[Standardized shoulder examination with reference to computerized isokinetic strength testing (Cybex II)].

Abstract

The complexity of shoulder movement makes it difficult to test normal or pathological shoulder function, as well as therapy results after injury. There are also problems to classify therapy results and to compare those with the results of other persons or other treatment methods. The aim of this paper is to introduce a standardised examination method of the shoulder and a standardised score regarding "subjective feelings", "clinical examination", "technical examination" such as x-ray, CT, sonogram, and "computerised isokinetic strength test", which enables us to conduct a follow-up case study of different patient groups after shoulder injury. Standardised examination programmes of the most common shoulder injuries like AC separations, rotator-cuff tears and luxations of the shoulder are given in this paper. A retrospective study of surgically treated AC separations Type III at the Staatliche Orthopädische Klinik München/Harlaching showed that therapy results can be established with the help of this score. The efficacy of different treatment methods (e.g. Bosworth and tension-band wire) can be both elucidated and compared.