Posteriorly look at acromion, the scapular spine, the supraspinatus muscle above the spine, the infraspinatus below the spine, teres minor muscle, the trapezius muscle, the rhomboid muscle, and look for scapular thoracic articulation, particularly looking for winged scapula.

Next assess the strength of the rotator cuff muscles.

Palpate anatomic landmarks for tenderness including the abdomen to evaluate for abdominal fascial hernia, anterior superior iliac spine, anterior inferior iliac spine, the iliac crests, and pubic symphysis.

Also in the seated position, palpate anatomic landmarks for tenderness.

The test is positive if the patient is unable to keep arms elevated after the examiner releases.

(English captions by Andrea Matsumoto from the University of Michigan)

Blood would basically go this way when it wasn't supposed to. All of a sudden our flow of blood is going in the wrong direction.

Pain suggests possible tendinopathy or tear.

Most patients can reach to T7 or the lower border of the scapula.

(English captions by Andrea Matsumoto from the University of Michigan)

These are all the chordae tendinae and these are the papillary muscles.

Infraspinatus and teres minor muscle strength is tested with resisted external rotation.

Relief of apprehension is a positive test.

To perform Yergason's test flex elbow to 90 degrees, shake hands with patient and provide resistance against supination.

AK

And I can build muscles gradually, just like that.

Provide downward resistance against the shoulder flexion.

Externally rotate the arm until patient becomes apprehensive and provide resistance against elbow flexion.

Provide resistance as the patient pushes their arm away from the body.

When I did that,

There are no roses without thorns.

There is no rose without thorns.

What a terrible thing to say.

Collar bone and rotator cuff.

There's a big drop to lots of spikes!

Like a thorn stuck in your throat.

Just as a thorn stuck in one's throat.

Only blood, only dust,

And I started first with cow Achilles tendon, where we would take the cow Achilles tendon, which is type I collagen, strip it of its antigens by degrading it with an acid and detergent wash and forming it into a regeneration template.

And biceps that could crack walnuts.

Like a thorn stuck in your throat.

Sleep deprivation increases risk of heart attacks.

Inability to flex the isolated finger at the metacarpophalangeal joint may indicate a partial or complete tear of the flexor digitorum superficialis.

About four years ago my Achilles tendon started to hurt and I was told it was Achilles tendonitis.

And we'll get both sides in there.

There was a hematoma in the rectus and...

We needed the subtleties of the skin.

In the seated test the patient should have feet flat on the floor, shoulder width apart.

You see the string tendon from the hyena, the hyena's front leg, automatically pulls the hoop up.

Three sets of 30 situps and back extensions

So, as you step forward you really open up the chest muscle.

Where'd you lift this from?!

Begin with the standing evaluation of the foot anatomy.

I went beyond what I thought were my limits.

We got a rebar! Come on!