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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.

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the shoulder complex
The Shoulder Complex
  • Care and Prevention of Athletic Injuries
bony anatomy
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
Bony Anatomy cont’d
  • Important projections (parts) to remember!
articulations
Articulations
  • Sternoclavicular Joint
  • Acromioclavicular Joint
  • Glenohumeral Joint (mistakingly thought of as the ONLY joint in the shoulder)
  • Scapulothoracic Joint
shoulder ligaments
Shoulder ligaments
  • GH Jt
    • glenohumeral ligaments
  • AC Jt
    • acromioclavicular lig
    • coracoclavicular lig
  • SC jt
    • sternoclavicular
    • costoclavicular
muscles
Anterior Muscles

Deltoids

Pectoralis Major

Biceps brachii

Triceps brachii

Posterior Muscles

Rhomboids

Rotator Cuff

function?

supraspinatus

infraspinatus

teres minor

subscapularis

Muscles
shoulder rom
Shoulder complex can perform NINE ROM

Flexion

Extension

Abduction

Adduction

Internal Rotation

External Rotation

Horizontal adduction

Horizontal abduction

Circumduction

Shoulder ROM
classwork
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 workoutthese muscles during a rehab program.
clavicle fractures
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:

Direct impact

fall on arm

dislocation

S&S:

Pain

Swelling, TTP, ROM

Ecchymosis

Dropped wrist…why?

Management/TX

Splint and refer to MD

XRAY to confirm DX

Casted for 3 weeks…..RTP 3-4 months

Humerus Fracture
sternoclavicular sprain sc jt
Sternoclavicular Sprain (SC jt)
  • Rare
  • MOI:
    • Indirect force?
    • Direct blow
  • Risks?
    • Posterior dislocation
    • Life threatening?
sc jt sprain
SC Jt Sprain
  • Management:
    • RICE
    • Refer to MD
    • Reduce dislocation
    • Splint for 3-5 weeks
acromioclavicular jt sprain
Acromioclavicular Jt. Sprain
  • MOI:
    • FOOSH
    • Fall on tip of shoulder
  • Extent of ligamentous injury determines severity
  • Grade from 1-6
ac jt cont d
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
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
GH Dislocation Cont’d
  • S&S
    • Flat deltoid
    • Pain, swelling
    • ROM loss
  • Management
    • Splint, ice, refer to ER to reduce
shoulder bursitis
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
Bursitis Cont’d
  • Management:
    • Ice
    • Anti-inflammatories
      • Examples?
    • Stretching
    • Rehab exercises
biceps brachii ruptures
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
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