Upper Extremity Flashcards
Shoulder impingement is compression of structures in the…
subacromial space
Rotator cuff repair rehab is limited by _____ to _____
tendon to bone healing
glenohumeral instability is usually in which direction?
anterior and inferior
rupture of _____ tendon is a medical emergency
flexor digitorum
shoulder closed pack position
full ABD and ER
shoulder open pack position
55* ABD, 30* horiz ADD
scapulohumeral rhythm
2 GH : 1 scapula
shoulder inferior glide increases
flexion and abd
shoulder PA mob increases
ER
shoulder AP mob increases
IR and ER (can be more effective)
rotator cuff rehab (2)
- isometric -> concentric -> eccentric
2. planes -> diagonals
alteration in the normal position or motion of the scapula during shoulder movement
scapular dyskinesis
contains head of humerus, long head biceps tendon, superior jt capsule
subacromial space
shoulder impingement is the greatest between…
60-120* of scaption
mechanical compression of RTC tendons btwn acromion and coracoid process
primary shoulder impingement
decreased subacromial space b/c of GH instability
secondary shoulder impingement
shoulder impingement w/ painful arc, acute trauma or repetitive microtrauma. Reversible. Under 25
Stage I
shoulder impingement w/ irreversible long term repeated stress w/ fibrotic changes. Pain w/ overhead. 25-40yrs
Stage II
shoulder impingement w/ tendon degeneration and RTC tears/ruptures. History of shoulder pain and mm weakness
Stage III
subacromial decompression SAD surgery rehab is largely limited by…
pain