Posteriorly look at acromion, the scapular spine, the supraspinatus muscle above the spine, the infraspinatus below the spine, teres minor muscle, the trapezius muscle, the rhomboid muscle, and look for scapular thoracic articulation, particularly looking for winged scapula.

There are no roses without thorns.

There is no rose without thorns.

What a terrible thing to say.

Like a thorn stuck in your throat.

Just as a thorn stuck in one's throat.

Only blood, only dust,

Like a thorn stuck in your throat.

Palpate anatomic landmarks for tenderness including the abdomen to evaluate for abdominal fascial hernia, anterior superior iliac spine, anterior inferior iliac spine, the iliac crests, and pubic symphysis.

Next assess the strength of the rotator cuff muscles.

I can compare it to nothing but a large door mat, ornamented at the edges with

The test is positive if the patient is unable to keep arms elevated after the examiner releases.

(English captions by Andrea Matsumoto from the University of Michigan)

... 'discovery' can mean finding a guppy with an extra spine in its dorsal fin.

Pain suggests possible tendinopathy or tear.

In the seated test the patient should have feet flat on the floor, shoulder width apart.

They traded them with their neighbors for things like stingray barbs, and the consequence was that stone axes ended up over a large part of Australia.

It's had tacks in it, and splinters, and boards torn up, and places with no carpet on the floor.

The Trendelenburg test assesses for hip stability.

The Trendelenburg test assesses for hip stability.

It questions whether or not there really are any new frontiers out there, whether there are any true, hardcore discoveries that can still be made.

The standing flexion test assesses for lumbosacral, sacroiliac, or pelvic dysfunction.

The patient slowly flexes forward.

The patient slowly flexes forward.

The last article is entitled, No New Frontiers.

I got the recent issue. There's a cover story about the great explorers of our time.

Again the examiner notes the PSlS (posterior superior iliac spine) positioning on the patient flexed forward.

Langston Hughes is making a metaphor that compares a hard life to a wrecked house you still have to live in.

And hunger, and cold, exhausting work and poverty are what's also inside those splinters.

To prevent loss of leg length due to pelvic rotation, ask the patient to raise the pelvis off of table and reposition before fully extending legs.

You want to measure the distance between the ASlS (anterior superior iliac spine) and the medial maleolus and compare the distance from one side to the other side.