SH complex Flashcards
Painful arc of 60-120
Glenohumeral painful arx
□Subacromial bursitis, Calcium deposits, or tendinitis of rotator cuff
□ Result of pinching of inflamed or tender structures under acromion process & the coracoacromial ligament
Referred Pain From Related Tissues
Pain at Trapezius (tip of the SH)
Dermatome C4
• Dermatome C5 -
Deltoid region & Lat. Arm
Pain (upper trapz)
Diaphragm
pain (left axilla & pectoral region)
Heart
pain (tip of shoulder & scapular region)
Gallbladder
GH Joint Hypomobility: Management
Protection Phase
- Educate the Patient
- Control Pain, Edema, and Muscle Guarding
- Maintain Soft tissue and Joint Integrity and Mobility
- Maintain Integrity and Function of Associated Regions
GH Joint Hypomobility: Management
Controlled Motion Phase
- Control Pain, Edema, and Joint Effusion
- Progressively Increase Joint and Soft Tissue Mobility
- Inhibit Muscle Spasm and Correct Faulty Mechanics
- Improve Joint Tracking
- Improve Muscle Performance
Common Impairments of structure and
function
Pain localized to the involved joint or ligament
Painful arc toward the end-range of shoulder elevation
Pain with shoulder horizontal adduction or abduction
Hypermobility if trauma or overuse is involved
Hypomobility if sustained posture, arthritis, or immobility is involved.
Common Activity Limitations and
Participation Restrictions
Limited ability to sustain repeated forceful movements of the arm, such as with grinding, packing, assembly, and construction work.
Inability to reach overhead or perform repetitive overhead activities without pain.
Glenohumeral Arthroplasty:
glenoid & humeral surfaces are replaced
Total shoulder arthroplasty (TSA)
Glenohumeral Arthroplasty:
only humeral head is replaced
Hemireplacement arthroplasty (hemiarthroplasty) -
Glenohumeral Arthroplasty:
used with rotator cuff integrity
Reverse total shoulder arthroplasty (rTSA)
