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Para asegurar una evaluacion exhaustiva es mejor llevar a cabo el examen muscuoesqueletico del

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hombro en una manera sistematica

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La siguiente es un orden sugerido que incorpora las tecnicas comunes para

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el diagnostico de las lesiones de hombro.

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El examen de hombro comienza la inspeccion.

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En una vista anterior evaluar los hombres para asimetria, deformidad clavicula, atrofia muscular.

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o los cambios de piel.

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En una vista posterior evaluar para el mismo.

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Siguiente evaluar para el rango activo de movimiento.

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Si dolor o limitacion existe, repetir el movimiento pasivamente.

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Para descartar causas de dolor en el hombro, evaluar rangos de movimiento del cuello: flexion,

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extension, flexion lateral, y rotacion.

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Siguiente evaluar el rango activo de movimiento de los hombres: flexion, extension, secuestro,

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adducion, rotacion externa, y rotacion interna.

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En la vista posterior se puede evaluar mas la aduccion y rotacion externa combinada

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con Apley prueba de marcar de rotacion externa.

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Haga que el paciente alcance de arriba y abajo de la columna vertebral.

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La mayoria de los pacientes pueden llegar mas alla de C7.

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Combina la adducion y rotacion interna con la Apley prueba de marcar de rotacion interna.

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Haga que el paciente alcance detras de la espalda y hasta la columna vertebral.

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La mayoria de pacientes pueden alcancar a T7 o el borde inferior de la escapula.

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Siguiente evaluar la fuerza de los musculos del manguito de los rotadores.

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La prueba de caida del brazo evalua para un desgarro musculo supraespinoso.

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Pasivament aducir el hombro a novento grados, flexione a 30 grados, apuntar los pulgares hacia abajo.

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La prueba es positiva si la paciente no puede mantener las brazos elevados despues el investigador solta.

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