Shoulder Injuries. Glenoid labrum injuries. SLAP Lesions

Size: px
Start display at page:

Download "Shoulder Injuries. Glenoid labrum injuries. SLAP Lesions"

Transcription

1 Shoulder Injuries functional anatomy clinical perspective impingement rotator cuff injuries glenoid labrum injuries dislocation Glenoid labrum injuries SLAP lesions stable or unstable traction/compression arthroscopy SLAP Lesions 1

2 Shoulder Injuries functional anatomy clinical perspective impingement rotator cuff injuries glenoid labrum injuries dislocation Anterior Dislocation direct trauma to humeral head indirect into ABD and ER Bankart lession Hill-Sach s lesion 2

3 Squaring of Shoulder Reduction of Dislocation 3

4 Anterior Dislocation X ray reduction 3 weeks sling rehab program high rate of recurrence in young Shoulder Injuries shoulder instability fracture of clavicle a-c joint injuries referred pain 4

5 Shoulder Instability anterior post-traumatic atraumatic posterior multi-directional Shoulder Injuries shoulder instability fracture of clavicle a-c joint injuries referred pain Fracture of Clavicle fall onto point of shoulder direct contact middle third painful pain relief & immobilise sling 3 weeks 5

6 Shoulder Injuries shoulder instability fracture of clavicle a-c joint injuries referred pain A-C Joint Injuries capsule of the joint AC ligaments coracoclavicular ligaments conoid trapezoid Step Deformity 6

7 A-C Taping Osteolysis of Clavicle Shoulder Injuries shoulder instability fracture of clavicle a-c joint injuries referred pain 7

8 Referred Pain cervical joints upper thoracic joints trigger points neural structures Myofascial Pain around Shoulder Trigger Point Release 8

9 Shoulder Injuries adhesive capsulitis biceps tendinopathy rupture long head biceps pectoralis major tear subscapularis muscle tear levator scapulae syndrome nerve entrapments fractures Adhesive Capsulitis frozen shoulder marked limitation of all movements various treatments hydrodilatation self-limiting Shoulder Injuries adhesive capsulitis biceps tendinopathy rupture long head biceps pectoralis major tear subscapularis muscle tear levator scapulae syndrome nerve entrapments fractures 9

10 Biceps Tendinopathy long head of biceps in groove weight training or dips Speed s test conservative treatment Shoulder Injuries adhesive capsulitis biceps tendinopathy rupture long head biceps pectoralis major tear subscapularis muscle tear levator scapulae syndrome nerve entrapments fractures Biceps Rupture 10

11 Rupture Long Head Biceps older athlete obvious deformity accentuated by contraction Shoulder Injuries adhesive capsulitis biceps tendinopathy rupture long head biceps pectoralis major tear subscapularis muscle tear levator scapulae syndrome nerve entrapments fractures Pectoralis Major Tears partial or complete at insertion into humerus bench press surgical repair 11

12 Shoulder Injuries adhesive capsulitis biceps tendinopathy rupture long head biceps pectoralis major tear subscapularis muscle tear levator scapulae syndrome nerve entrapments fractures Subscapularis Tears sudden forceful ER or extension pain Gerber s test surgical repair Shoulder Injuries adhesive capsulitis biceps tendinopathy rupture long head biceps pectoralis major tear subscapularis muscle tear levator scapulae syndrome nerve entrapments fractures 12

13 Levator Scapulae Syndrome site of insertion into scapula chronic inflammation local soft tissue treatment Shoulder Injuries adhesive capsulitis biceps tendinopathy rupture long head biceps pectoralis major tear subscapularis muscle tear levator scapulae syndrome nerve entrapments fractures Nerve Entrapments suprascapular long thoracic axillary nerve thoracic outlet syndrome 13

14 Infraspinatus Wasting Shoulder Injuries adhesive capsulitis biceps tendinopathy rupture long head biceps pectoralis major tear subscapularis muscle tear levator scapulae syndrome nerve entrapments fractures Fractures around Shoulder stress fractures scapular fractures neck of humerus spiral fracture of humerus 14

15 Shoulder Rehab. kinetic chain scapular stabilization closed chain rehab plyometric exercise rotator cuff exercises Integration of Hip, Trunk & Scapula Trampoline Wand Exercise 15

16 Scapular Exercises Elevation Retraction Clock Exercises Push Ups Wall Normal 16

17 Scaption Exercises Inferior Glide Lawn Mower Begin End 17

18 Low Row Robbery Plyometric Exercises 18

19 Throwing & Catching Closed Chain Weight Shift Plyoball hip & trunk rotation 19

Rehabilitation Guidelines for Labral/Bankert Repair

Rehabilitation Guidelines for Labral/Bankert Repair Rehabilitation Guidelines for Labral/Bankert Repair The true shoulder joint is called the glenohumeral joint and consists humeral head and the glenoid. It is a ball and socket joint. Anatomy of the Shoulder

More information

The shoulder that won t get better.

The shoulder that won t get better. The shoulder that won t get better. www.fisiokinesiterapia.biz Shoulder Injuries Acute Chronic Acute shoulder injuries Instability Labral pathology (SLAP lesions) Fractures (clavicle, scapula, humerus)

More information

Joint G*H. Joint S*C. Joint A*C. Labrum. Humerus. Sternum. Scapula. Clavicle. Thorax. Articulation. Scapulo- Thoracic

Joint G*H. Joint S*C. Joint A*C. Labrum. Humerus. Sternum. Scapula. Clavicle. Thorax. Articulation. Scapulo- Thoracic A*C Joint Scapulo- Thoracic Articulation Thorax Sternum Clavicle Scapula Humerus S*C Joint G*H Joint Labrum AC Ligaments SC Ligaments SC JOINT AC Coracoacromial GH GH Ligament Complex Coracoclavicular

More information

Shoulder Labral Tear and Shoulder Dislocation

Shoulder Labral Tear and Shoulder Dislocation Shoulder Labral Tear and Shoulder Dislocation The shoulder joint is a ball and socket joint with tremendous flexibility and range of motion. The ball is the humeral head while the socket is the glenoid.

