From the Department of Orthopedic Surgery, Naval Hospital Camp Pendleton, Camp Pendleton, CA (Dr. Hippensteel), and the Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, MO (Dr. Brophy, Dr. Smith, and Dr. Wright).
J Am Acad Orthop Surg. 2019 Jun 1;27(11):385-394. doi: 10.5435/JAAOS-D-17-00090.
A thorough physical examination of the shoulder and cervical spine is critical in establishing a focused differential diagnosis of the pathology in and around the shoulder joint. Numerous tests have been described in the literature to help improve the diagnostic accuracy of specific shoulder or cervical spine pathology. A comprehensive approach for the physical examination of the cervical spine, scapula, and rotator cuff is presented and descriptions on how the tests are performed and the evidence behind why specific tests are used in enabling improved diagnosis of shoulder pathology are discussed.
对肩部和颈椎进行彻底的体格检查对于确定肩关节及其周围病变的具体鉴别诊断至关重要。文献中已经描述了许多测试方法，以帮助提高特定肩部或颈椎病变的诊断准确性。本文介绍了一种全面的颈椎、肩胛骨和肩袖体格检查方法，并讨论了这些检查的操作方法以及为何使用特定检查来提高肩部病变诊断准确性的依据。
