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Clinically how to diagnosed the muscle tear

Take the patient history-1

A complete history begins with the patient's age, dominant hand and sport or work
activity. It is important to assess whether the injury prevents or hampers normal work
activities, hobbies and sports. The patient should be asked about the pain , instability,
.stiffness, locking, swelling
:Physical Examination -2
A complete physical examination includes inspection and palpation, assessment of range
of motion and strength, and provocative testing for possible impingement syndrome and
.instability

INSPECTION
The physical examination includes observing the way the patient moves , Swelling,
asymmetry, muscle atrophy, scars, ecchymosis and any venous distention should be
noted.

PALPATION

for tenderness areas " pain areas"

RANGE-OF-MOTION TESTING

the affected extremity should be compared with the unaffected side to determine the
patient's normal range. Active and passive ranges should be assessed. For example, a
patient with loss of active motion alone is more likely to have weakness of the affected
muscles than joint disease.

EVALUATING

In evaluating the extremity should always be compared with the unaffected side to detect
subtle differences in strength and motion. A key finding, is pain accompanied by
weakness. True weakness should be distinguished from weakness that is due to pain.

FUNCTIONAL TESTS

Assessing the ability to carry out the following tasks gives the therapist a clear picture
about the patients current abilities.

They can also be used as objective markers to show progression once treatment and
rehabilitation have been initiated.

SPECIFIC TESTS

For example : Rotator Cuff Tears

 some of Specific tests for shoulder tear :

NEER'S TEST
HAWKINS' TEST
DROP-ARM TEST
CROSS-ARM TEST

REFERENCE:
HTTP://WWW.AAFP.ORG/AFP/2000/0515/P3079.HTML