More information

Shoulder Injury Evaluation.

Shoulder Injury Evaluation. Shoulder Injury Evaluation www.fisiokinesiterapia.biz Basic Anatomy & Kinesiology 3 Bone Structures Clavicle Scapula Humerus Evaluation Principles Always follow a standard progression Determine the target

More information

Management of Anterior Shoulder Instability

Management of Anterior Shoulder Instability Management of Anterior Shoulder Instability Angelo J. Colosimo, MD Head Orthopaedic Surgeon University of Cincinnati Athletics Director of Sports Medicine University of Cincinnati Medical Center Associate

More information

MUSCLES OF SHOULDER REGION

MUSCLES OF SHOULDER REGION Dr Jamila EL Medany OBJECTIVES At the end of the lecture, students should: List the name of muscles of the shoulder region. Describe the anatomy of muscles of shoulder region regarding: attachments of

More information

The Upper Limb II. Anatomy RHS 241 Lecture 11 Dr. Einas Al-Eisa

The Upper Limb II. Anatomy RHS 241 Lecture 11 Dr. Einas Al-Eisa The Upper Limb II Anatomy RHS 241 Lecture 11 Dr. Einas Al-Eisa Sternoclavicular joint Double joint.? Each side separated by intercalating articular disc Grasp the mid-portion of your clavicle on one side

More information

Chronic Shoulder Disorders

Chronic Shoulder Disorders Chronic Shoulder Disorders Dr. Mustafa Elsingergy Consultant orthopedic surgeon Dallah Hospita Prof. Mamoun Kremli Almaarefa Medical College Contents INTRINSIC Shoulder Pain Due to causes in the shoulder

More information

Shoulder Injuries: Treatments that Work, Do Not Work, and When ENOUGH is Enough? Mark Ganjianpour, M.D. Beverly Hills, CA April 20, 2012

Shoulder Injuries: Treatments that Work, Do Not Work, and When ENOUGH is Enough? Mark Ganjianpour, M.D. Beverly Hills, CA April 20, 2012 Shoulder Injuries: Treatments that Work, Do Not Work, and When ENOUGH is Enough? Mark Ganjianpour, M.D. Beverly Hills, CA April 20, 2012 Multiaxial ball and socket Little Inherent Instability Glenohumeral

More information

The suction cup mechanism is enhanced by the slightly negative intra articular pressure within the joint.

The suction cup mechanism is enhanced by the slightly negative intra articular pressure within the joint. SHOULDER INSTABILITY Stability A. The stability of the shoulder is improved by depth of the glenoid. This is determined by: 1. Osseous glenoid, 2. Articular cartilage of the glenoid, which is thicker at

More information

Review shoulder anatomy Review the physical exam of the shoulder Discuss some common causes of acute shoulder pain Discuss some common causes of

Review shoulder anatomy Review the physical exam of the shoulder Discuss some common causes of acute shoulder pain Discuss some common causes of Review shoulder anatomy Review the physical exam of the shoulder Discuss some common causes of acute shoulder pain Discuss some common causes of chronic shoulder pain Review with some case questions Bones:

More information

SHOULDER PROBLEMS & ARTHROSCOPIC MANAGEMENT

SHOULDER PROBLEMS & ARTHROSCOPIC MANAGEMENT SHOULDER PROBLEMS & ARTHROSCOPIC MANAGEMENT DR.SHEKHAR SRIVASTAV Sr. Consultant-KNEE & SHOULDER Arthroscopy Sant Parmanand Hospital,Delhi Peculiarities of Shoulder Elegant piece of machinery It has the

More information

OBJECTIVES. Therapists Management of Shoulder Instability SHOULDER STABILITY SHOULDER STABILITY WHAT IS SHOULDER INSTABILITY? SHOULDER INSTABILITY

OBJECTIVES. Therapists Management of Shoulder Instability SHOULDER STABILITY SHOULDER STABILITY WHAT IS SHOULDER INSTABILITY? SHOULDER INSTABILITY Therapists Management of Shoulder Instability Brian G. Leggin, PT, DPT, OCS Lead Therapist, Penn Therapy and Fitness at Valley Forge Adjunct Assistant Professor, Department of Orthopaedics, University

More information

www.fisiokinesiterapia.biz Shoulder Problems Fractures Instability Impingement Miscellaneous Anatomy Bones Joints / Ligaments Muscles Neurovascular Anatomy Anatomy Supraspinatus Anterior Posterior Anatomy

More information

Common Surgical Shoulder Injury Repairs

Common Surgical Shoulder Injury Repairs Common Surgical Shoulder Injury Repairs Mr Ilia Elkinson BHB, MBChB, FRACS (Ortho), FNZOA Orthopaedic and Upper Limb Surgeon Bowen Hospital Wellington Hospital Objectives Review pertinent anatomy of the

More information

Acute Orthopaedic Injuries Developing a Diagnostic Approach to the Shoulder

Acute Orthopaedic Injuries Developing a Diagnostic Approach to the Shoulder Acute Orthopaedic Injuries Developing a Diagnostic Approach to the Shoulder WWW.FISIOKINESITERAPIA.BIZ Overview To be able to quickly categorize shoulder injuries To take appropriate history and conduct

