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[Music] okay so first thing I do is I have the patient stand up so this is Gina shes one of our athletic trainers and I usually try to not to just look at the patient and then Im just going to go over for a second or a minute or two how we define landmark so Im gonna have Gina turn towards you all so if I look at the patient sternoclavicular joins us here AC joint is here if I go two finger breaths straight down from the AC joint if the arm is neutral meaning the hand is sitting right here her biceps tendon is gonna be right there for skinny muscular people like Gina you can feel it right in that groove you can feel greater tuberosity lesser tuberosity and find the bicipital tendon I can look if you turn sideways ish so its all reflective supraspinatus fossa is here infraspinatus fossa is here okay so I can get all my anatomy and look for anything that looks different or asymmetrical just by looking at them but you can see the difference between that versus I cant see the shoulde
