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?