More information

SHOULDER DISLOCATION & INSTABILITY Rehabilitation Considerations

SHOULDER DISLOCATION & INSTABILITY Rehabilitation Considerations SHOULDER DISLOCATION & INSTABILITY Rehabilitation Considerations Meagan Pehnke, MS, OTR/L, CHT, CLT March 1 st, 2019 Philadelphia Surgery & Rehabilitation of the Hand: Pediatric Pre-course OUTLINE Discuss

More information

Rehabilitation Guidelines for Anterior Shoulder Reconstruction with Arthroscopic Bankart Repair

Rehabilitation Guidelines for Anterior Shoulder Reconstruction with Arthroscopic Bankart Repair UW HEALTH SPORTS REHABILITATION Rehabilitation Guidelines for Anterior Shoulder Reconstruction with Arthroscopic Bankart Repair The anatomic configuration of the shoulder joint (glenohumeral joint) is

More information

Rehabilitation Protocol: Arthroscopic Anterior Capsulolabral Repair of the Shoulder - Bankart Repair Rehabilitation Guidelines

Rehabilitation Protocol: Arthroscopic Anterior Capsulolabral Repair of the Shoulder - Bankart Repair Rehabilitation Guidelines Rehabilitation Protocol: Arthroscopic Anterior Capsulolabral Repair of the Shoulder - Bankart Repair Rehabilitation Guidelines Department of Orthopaedic Surgery Lahey Hospital & Medical Center, Burlington

More information

Patient ID. Case Conference. Physical Examination. Image examination. Treatment 2011/6/16

Patient ID. Case Conference. Physical Examination. Image examination. Treatment 2011/6/16 Patient ID Case Conference R3 高逢駿 VS 徐郭堯 55 y/o female C.C.: recurrent right shoulder dislocation noted since falling down injury 2 years ago Came to ER because of dislocation for many times due to minor

More information

Page 1. Shoulder Injuries in Sports.

Page 1. Shoulder Injuries in Sports. www.schulterteam.ch Shoulder Injuries in Sports Matthias A Zumstein Shoulder, Elbow and Orthopaedic Sports Medicine Department of Orthopedic Surgery and Traumatology University of Berne, Switzerland matthias.zumstein@insel.ch

More information

MRI SHOULDER WHAT TO SEE

MRI SHOULDER WHAT TO SEE MRI SHOULDER WHAT TO SEE DR SHEKHAR SRIVASTAV Sr. Consultant- Knee & Shoulder Arthroscopy Sant Parmanand Hospital Normal Anatomy Normal Shoulder MRI Coronal Oblique Sagital Oblique Axial Cuts Normal Coronal

More information

US finding of the shoulder (with live demonstration) 인제의대상계백병원 안재기

US finding of the shoulder (with live demonstration) 인제의대상계백병원 안재기 US finding of the shoulder (with live demonstration) 인제의대상계백병원 안재기 Shoulder US Biceps tendon & Rotator Cuff Long Head of Biceps Tendon Subscapularis tendon Supraspinatus tendon Infraspinatus tendon Teres

More information

Recurrent Shoulder Dislocation.

Recurrent Shoulder Dislocation. Recurrent Shoulder Dislocation www.fisiokinesiterapia.biz Anatomy of the Shoulder Shoulder Dislocations Case Study Rehabilitation Pick List Anatomy of the Shoulder Articulations Sternoclavicular Acromioclavicular

More information

Rehabilitation Guidelines for Arthroscopic Capsular Shift

Rehabilitation Guidelines for Arthroscopic Capsular Shift UW HEALTH SPORTS REHABILITATION Rehabilitation Guidelines for Arthroscopic Capsular Shift The anatomic configuration of the shoulder joint (glenohumeral joint) is often compared to a golf ball on a tee.

More information

Shoulder Instability. Fig 1: Intact labrum and biceps tendon

Shoulder Instability. Fig 1: Intact labrum and biceps tendon Shoulder Instability What is it? The shoulder joint is a ball and socket joint, with the humeral head (upper arm bone) as the ball and the glenoid as the socket. The glenoid (socket) is a shallow bone

More information

FUNCTIONAL ANATOMY OF SHOULDER JOINT

FUNCTIONAL ANATOMY OF SHOULDER JOINT FUNCTIONAL ANATOMY OF SHOULDER JOINT ARTICULATION Articulation is between: The rounded head of the Glenoid cavity humerus and The shallow, pear-shaped glenoid cavity of the scapula. 2 The articular surfaces

More information

Scapular and Deltoid Regions

Scapular and Deltoid Regions M1 Gross and Developmental Anatomy Scapular and Deltoid Regions Dr. Peters 1 Outline I. Skeleton of the Shoulder and Attachment of the Upper Extremity to Trunk II. Positions and Movements of the Scapula

More information

The Shoulder Complex. Anatomy. Articulations 12/11/2017. Oak Ridge High School Conroe, Texas. Clavicle Collar Bone Scapula Shoulder Blade Humerus

The Shoulder Complex. Anatomy. Articulations 12/11/2017. Oak Ridge High School Conroe, Texas. Clavicle Collar Bone Scapula Shoulder Blade Humerus The Shoulder Complex Oak Ridge High School Conroe, Texas Anatomy Clavicle Collar Bone Scapula Shoulder Blade Humerus Articulations Sternoclavicular SC joint. Sternum and Clavicle. Acromioclavicular AC

