Standing or sitting
For women, a gown over the non-examined side with the examined area exposed or a halter top is recommended.
For men, removal of the shirt is requested.
Lateral to the patient.
May I place my fingers on the top of your shoulder? (or point to the demonstrated area).
Let me move your arm back.
Guide the patient to extend his/her shoulder. Support the upper limb in this position, so that the patientÃs shoulder muscles relax. Place your fingers on the anterior shoulder. You will not be able to palpate the subacromial bursa, particularly the healthy, non-injured bursa. However, with an inflamed bursa, the palpated area on the anterior shoulder will be tender to touch.
VH - Subacromial bursa if it is shown on the VH.