How is subluxation assessed in the evaluation of hemiplegic shoulder pain?

Updated: Feb 08, 2019
  • Author: Robert Gould, DO; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

Answer

To measure subluxation, palpate and/or measure the subacromial space using calipers or a thermoplastic jig. Compare these findings to those of the opposite shoulder. Measure the distance separating the acromial angle and the lateral epicondyle of the humerus using a sliding caliper (anthropometric measure). [20]

Bohannon and colleagues found that performing shoulder palpation to help diagnose subluxation can be reliably graded, with good interrater reliability and with good correlation with more precise radiographic measurements. [21] Other authors believe that there are no precise clinical means to measure the degree of subluxation, and if one could be devised, then the benefit of treatment would be validated.


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