More information

The Shoulder. Anatomy and Injuries PSK 4U Unit 3, Day 4

The Shoulder. Anatomy and Injuries PSK 4U Unit 3, Day 4 The Shoulder Anatomy and Injuries PSK 4U Unit 3, Day 4 Shoulder Girdle Shoulder Complex is the most mobile joint in the body. Scapula Clavicle Sternum Humerus Rib cage/thorax Shoulder Girdle It also includes

More information

The shoulder girdle consists of the glenohumeral, acromioclavicular, sternoclavicular and scapulothoracic joints

The shoulder girdle consists of the glenohumeral, acromioclavicular, sternoclavicular and scapulothoracic joints Anatomy of Shoulder Girdle The shoulder girdle consists of the glenohumeral, acromioclavicular, sternoclavicular and scapulothoracic joints Glenohumeral Joint A ball and socket synoval joint with a large

More information

I (and/or my co-authors) have something to disclose.

I (and/or my co-authors) have something to disclose. Shoulder Anatomy And Biomechanics Nikhil N Verma, MD Director of Sports Medicine Professor, Department of Orthopedics Rush University Team Physician, Chicago White Sox and Bulls I (and/or my co-authors)

More information

Rehabilitation Guidelines for Anterior Shoulder Reconstruction with Open Bankart Repair

Rehabilitation Guidelines for Anterior Shoulder Reconstruction with Open Bankart Repair UW HEALTH SPORTS REHABILITATION Rehabilitation Guidelines for Anterior Shoulder Reconstruction with Open Bankart Repair The anatomic configuration of the shoulder joint (glenohumeral joint) is often compared

More information

The Management of Shoulder Instability. By Debbie Prince Clinical Shoulder Specialist

The Management of Shoulder Instability. By Debbie Prince Clinical Shoulder Specialist The Management of Shoulder Instability By Debbie Prince Clinical Shoulder Specialist Shoulder Dislocation The most common joint dislocation Traumatic Instability, highest incidence in males aged 21 to

More information

SHOULDER INSTABILITY

SHOULDER INSTABILITY SHOULDER INSTABILITY Your shoulder is the most flexible joint in your body, allowing you to throw fastballs, lift a heavy suitcase, scratch your back, and reach in almost any direction. Your shoulder joint

More information

SHOULDER INSTABILITY

SHOULDER INSTABILITY SHOULDER INSTABILITY Dr.KN Subramanian M.Ch Orth., FRCS (Tr & Orth), CCT Orth(UK) Consultant Orthopaedic Surgeon, Special interest: Orthopaedic Sports Injury, Shoulder and Knee Surgery, SPARSH Hospital

More information

Acute Management of Shoulder Dislocation. Mr. Paul Halliwell Royal Surrey County Hospital, Guildford.

Acute Management of Shoulder Dislocation. Mr. Paul Halliwell Royal Surrey County Hospital, Guildford. Acute Management of Shoulder Dislocation Mr. Paul Halliwell Royal Surrey County Hospital, Guildford. Acute: Injury to rehab. Management: Hx, O/E, x-ray, Rx Shoulder: Glenohumeral Dislocation: Complete

More information

Shoulder Joint Examination. Shoulder Joint Examination. Inspection. Inspection Palpation Movement. Look Feel Move

Shoulder Joint Examination. Shoulder Joint Examination. Inspection. Inspection Palpation Movement. Look Feel Move Shoulder Joint Examination History Cuff Examination Instability Examination AC Joint Examination Biceps Tendon Examination Superior Labrum Examination Shoulder Joint Examination Inspection Palpation Movement

More information

Glenohumeral Joint Instability. Static Stabilizers of the GHJ. Static Stabilizers of the GHJ. Static Stabilizers of the GHJ

Glenohumeral Joint Instability. Static Stabilizers of the GHJ. Static Stabilizers of the GHJ. Static Stabilizers of the GHJ 1 Glenohumeral Joint Instability GHJ Joint Stability: Or Lack Thereof! Christine B. Chung, M.D. Assistant Professor of Radiology Musculoskeletal Division UCSD and VA Healthcare System Static Stabilizers

More information

Shoulder and Elbow ORTHOPAEDIC SYPMPOSIUM APRIL 8, 2017 DANIEL DOTY MD

Shoulder and Elbow ORTHOPAEDIC SYPMPOSIUM APRIL 8, 2017 DANIEL DOTY MD Shoulder and Elbow ORTHOPAEDIC SYPMPOSIUM APRIL 8, 2017 DANIEL DOTY MD Shoulder Articulations Glenohumeral Joint 2/3 total arc of motion Shallow Ball and Socket Joint Allows for excellent ROM Requires

More information

SLAP Lesions Assessment & Treatment

SLAP Lesions Assessment & Treatment SLAP Lesions Assessment & Treatment Kevin E. Wilk,, PT, DPT Glenoid Labral Lesions Introduction Common injury - difficult to diagnose May occur in isolation or in combination SLAP lesions: Snyder: Arthroscopy

More information

A Patient s Guide to Shoulder Dislocations

A Patient s Guide to Shoulder Dislocations A Patient s Guide to Shoulder Dislocations 20295 NE 29th Place, Ste 300 Aventura, FL 33180 Phone: (786) 629-0910 Fax: (786) 629-0920 admin@instituteofsports.com DISCLAIMER: The information in this booklet

More information

Vol 3, 2008 CEC ARTICLE: Special Medical Conditions Part 2: Shoulder Maintenance and Rehab C. Eggers

