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5301. Group I - Extrinsic Muscles Of Shoulder Girdle


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Guest allanopie

<H3 style="MARGIN: auto 0in">5301. GROUP I - EXTRINSIC MUSCLES OF SHOULDER GIRDLE

INITIAL EXAM, AMIE WORKSHEET # 1435</H3>EXAMINATION:

The examiner should:

1. Record history of initial wound including nature of missile, if known; initial treatment in the field; length of initial hospitalization and any surgeries or other repairs undertaken; time for return to duty or limited duty or determination that duty could not be resumed. Where possible, record exact muscles injured or destroyed.

2. Record history of associated injuries, particularly those affecting associated bony structures, nerves or vascular structures and specify the nature of treatment required.

3. Describe present symptoms of muscle pain, activity limited by fatigue or inability to move joint through a portion of its range; and the degree to which this interferes with activities of daily living.

4. Describe all entry and exit wound scars as well as dimensions of underlying muscle mass loss.

5. Grade loss of muscle function:

a. "Severe." No ability of muscle group to move joint even with gravity eliminated and joint passively moveable.

b. "Moderately Severe." Muscle group can move joint only with assistance or with gravity eliminated.

c. "Moderate." Muscle group can move joint independently through useful ranges of motion but with limitation by pain or easy fatigability or weakness.

d. "Slight." Muscle group can move joint through normal range with sufficient comfort, endurance and strength to accomplish activities of daily living.

6. Record whether injury affects dominant or non-dominant side.

7. Record active ability to move shoulder and arm in abduction (normal to 180 degrees) and forward flexion (normal to 180 degrees).

8. Record passive range of motion of the shoulder, including abduction and forward flexion.

DIAGNOSTIC TEST RESULTS:

X-ray of shoulder in two planes to include entire scapula.

DIAGNOSIS:

The examiner should specify the anatomical and pathophysiological diagnosis.

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