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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
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
Clavicle Fracture:
• Etiology
• Signs and Symptoms
• Management

Epiphyseal Fracture

Scapular Fracture:

Sternoclavicular Sprain

• Etiology
• Signs and Symptoms
• Management

Humeral Shaft Fracture:
• Etiology
• Signs and Symptoms
• Management

• Etiology
• Signs and Symptoms
• Management
• Etiology
• Signs and Symptoms
• Management
Acromioclavicular Sprain
• 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

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
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:
•
•
•
•

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
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

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shoulder

  • 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 Epiphyseal Fracture Scapular Fracture: Sternoclavicular Sprain • Etiology • Signs and Symptoms • Management Humeral Shaft Fracture: • Etiology • Signs and Symptoms • Management • Etiology • Signs and Symptoms • Management • 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
  • 10. 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