Shoulder Complex Chapter 18.

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Presentation transcript:

Shoulder Complex Chapter 18

Shoulder Anatomy Clavicle Scapula Humerus Articulations: Ligaments Sternoclavicular joint Acromioclavicular joint Glenohumeral joint Ligaments AC Glenohumeral lig Musculature Scapular muscles Bursae Nerve Supply Blood Supply

Preventing/Assessing Shoulder Injuries Proper Conditioning Muscle Testing History Observation Palpation Special Tests Muscle testing Instability Impingement Anterior/Posterior Drawer Sulcus test Apprehension test Supraspinatus Drop arm test Empty Can Test Biceps Tendon Iritation Circulatory Assessment Thoracic Outlet Syndrome test

Shoulder Injuries Epiphyseal Fracture Scapular Fracture: Clavicle Fracture: Etiology Signs and Symptoms Management Scapular Fracture: Humeral Shaft Fracture: Epiphyseal Fracture Etiology Signs and Symptoms Management Sternoclavicular Sprain Acromioclavicular Sprain

Shoulder Injuries Contusion to the distal end of clavicle Etiology Signs and Symptoms Management Glenohumeral Joint Acute subluxation and Dislocatoin Etiology Signs and Symptoms Management Anterior Glenohumeral Dislocation

Shoulder Injuries Posterior Glenohumeral dislocation Etiology Signs and Symptoms Management Chronic Instabilities (anterior, posterior, and multidirectional) Shoulder Impingement Etiology Signs and Symptoms Management Rotator Cuff Tears Frozen Shoulder

Shoulder Injuries Bicipital Tenosynovitis Biceps Brachii Rupture Thoracic Outlet Compression Syndrome Etiology Signs and Symptoms Management Biceps Brachii Rupture Bicipital Tenosynovitis Etiology Signs and Symptoms Management Contusion of the Upper Arm Peripheral Nerve Injury

Rehabilitation of Shoulder Injuries Therapy: RICE EXERCISE ISOMETRIC EXERCISE DURING IMMOBILIZATION CODMANS EXERCISE THERAPY: ICE WITH ELECTRICAL STIMULATION ULTRASOUND Basic Shoulder Biomechanics: Windup Phase Acceleration Phase Deceleration Phase Follow-through Phase

Rehabilitation of The Shoulder Complex Immobilization After Injury General Body Conditioning Shoulder Joint Mobilization Flexibility Muscular Strength Regaining Neuromuscular Control Functional Progression Return to Activity