Evaluation of the shoulder and the patient

A. Clinical Evaluation of Shoulder Problems

   1. History
   2. Physical Exam
B. Radiographic Evaluation of Shoulder Problems
   1. Plain radiographs
   2. MRI
   3. CT 

   4. Ultrasound

C. Patient self-assessment of shoulder comfort and function
D. Assessment of the patient's health
      1. Patient health and surgical risk
      2. Ten modifiable factors that can improve health and outcome
      3. Measuring overall health
         a. SF 36
         b. Charlson Comorbidity Index
         c. BMI
         d. General health status
         e. Preoperative health
      4. Addiction
         a. Alcohol Consumption and Complications
         b. Opioid use 1
         c. Opioid use 2
      5. Smoking
        a. Smoking - effect on healing
        b. Smoking - relation to pain 1
        c. Smoking - relation to pain 2
        d. Smoking - effect on cuff tear size
      6. Diabetes
        a. Diabetes 1
        b. Diabetes 2 - glycemic control
      7. Mental Health
        a. Depression
        b. Mental health
        c. Catastrophic thinking
        d. Psychological distress
      8. Medications
        a. Aspirin
        b. Coagulation
      9. Kidney and liver function
      10. Blood pressure
        a. Hypertension
      11. Allergies
      12. Bone quality
        a. Osteoporosis
        b. Osteoporosis #2
      13. Heart conditions
         a. Atrial fibrillation
         b. Atrial fibrillation 2
      14. Obesity
         a. Obesity 1
         b. Obesity 2
         c. Obesity 3
         d. Obesity 4
         e. Obesity 5
      15. Age
         a. Age 1
         b. Age 2
      16. Sleep
         a. Sleeplessness
         b. Sleep apnea
       17. Pain
         a. Preoperative pain 1
         b. Preoperative pain 2
       18. Exercise
       19. Social factors
         a. Effect of insurance and ethnicity
         b. Effect of income
         c. Workers' compensation
         d. Compliance and worker's compensation