Shoulder Flashcards
What are 2 factors to think about when assessing shoulder ?
Age and Chief complaint
2 types of stability in GH
Static and dynamic
what are the static resraints of GH joints
Capsule and ligament
Superior GHL and Coraco humoral lig limit _____
ER of adducted shoulder
Middle GHL limit
Ant translation of abducted arm
Inf GHL limit
IR and ER with arm abd.
Labrums 3 roles in stability
^ depth
Conformity
Attachment
Labrum is the _____ stabilizer of GH
Dynamic
Subacromial bursa incarcerated in subacromial arch becoming painful
Impingement
Stages of impingement:\
1: edema and hemorrhage
2: Fibrosis/tendinitis
3: AC spur or RC tear
Patho of impingement
Intrinsic cuff problem
Supraspinatus weakness
Fatigue
Overpowering Delt
Repeated impingement of cuff and humeral head & traction on coraoacromial ligament
Neer special test
IR to end range or pain with shoulder at 90 degrees of flexion
Hawkins test
Tx for impingement
- rest
- Restore flexibility (post capsule)
- Restore strength
- Modify activity
Flow of impingement treatment
Pain>motion>strength>scalp control