Shoulder Injuries. Glenoid labrum injuries. SLAP Lesions

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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

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

Squaring of Shoulder Reduction of Dislocation 3

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

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

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

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

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

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

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

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

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

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

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

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

Scapular Exercises Elevation Retraction Clock Exercises Push Ups Wall Normal 16

Scaption Exercises Inferior Glide Lawn Mower Begin End 17

Low Row Robbery Plyometric Exercises 18

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