1. Bradford L. Boone, MD

2.  Supraspinatus  Infraspinatus  Subscapularis  Teres Minor

5.  Humeral head depression  Humeral elevation/abduction  Humeral internal rotation  Humeral external rotation

7.  Repetitive strain  Keyboard operators  Light assembly line work

8.  Chronic tendinitis  Impingement syndrome  Rotator Cuff tear  Most common in moderate to heavy work occupations requiring sustained loads with the shoulder partly abducted and for forward flexed

9.  Acute – direct trauma causing fractures and or soft tissue injury –  Rotator cuff tears  Fractures  Dislocations  Instability issues

10.  25 years of age  45 years of age  55 years of age  65 years of age  75 years of age

11.  Heavy Laborer  Office worker  Stocker  Oil Field  Nurse  Professional Athlete

12.  Congenital Anomalies of the shoulder  Bony Abnormalities  Muscular Abnormalities  Neurovascular Abnormalities associated with Congenital anomalies

13.  Previous surgeries  Previous injuries

14.  When is a cumulative trauma to the shoulder work related?  Who is likely to have a cumulative trauma to the shoulder?

15.  Conservative  Surgical

16. Thank you!