ABSTRACT

Z Muscle wasting: Deltoid, periscapular muscles (supraspinatus and infraspinatus).

FEEL

Ask if the shoulders are painful.

Z Skin: Temperature.

Z Bones and joints: Palpate the bony landmarks of the shoulder, starting at the sternoclavicular joint and moving laterally along the clavicle. Try to localise any tenderness. Can you feel any effusions?