New Shoulder by IanKilpatrick

VIEWS: 50 PAGES: 2

									                                                      ROM              R            L
                                               FE
                                               ABD
                                               ER SIDE
                                               IR BACK
                                               ER ABD
                                               IR ABD

                                                       PRIOR RX:        NSAID BRACE ICE
    SETH C. GAMRADTUCLA                                PT INJ
SPORTS MEDICINE
SHOULDER EVALUATION                                    IMPROVED?
                                                       ________________________________
HPI:
                                                       PREVIOUS
SHOULDER:       L          R            B              SURGERY__________________________
                                                       ________
HAND:   L           R
                                                       MISC:
DATE OF
INJURY_________________(gradual)                       PHYSICAL EXAM:

MECHANISM OF                                           C-SPINE
INJURY___________________                              ROM__________SPURLING_________

SPORTS:                                                TTP:         NECK TRAP AC BICEPS

DISLOCATIONS:                                          DELT SUPRA INFRA
__________________ER?______                            ATROPHY:_______

 POP    SWELLING          INSTABILITY                  AD___
CLICK                                                  ROM STRENGTH:

LOCATION OF
PAIN:_______________________                           DELT__________SS_______________

MECHANICAL          NIGHT
OVERHEAD
                                                       ER________BELLY______LIFT______
RADIATING      REST      THROW?                        IR
                                                       NEER _________ HAWKINS_______

         For the Office of Seth C. Gamradt, MD - Orthopaedic Surgery and Sports Medicine
                                     1250 16th Street, Suite 3145
                                       Santa Monica, CA 90404
                                     310.319.1234 Appointments
          X-                                           _____________________________________
BODY_________OBRIENS________




WINGING__________________________




APPREHENSION___________________

     RELOCATION:________________
L+S: ANT___________ POST_________




SULCUS____________________________




PULSE____________NEURO__________


PUL IMAGING:
 ME XX: NORMAL

      OTHER_______________________
_____________________________________
            MRI:
CUFF:________________________
LABRUM___________________________



BICEPS_____________________________



CARTILAGE________________________
BONE_______________________________

IMP:________________________________
____________________________________
PLAN:______________________________
         For the Office of Seth C. Gamradt, MD - Orthopaedic Surgery and Sports Medicine
                                     1250 16th Street, Suite 3145
                                       Santa Monica, CA 90404
                                     310.319.1234 Appointments

								
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