Transcript Shoulder Complex - University of Ottawa

Shoulder Complex
Chapter 18
Shoulder Anatomy

Clavicle
 Scapula
 Humerus
 Articulations:
• Sternoclavicular joint
• Acromioclavicular
joint
• Glenohumeral joint

Ligaments
• AC
• Glenohumeral lig

Musculature
• Scapular muscles
• Bursae

Nerve Supply
 Blood Supply
Preventing/Assessing Shoulder
Injuries

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
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Proper Conditioning
Muscle Testing
History
Observation
Palpation
Special Tests
• Muscle testing
• Instability
• Impingement
•
•
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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


Clavicle Fracture:
• Etiology
• Signs and Symptoms
• Management

Scapular Fracture:

Sternoclavicular Sprain

• Etiology
• Signs and Symptoms
• Management
Acromioclavicular Sprain
• Etiology
• Signs and Symptoms
• Management
• Etiology
• Signs and Symptoms
• Management

Humeral Shaft Fracture:
• Etiology
• Signs and Symptoms
• Management
Epiphyseal Fracture
• Etiology
• Signs and Symptoms
• Management
Shoulder Injuries


Contusion to the distal end of
clavicle
• Etiology
• Signs and Symptoms
• Management
Glenohumeral Joint
• Etiology
• Signs and Symptoms
• Management

Acute subluxation and
Dislocatoin
• Etiology
• Signs and Symptoms
• Management

Anterior Glenohumeral
Dislocation
• Etiology
• Signs and Symptoms
• Management
Shoulder Injuries

Posterior Glenohumeral
dislocation
• Etiology
• Signs and Symptoms
• Management


• Etiology
• Signs and Symptoms
• Management

Rotator Cuff Tears
• Etiology
• Signs and Symptoms
• Management
Chronic Instabilities
(anterior, posterior, and
multidirectional)
• Etiology
• Signs and Symptoms
• Management
Shoulder Impingement

Frozen Shoulder
• Etiology
• Signs and Symptoms
• Management
Shoulder Injuries


Thoracic Outlet Compression
Syndrome
• Etiology
• Signs and Symptoms
• Management


Biceps Brachii Rupture
• Etiology
• Signs and Symptoms
• Management

Bicipital Tenosynovitis
• Etiology
• Signs and Symptoms
• Management
Contusion of the Upper Arm
• Etiology
• Signs and Symptoms
• Management
Peripheral Nerve Injury
• Etiology
• Signs and Symptoms
• Management
Rehabilitation of Shoulder
Injuries

Therapy:
• RICE
• EXERCISE
• ISOMETRIC EXERCISE DURING IMMOBILIZATION
– CODMANS EXERCISE
• THERAPY: ICE WITH ELECTRICAL STIMULATION
• ULTRASOUND

Basic Shoulder Biomechanics:
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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