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Evaluation of the overhead athlete: examination and ancillary testing

      During the initial evaluation of the overhead athlete, the examining physician’s objective is to determine the diagnosis that explains most or all of the patient’s symptoms, that is, the core diagnosis; to set reasonable goals for the return to full, symptom-free participation; and to determine the most logical course to accomplish these goals. This involves taking a careful, accurate, sport specific history, physical examination of the shoulder in the context of the kinetic chain, roentgenographic assessment, and determination of what, if any, ancillary testing is appropriate.
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