Systematic examination of the whole patient is
important for an elimination of transmitted pains into the area of the shoulder
joint. From this reason it is necessary to examine not only the shoulder, but
also f. e. the parts of the body the illnesses of which can manifest themselves
by irradiation of the pain into this joint. See pseudoradicular
syndrome and an illness of enterocoele
and thoracic organs. It is necessary to examine both shoulders
simultaneously, to compare their muscular strength, sensitiveness, reflexes,
extension of the movement and stability in a view of differences of the dominant
limb. At least an informative neurological examination is necessary to be made,
especially in the cases of a suspicion of vertebrogenic etiology of the
problems. We cannot forget the examination of a periphery pulsation.