Scapular Winging
May 9, 2020
Virtual Care Sports Medicine Physical Examination Physician Guide
May 10, 2020

Virtual Care Sports Medicine Examination Patient Guide

Introduction:

In response to increasing provision of virtual care in sports medicine during the 2020 COVID 19 pandemic.  This guide was developed to help patient during virtual encounters with their physician.

Patient Instructions:

Printable PDF versions for Download:

Virtual Examination guide to upper body

Upper Extremity – Patient Instructions

Virtual Examination guide to lower body

Lower Extremity – Patient Instructions

 

Upper Extremity

Sports Medicine Virtual Physical Exam Upper Extremity – Patient Instructions

Pre-Visit Patient Preparation

    • During the physical exam portion of your visit you will be asked to expose your shoulders, back, and neck as you feel comfortable. Clothing options to help with this include: ▪ Tank top with thin shoulder straps
    • ▪ Sports bra (female)
    • ▪ Removal of shirt (male)
    • ▪ Other
  • Set up your camera so you have an area large enough to accommodate your wingspan ▪ i.e. arms straight out the side at shoulder height

Patient-directed Palpation Diagram

  • The following pages contain diagrams that your physician will refer to that will assist with the palpation portion of your physical examination
  • Your physician will ask you to press specific locations on your affected joint based on the labelled pictures and numbers.
  • Please let your physician know which of these locations become painful with applied pressure.

Sports Medicine Virtual Physical Exam Upper Extremity – Patient Instructions

Shoulder

Figure 1A – Front of Shoulder

Figure 1B – Side of Shoulder

Figure 1C – Back of Shoulder

2 Elbow

Figure 2A – Front of Elbow

Figure 2B – Outside of Elbow

Figure 2C – Inside of elbow

Figure 2D – Back of elbow

Hand/Wrist

Figure 3A – Palm of Hand

Figure 3B – Pinky Side of Wrist

Figure 3C – Thumb Side of Wrist

Figure 3 D Back of Hand

Lower Extremity

Pre-Visit Patient Preparation

  • Please make sure you are wearing a pair of shorts that goes to about mid-thigh.
  • • Set up your camera so you have: o An area large enough to walk/squat
  • o An Area to lay down (bed, couch, yoga mat)
  • o A stationary chair (i.e no wheels) to sit in so that your feet are flat on the floor
  • o A Belt or Thera-band

Patient-directed Palpation Diagram

  • • The following pages contain diagrams that your physician will refer to that will assist with the palpation portion of your physical examination
  • • Your physician will ask you to press specific locations on your affected joint based on the labelled pictures and numbers.
  • • Please let your physician know which of these locations become painful with applied pressure.

Sports Medicine Virtual Physical Exam Lower Extremity – Patient Instructions

Foot/Ankle

Figure 4 A – Front of Ankle/Foot

Figure 4B – Inside of Ankle/Foot

Figure 4C – Outside of Ankle/Foot

Figure 4D –Back of Ankle/Foot

Figure 4E – Bottom of Foot

   

Knee

Figure 5A – Front of Knee

Figure 5B – Inside of Knee

Figure 5C- Outside of Knee

Figure 5D – Back of Knee

   

Hip

Figure 6A – Front of Hip

Figure 6B – Outside of Hip

Figure 6C – Back of Hip

Authors:

Dr. Alessandro Francella, Dr. Sari Kraft, Dr. Fahim Merali and Dr. Neil Dilworth (April 30, 2020 PR ND AF)