Vol 3, 2008 CEC ARTICLE: Special Medical Conditions Part 2: Shoulder Maintenance and Rehab C. Eggers Vol 3, 2008 CEC ARTICLE: Special Medical Conditions Part 2: Shoulder Maintenance and Rehab C. Eggers SHOULDER GIRDLE STABILIZATION Knowledge of the anatomy and biomechanics of the shoulder girdle is essential

More information

Anatomy GH Joint. Glenohumeral Instability. Components of Stability. Components of Stability 7/7/2017. AllinaHealthSystem

Anatomy GH Joint. Glenohumeral Instability. Components of Stability. Components of Stability 7/7/2017. AllinaHealthSystem Glenohumeral Instability Dr. John Steubs Allina Sports Medicine Conference July 7, 2017 Anatomy GH Joint Teardrop or oval shape Inherently unstable Golf ball and tee analogy Stabilizers Static Dynamic

More information

Lawrence Gulotta Gillian Lieberman, MD October Gillian Lieberman, MD. Shoulder Imaging. Lawrence V. Gulotta, HMS IV 10/16/02

Lawrence Gulotta Gillian Lieberman, MD October Gillian Lieberman, MD. Shoulder Imaging. Lawrence V. Gulotta, HMS IV 10/16/02 October 2002 Shoulder Imaging Lawrence V. Gulotta, HMS IV 10/16/02 Goals Review Anatomy of the Shoulder -Dynamic Stabilizers -> Rotator Cuff -Static Stabilizers -> Labrum and Capsule Systematic Approach

More information

REMINDER. an exercise program. Senior Fitness Obtain medical clearance and physician s release prior to beginning

REMINDER. an exercise program. Senior Fitness Obtain medical clearance and physician s release prior to beginning Functional Forever: Exercise for Independent Living REMINDER Obtain medical clearance and physician s release prior to beginning an exercise program for clients with medical or orthopedic concerns. What

More information

SHOULDERS MADE DR DR CHRIS MILNE SPORTS PHYSICIAN

SHOULDERS MADE DR DR CHRIS MILNE SPORTS PHYSICIAN SHOULDERS MADE SHOULDERS MADE SIMPLE SIMPLE Yeah Right DR DR CHRIS MILNE MILNE SPORTS PHYSICIAN SPORTS PHYSICIAN Yeah Right SHOULDER ANATOMY OUTLINE History Examination Investigations MY SHOULDER HURTS!

More information

Shoulder examination. P Sripathi Rao Arthroscopy & Sports Injuries Unit Dean, Kasturba Medical College

Shoulder examination. P Sripathi Rao Arthroscopy & Sports Injuries Unit Dean, Kasturba Medical College Shoulder examination P Sripathi Rao Arthroscopy & Sports Injuries Unit Dean, Kasturba Medical College Manipal University, Manipal Common symptoms Tingling Numbness Pain Loss of movements Weakness Approach

More information

Shoulder Pain: Diagnosis and Management

Shoulder Pain: Diagnosis and Management Shoulder Pain: Diagnosis and Management Thomas J. Gill, M.D. Director, Boston Sports Medicine and Research Institute Associate Professor of Orthopedic Surgery Tufts Medical School www.bostonsportsmedicine.com

More information

Shoulder joint Assessment and General View

Shoulder joint Assessment and General View Shoulder joint Assessment and General View Done by; Mshari S. Alghadier BSc Physical Therapy RHPT 366 m.alghadier@sau.edu.sa http://faculty.sau.edu.sa/m.alghadier/ Functional anatomy The shoulder contains

More information

My shoulder popped out what now?

My shoulder popped out what now? My shoulder popped out what now? Richard Dallalana Epworth Shoulder Symposium June 2017 Shoulder Dislocation First event Best approach? Manual Reduction Should it be put back on field? - YES Prone lying

More information

Throwing Athlete Rehabilitation. Brett Schulz LAT/CMSS Sport and Spine Physical Therapy

Throwing Athlete Rehabilitation. Brett Schulz LAT/CMSS Sport and Spine Physical Therapy Throwing Athlete Rehabilitation Brett Schulz LAT/CMSS Sport and Spine Physical Therapy Disclosure No conflicts to disclose Throwing Athlete Dilemma The shoulder must have enough range of motion to allow

More information

Shoulder: Clinical Anatomy, Kinematics & Biomechanics

Shoulder: Clinical Anatomy, Kinematics & Biomechanics Shoulder: Clinical Anatomy, Kinematics & Biomechanics Dr. Alex K C Poon Department of Orthopaedics & Traumatology Pamela Youde Nethersole Eastern Hospital Clinical Anatomy the application of anatomy to

More information

Shoulder Impingement Rehabilitation Recommendations

Shoulder Impingement Rehabilitation Recommendations Shoulder Impingement Rehabilitation Recommendations The following protocol can be utilized for conservative care of shoulder impingement as well as post- operative subacromial decompression (SAD) surgery.

More information

Tendinosis & Subacromial Impingement Syndrome. Gene Desepoli, LMT, D.C.

Tendinosis & Subacromial Impingement Syndrome. Gene Desepoli, LMT, D.C. Tendinosis & Subacromial Impingement Syndrome Gene Desepoli, LMT, D.C. What is the shoulder joint? Shoulder joint or shoulder region? There is an interrelatedness of all moving parts of the shoulder and

More information

4/12/2016. Goals. Anatomy. Basic Anatomy. Biomechanics. Function. Traumatic Rupture of Proximal Biceps: In-season Rehabilitation and Management

4/12/2016. Goals. Anatomy. Basic Anatomy. Biomechanics. Function. Traumatic Rupture of Proximal Biceps: In-season Rehabilitation and Management Goals Traumatic Rupture of Proximal Biceps: In-season Rehabilitation and Management Thomas F. LaPorta, MD To understand the anatomy of the biceps at the shoulder To present the mechanism, signs and symptoms,

More information

Ultrasound of the Shoulder

Ultrasound of the Shoulder Ultrasound of the Shoulder Patrick Battaglia, DC, DACBR Logan University, Department of Radiology Outline Review ultrasound appearance of NMSK tissues Present indications for ultrasound of the shoulder.

