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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 Scapular Fracture: Sternoclavicular Sprain • Etiology • Signs and Symptoms • Management Acromioclavicular Sprain • Etiology • Signs and Symptoms • Management • Etiology • Signs and Symptoms • Management Humeral Shaft Fracture: • Etiology • Signs and Symptoms • Management Epiphyseal Fracture • 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 • Etiology • Signs and Symptoms • Management Rotator Cuff Tears • Etiology • Signs and Symptoms • Management Chronic Instabilities (anterior, posterior, and multidirectional) • Etiology • Signs and Symptoms • Management Shoulder Impingement 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