Shoulder Complex

1
Shoulder Complex

• Chapter 18

2
Shoulder Anatomy

• Clavicle
• Scapula
• Humerus
• Articulations
• Sternoclavicular joint
• Acromioclavicular joint
• Glenohumeral joint

• Ligaments
• AC
• Glenohumeral lig
• Musculature
• Scapular muscles
• Bursae
• Nerve Supply
• Blood Supply

3
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

4
Shoulder Injuries

• Clavicle Fracture
• Etiology
• Signs and Symptoms
• Management
• Scapular Fracture
• Etiology
• Signs and Symptoms
• Management
• Humeral Shaft Fracture
• Etiology
• Signs and Symptoms
• Management

• Epiphyseal Fracture
• Etiology
• Signs and Symptoms
• Management
• Sternoclavicular Sprain
• Etiology
• Signs and Symptoms
• Management
• Acromioclavicular Sprain
• Etiology
• Signs and Symptoms
• Management

5
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

6
Shoulder Injuries

• Posterior Glenohumeral dislocation
• Etiology
• Signs and Symptoms
• Management
• Chronic Instabilities (anterior, posterior, and
  multidirectional)
• Etiology
• Signs and Symptoms
• Management

• Shoulder Impingement
• Etiology
• Signs and Symptoms
• Management
• Rotator Cuff Tears
• Etiology
• Signs and Symptoms
• Management
• Frozen Shoulder
• Etiology
• Signs and Symptoms
• Management

7
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

8
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

9
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