More information

Shoulder Instability

Shoulder Instability J F de Beer, K van Rooyen, D Bhatia Shoulder Instability INSTABILITY means that the shoulder dislocates completely (dislocation) or partially (subluxation). Anatomy The shoulder consists of a ball (humeral

More information

REHABILITATION GUIDELINES FOR ANTERIOR SHOULDER RECONSTRUCTION WITH BANKART REPAIR

REHABILITATION GUIDELINES FOR ANTERIOR SHOULDER RECONSTRUCTION WITH BANKART REPAIR REHABILITATION GUIDELINES FOR ANTERIOR SHOULDER RECONSTRUCTION WITH BANKART REPAIR The rehabilitation guidelines are presented in a criterion based progression. General time frames are given for reference

More information

Diagnostic and Management Approach to the Painful Shoulder

Diagnostic and Management Approach to the Painful Shoulder Diagnostic and Management Approach to the Painful Shoulder Introduction What conditions causing shoulder pain commonly present in General Practice? Subacromial impingement Rotator cuff tears AC joint pathology

More information

Throwing Injuries and Prevention: The Physical Therapy Perspective

Throwing Injuries and Prevention: The Physical Therapy Perspective Throwing Injuries and Prevention: The Physical Therapy Perspective Andrew M Jordan, PT, DPT, OCS Staff Physical Therapist, Cayuga Medical Center Physical Therapy and Sports Medicine ajordan@cayugamed.org

More information

HAGL lesion of the shoulder

HAGL lesion of the shoulder HAGL lesion of the shoulder A 24 year old rugby player presented to an orthopaedic surgeon with a history of dislocation of the left shoulder. It reduced spontaneously and again later during the same match.

More information

Index. Note: Page numbers of article titles are in boldface type.

Index. Note: Page numbers of article titles are in boldface type. Index Note: Page numbers of article titles are in boldface type. A Abduction pillow, ultrasling, 880, 881, 882, 883 Adolescents, shoulder instability in. See Shoulder, instability of, pediatric and adolescent.

More information

Rehabilitation Guidelines for Open Latarjet Anterior Shoulder Stabilization

Rehabilitation Guidelines for Open Latarjet Anterior Shoulder Stabilization UW HEALTH SPORTS REHABILITATION Rehabilitation Guidelines for Open Latarjet Anterior Shoulder Stabilization The anatomic configuration of the shoulder joint (glenohumeral joint) is often compared to a

More information

Rotator Cuff Pathology. Shoulder Instability. Adhesive Capsulitis. AC Joint Dysfunction

Rotator Cuff Pathology. Shoulder Instability. Adhesive Capsulitis. AC Joint Dysfunction Shoulder Pain Red Flags Unexplained deformity or swelling Significant weakness not due to pain Suspected malignancy Fever/chills/malaise Significant/unexplained sensory/motor deficit Pulmonary or vascular

More information

Anatomy Your shoulder is made up of three bones: your upper arm bone (humerus), your shoulder blade (scapula), and your collarbone (clavicle).

Anatomy Your shoulder is made up of three bones: your upper arm bone (humerus), your shoulder blade (scapula), and your collarbone (clavicle). Shoulder Impingement/Rotator Cuff Tendinitis One of the most common physical complaints is shoulder pain. Your shoulder is made up of several joints combined with tendons and muscles that allow a great

More information

THE SHOULDER JOINT T H E G L E N O H U M E R A L ( G H ) J O I N T

THE SHOULDER JOINT T H E G L E N O H U M E R A L ( G H ) J O I N T THE SHOULDER JOINT T H E G L E N O H U M E R A L ( G H ) J O I N T CLARIFICATION OF TERMS Shoulder girdle = scapula and clavicle Shoulder joint (glenohumeral joint) = scapula and humerus Lippert, p115

More information

Shoulder Case Studies

Shoulder Case Studies Shoulder Case Studies Eden Raleigh Orthopaedic Surgeon Shoulder & Knee Surgery Ph: 9421 1900 0402697115 dredenraleigh@gmail.com My Background Specialising in Shoulder and Knee Surgery Main focus on Arthroscopic/Sports

More information

SUPERIOR LABRAL REPAIRS

SUPERIOR LABRAL REPAIRS LOURDES MEDICAL ASSOCIATES Sean Mc Millan, DO Director of Orthopaedic Sports Medicine & Arthroscopy 2103 Burlington-Mount Holly Rd Burlington, NJ 08016 (609) 747-9200 (office) (609) 747-1408 (fax) http://orthodoc.aaos.org/drmcmillan

More information

Shoulder Biomechanics

Shoulder Biomechanics Shoulder Biomechanics Lecture originally developed by Bryan Morrison, Ph.D. candidate Arizona State University Fall 2000 1 Outline Anatomy Biomechanics Problems 2 Shoulder Complex Greatest Greatest Predisposition

More information

WEEKEND 2 Shoulder. Shoulder Active Range of Motion Assessment

WEEKEND 2 Shoulder. Shoulder Active Range of Motion Assessment Virginia Orthopedic Manual Physical Therapy Institute - 2016 Technique Manual WEEKEND 2 Shoulder Shoulder Active Range of Motion Assessment - Patient Positioning: Standing, appropriately undressed so that

