Documents
Resources
Learning Center
Upload
Plans & pricing Sign in
Sign Out
Get this document free

Shoulder Complex - PowerPoint

VIEWS: 55 PAGES: 23

									The Shoulder Complex
       Care and Prevention of Athletic
                  Injuries
             Bony Anatomy

Shoulder Complex
and Joint are made
up primarily of the....

  Clavicle

  Humerus

  Scapula

Each bone has its
own parts
        Bony Anatomy cont’d

Important
projections
(parts) to
remember!
             Articulations

Sternoclavicular Joint

Acromioclavicular
Joint

Glenohumeral Joint
(mistakingly thought of
as the ONLY joint in
the shoulder)

Scapulothoracic Joint
           Shoulder ligaments
GH Jt

  glenohumeral ligaments

AC Jt

  acromioclavicular lig

  coracoclavicular lig

SC jt

  sternoclavicular

  costoclavicular
Ligaments cont’d
                    Muscles

Anterior Muscles        Rotator Cuff
  Deltoids               function?
  Pectoralis Major       supraspinatus
  Biceps brachii         infraspinatus
  Triceps brachii        teres minor
Posterior Muscles        subscapularis
  Rhomboids
Muscles cont’d
               Shoulder ROM

  Shoulder complex can
                         5. Internal Rotation
  perform NINE ROM
                         6. External Rotation
1. Flexion
                         7. Horizontal adduction
2. Extension
                         8. Horizontal abduction
3. Abduction
                         9. Circumduction
4. Adduction
           CLASSWORK


Based on your knowledge that muscles PULL not
push, try to guess the function of each of the
muscles we reviewed today.

Then, based on your knowledge/past
experiences list exercises that would workout
these muscles during a rehab program.
                      Clavicle Fractures
•   MOI:
    •   FOOSH
    •   Direct
    •   Fall on tip of shoulder
•   S&S:
    •   Obvious deformity/TTP
    •   Head tilt toward fx
    •   Step deformity
•   Management:
    •   6-8 week immobilization
    •   SX
    •   PT
                  Humerus Fracture
•   MOI:                       •   Management/TX
    •   Direct impact              •   Splint and refer to MD
    •   fall on arm
                                   •   XRAY to confirm DX
    •   dislocation
                                   •   Casted for 3
•   S&S:                               weeks…..RTP 3-4
                                       months
    •   Pain

    •   Swelling, TTP,   ROM

    •   Ecchymosis

    •   Dropped wrist…why?
         What
Shaft   fx type
           is
 FX      this?
    Sternoclavicular Sprain (SC jt)

•   Rare                        Grade 1   Minimal pain &
                                          TTP, no
•   MOI:                                  obvious
                                          deformity
       Indirect force?
                                Grade 2   Subluxation of
       Direct blow                       SC jt, obvious
                                          deformity,
   Risks?                                pn,swelling,
                                          Abd
       Posterior dislocation   Grade 3   Swelling,
                                          displacement of
       Life threatening?                 clavicle,
                                          complete tear
                                          of ligs
SC Jt Sprain


      •   Management:

             RICE

             Refer to MD

             Reduce dislocation

             Splint for 3-5 weeks
        Acromioclavicular Jt. Sprain
•   MOI:
    •   FOOSH
    •   Fall on tip of
        shoulder
•   Extent of ligamentous
    injury determines
    severity
•   Grade from 1-6
                         AC Jt Cont’d

•   Management:

    •   Grades 1-3 treated
        conservatively

    •   Grade 4-6 typically need
        surgery

    •   Splinted

        •   Length of time depends on
            grade

    •   Aggressive rehab
Acute Subluxations/Dislocations


               •   MOI: forced abd, ER, and
                   Ext

               •   GH ligaments can tear

                   •   Labrum tears

                   •   Rotator cuff tendon tears

                   •   Possible fx to post.
                       Humeral head
           GH Dislocation Cont’d

•   S&S
    •   Flat deltoid
    •   Pain, swelling
    •   ROM loss
•   Management
    •   Splint, ice, refer to ER
        to reduce
Shoulder Bursitis
        •   MOI:

            •   Overuse

            •   Direct impact,
                impingement, fall on tip of
                shoulder

        •   S&S:

            •   Pn in abd,flex,add,ext

            •   TTP in subacromial space
                 Bursitis Cont’d

•   Management:

    •   Ice

    •   Anti-inflammatories

        •   Examples?

    •   Stretching

    •   Rehab exercises
Biceps Brachii Ruptures
           •   MOI: Powerful concentric/eccentric
               contraction

           •   S&S:

               •   Loud “Snap”

               •   Visible bulge

               •   Trouble flexing, supinating arm

           •   Management:

               •   Ice, sling, refer to MD

               •   Surgery to reattach biceps
                   tendon
                   Bicipital Tensynovitis
•   Popular in overhead activities

•   MOI:

    •   Overuse

    •   Repeated stretching of biceps tendon

•   S&S:

    •   TTP over bicipital groove

    •   Swelling,pain,crepitus

•   Management:

    •   Ice

    •   Anti-inflammatories

    •   Rehab including stretching and strengthing
        the biceps and surrounding muscles

								
To top