therefore be well immobilized
so the movement is performed around a vertical axis.
Make sure to immobilize the contralateral shoulder in order to avoid movements of trunk and shoulder girdle.
Normal Range: 90° / or until the arm comes in line with the spine of the scapula.
Structures that stop the movement:
Posterior portion of the capsule
Lateral rotators of the shoulder
Contact between the minor tubercle and the anterior portion of the glenoid labrum.