More information

Anatomical Considerations/ Pathophysiology The shoulder is the most mobile joint in the body. : Three bones:

Anatomical Considerations/ Pathophysiology The shoulder is the most mobile joint in the body. : Three bones: Introduction Musculoskeletal training is generally underrepresented in medical training and residency curriculums. There is a general deficit in musculoskeletal knowledge amongst current medical students,

More information

The Shoulder. Jennifer R Marks, MD

The Shoulder. Jennifer R Marks, MD The Shoulder Jennifer R Marks, MD Shoulder Anatomy Skeletal & ligamentous components: The joint is comprised of a confluence of Scapula Clavicle Humerus https://www.shoulderdoc.co.uk/article/ http/ www.shoulderdoc.co.uk/article/117777

More information

2015 OPSC Annual Convention. syllabus. February 4-8, 2015 Hyatt Regency Mission Bay San Diego, California

2015 OPSC Annual Convention. syllabus. February 4-8, 2015 Hyatt Regency Mission Bay San Diego, California 2015 OPSC Annual Convention syllabus February 4-8, 2015 Hyatt Regency Mission Bay San Diego, California THURSDAY, FEBRUARY 5, 2015: 3:30pm - 4:30pm The Shoulder: 2 View or Not 2 View * Presented by Alexandra

More information

Rehabilitation Guidelines for Biceps Tenodesis with Hardware Fixation

Rehabilitation Guidelines for Biceps Tenodesis with Hardware Fixation UW HEALTH SPORTS REHABILITATION Rehabilitation Guidelines for Biceps Tenodesis with Hardware Fixation The shoulder has two primary joints. One part of the shoulder blade, called the glenoid fossa forms

More information

Evaluating shoulder injuries in primary care Bethany Reed, MSn, AGPCNP-BC One Medical Group

Evaluating shoulder injuries in primary care Bethany Reed, MSn, AGPCNP-BC One Medical Group Evaluating shoulder injuries in primary care Bethany Reed, MSn, AGPCNP-BC One Medical Group Disclosures There has been no commercial support or sponsorship for this program. The planners and presenters

More information

SLAP LESION REPAIR PROTOCOL

SLAP LESION REPAIR PROTOCOL SLAP LESION REPAIR PROTOCOL Clarkstown Division This rehabilitation protocol has been developed for the patient following a SLAP (Superior Labrum Anterior Posterior) repair. It is extremely important to

More information

R. Frank Henn III, MD. Associate Professor Chief of Sports Medicine Residency Program Director

R. Frank Henn III, MD. Associate Professor Chief of Sports Medicine Residency Program Director R. Frank Henn III, MD Associate Professor Chief of Sports Medicine Residency Program Director Disclosures No financial relationships to disclose 1. Labral anatomy 2. Adaptations of the throwing shoulder

More information

SLAP LESION REPAIR PROTOCOL Dr. Steven Flores

SLAP LESION REPAIR PROTOCOL Dr. Steven Flores SLAP LESION REPAIR PROTOCOL Dr. Steven Flores This rehabilitation protocol has been developed for the patient following a SLAP (Superior Labrum Anterior Posterior) repair. It is extremely important to

More information

Arthroscopic Anterior Capsulolabral Repair Protocol

Arthroscopic Anterior Capsulolabral Repair Protocol PHASE I: POST-OP WEEKS 0-6 Goals: Arthroscopic Anterior Capsulolabral Repair Protocol Bart Eastwood D.O. 250 South Main St. Suite 224A Blacksburg, VA 24060 540-552-7133 Maximally protect the surgical repair

More information

Dr. Denard s Rehabilitation Protocols Arthroscopic Shoulder Surgery

Dr. Denard s Rehabilitation Protocols Arthroscopic Shoulder Surgery 2780 E. Barnett Rd Medford, OR 97530 541-779-6250 Dr. Denard s Rehabilitation Protocols Arthroscopic Shoulder Surgery These rehabilitation protocols are based on current studies detailing healing time

More information

CLINICAL EXAMINATION OF THE SHOULDER JOINT 대한신경근골격연구회 분당제생병원재활의학과 박준성

CLINICAL EXAMINATION OF THE SHOULDER JOINT 대한신경근골격연구회 분당제생병원재활의학과 박준성 CLINICAL EXAMINATION OF THE SHOULDER JOINT 대한신경근골격연구회 분당제생병원재활의학과 박준성 Clinical Examination of the Shoulder Good history, full clinical examination Detailed knowledge of the anatomy solve the majority of

More information

Rehabilitation Guidelines for Large Rotator Cuff Repair

Rehabilitation Guidelines for Large Rotator Cuff Repair Rehabilitation Guidelines for Large Rotator Cuff Repair The true shoulder joint is called the glenohumeral joint and consists humeral head and the glenoid. It is a ball and socket joint. Anatomy of the

More information

7/31/2012 THE SHOULDER JOINT CLARIFICATION OF TERMS OSTEOLOGY OF THE GH JOINT(BONES)

7/31/2012 THE SHOULDER JOINT CLARIFICATION OF TERMS OSTEOLOGY OF THE GH JOINT(BONES) THE SHOULDER JOINT T H E G L E N O H U M E R AL ( G H ) J O I N T CLARIFICATION OF TERMS Shoulder girdle = scapula and clavicle Shoulder joint (glenohumerual joint) = scapula and Lippert, p115 OSTEOLOGY

