Chapter 13

1
Chapter 13 The Shoulder and Upper Arm

• Pages 456 - 462

2
Ligamentous and Capsular Testing

• Difficult to manipulate clavicle

3
Test for SC Joint Laxity
Clavicular Motion Structures Involved
Inferior Interclavicular L.
Superior Costoclavicular L.
Anterior SC L. (posterior fibers)
Posterior SC L. (anterior fibers)
4
Test for AC Joint Laxity
Clavicular Motion Structures Involved
Inferior AC L. (superior fibers)
Superior Conoid, Trapezoid AC L. (inferior fibers)
Anterior AC L. Coracoclavicular L.
Posterior Clavicle on acromion Stress on AC L.
5
Test for GH Joint Laxity
6
Test for GH Joint Laxity

• All motions occur relative to plane of scapula
• Standard humerus is distracted from glenoid
  fossa
• Load and Shift technique load placed upon
  humerus

7
Test for GH Joint Laxity

• Implications
• Anterior coracohumeral L, superior and middle
  GH L., anterior joint capsule, labral tear
• Posterior posterior joint capsule, labral tear
• Inferior-anterior inferior joint capsule,
  superior GH ligament, coracohumeral L,

8
Neurological Testing

• Box 1-6, page 17
• C5 nerve root level
• Sensory testing
• Motor testing
• Reflex testing

9
SC Joint Sprains

• Evaluative Findings
• Table 13-6, page 459
• Pseudo-dislocation
• Surgical vs. conservative treatment

10
AC Joint Sprains

• Evaluative Findings
• Table 13-8, page 461
• Stability of AC joint
• Horizontal (anterior/posterior) AC L.
• Superior coracoclavicular L (conoid/trapezoid)
• separated shoulder
• Classification of AC sprains
• Table 13-7, page 460

11
AC Joint Sprains

• Step deformity
• Piano key sign
• Surgical vs. conservative treatment

12
AC Traction Test
13
AC Compression Test