More information

Biceps Tendon Rupture

Biceps Tendon Rupture Disclaimer This movie is an educational resource only and should not be used to manage Orthopaedic Health. All decisions about Biceps Tendon Rupture must be made in conjunction with your Physician or a

More information

Physical Examination of the Shoulder

Physical Examination of the Shoulder General setup Patient will be examined in both the seated and supine position so exam table needed 360 degree access to patient Expose neck and both shoulders (for comparison); female in gown or sports

More information

Rotator Cuff Repair TRENDS OF REPAIRS. Evolution of Arthroscopic Repair. Shoulder Girdle. Rotator Cuff Repair 8/29/2013

Rotator Cuff Repair TRENDS OF REPAIRS. Evolution of Arthroscopic Repair. Shoulder Girdle. Rotator Cuff Repair 8/29/2013 Rotator Cuff Repair Indications, Patient Selection, Outcomes James C. Vailas, M.D. New Hampshire Orthopaedic Center September 14, 2013 New Hampshire Musculoskeletal Institute 20 th Annual Symposium Evolution

More information

Anterior Stabilization of the Shoulder: Latarjet Protocol

Anterior Stabilization of the Shoulder: Latarjet Protocol Anterior Stabilization of the Shoulder: Latarjet Protocol Dr. Abigail R. Hamilton, M.D. Shoulder instability may be caused from congenital deformity, recurrent overuse activity, and/or traumatic dislocation.

More information

Phase I : Immediate Postoperative Phase- Protected Motion. (0-2 Weeks)

Phase I : Immediate Postoperative Phase- Protected Motion. (0-2 Weeks) Phase I : Immediate Postoperative Phase- Protected Motion (0-2 Weeks) Appointments Progression Criteria 2 weeks after surgery Rehabilitation appointments begin within 7-10 days of surgery, continue 1-2

More information

The Cryo/Cuff provides two functions: 1. Compression - to keep swelling down. 2. Ice Therapy - to keep swelling down and to help minimize pain. Patien

The Cryo/Cuff provides two functions: 1. Compression - to keep swelling down. 2. Ice Therapy - to keep swelling down and to help minimize pain. Patien The Cryo/Cuff provides two functions: 1. Compression - to keep swelling down. 2. Ice Therapy - to keep swelling down and to help minimize pain. Patients, for the most part, experience less pain and/or

More information

Anterior Shoulder Instability

Anterior Shoulder Instability Anterior Shoulder Instability Anterior shoulder instability typically results from a dislocation injury to the shoulder joint when the humeral head (ball) of the humerus (upper arm bone) is displaced from

More information

Glenohumeral Joint Instability: An Athlete s Perspective

Glenohumeral Joint Instability: An Athlete s Perspective Anatomic Considerations Glenohumeral Joint Instability: An Athlete s Perspective Michael D. Loeb, MD Texas Orthopedics, Sports Medicine, and Rehabilitation Associates Austin, Texas Static Stabilizers Osseous

More information

MRI of the Shoulder What to look for and how to find it? Dr. Eric Handley Musculoskeletal Radiologist Cherry Creek Imaging

MRI of the Shoulder What to look for and how to find it? Dr. Eric Handley Musculoskeletal Radiologist Cherry Creek Imaging MRI of the Shoulder What to look for and how to find it? Dr. Eric Handley Musculoskeletal Radiologist Cherry Creek Imaging MRI of the Shoulder Benefits of Ultrasound: * Dynamic * Interactive real time

More information

Stefan C Muzin, MD PM&R Attending Physician, Beth Israel Deaconess Medical Center, Harvard Medical School Onsite Physiatrist, GE Aviation, Lynn, MA

Stefan C Muzin, MD PM&R Attending Physician, Beth Israel Deaconess Medical Center, Harvard Medical School Onsite Physiatrist, GE Aviation, Lynn, MA Stefan C Muzin, MD PM&R Attending Physician, Beth Israel Deaconess Medical Center, Harvard Medical School Onsite Physiatrist, GE Aviation, Lynn, MA Consultant, OEHN (Occupational and Environmental Network)

More information

Shoulder Instability and Tendon Injuries

Shoulder Instability and Tendon Injuries Shoulder Instability and Tendon Injuries Shoulder Update Spire Hospital Leeds November 2017 Simon Boyle Consultant Shoulder and Elbow Surgeon Simon Boyle York and Leeds Nuffield Trained in Yorkshire, Annecy,

More information

Labral Tears. Fig 1: Intact labrum and biceps tendon

Labral Tears. Fig 1: Intact labrum and biceps tendon Labral Tears What is it? The shoulder joint is a ball and socket joint, with the humeral head (upper arm bone) as the ball and the glenoid as the socket. The glenoid (socket) is a shallow bone that is

More information

Types of shoulder Dislocation: Shoulder dislocation. 1. Anterior 2. Posterior 3. Luxatio erecta (inferior dislocation)

Types of shoulder Dislocation: Shoulder dislocation. 1. Anterior 2. Posterior 3. Luxatio erecta (inferior dislocation) Types of shoulder Dislocation: Shoulder dislocation 1. Anterior 2. Posterior 3. Luxatio erecta (inferior dislocation) Anterior Dislocation: head is dislocated anterior to the glenoid Most common among

More information

SHOULDER ARTHROSCOPY

SHOULDER ARTHROSCOPY SHOULDER ARTHROSCOPY PATIENT HANDBOOK Physical/Occupational Therapy 3755 Orange Place, Suite 101 Beachwood, OH 44122 216-312-6045 Therapist: Post-Op Visit: Anatomy and Function of the Shoulder The shoulder

More information