1 the shoulder. read pages 450-451 and answer the following questions: 1.what three bones make up...
TRANSCRIPT
![Page 1: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/1.jpg)
1
The Shoulder
![Page 2: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/2.jpg)
• Read pages 450-451 and answer the following questions:
1.What three bones make up the shoulder girdle?
2.What three articulations make up the shoulder complex?
3.What bones make up each articulation?
2
![Page 3: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/3.jpg)
• Bones of the Shoulder Girdle:• _____________• _____________• _____________
• The shoulder complex is made up of four different articulations.• __________________: (____) Formed by the head of the
humerus and the glenoid fossa of the scapula.• ___________________: (____) Formed by the distal end of the
clavicle and the acromion process of the scapula• ___________________: (____) Formed by the scapula and the
thoracic cage.• ____________________: (____________) Formed by the
proximal end of the clavicle and the manubrium of the sternum.
3
![Page 4: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/4.jpg)
4
Glenoid FossaAcromion ProcessCoracoid ProcessSpine Scapula
![Page 5: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/5.jpg)
5
Greater TubercleLesser TubercleBicipital GrooveHead of HumerusHumerus
![Page 6: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/6.jpg)
• Flexion• Extension• Adduction• Abduction• Internal Rotation• External Rotation• Horizontal Flexion• Horizontal Extension
6
![Page 7: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/7.jpg)
• Scapular Retraction• Scapular Protraction• Scapular Upward Rotation• Scapular Downward Rotation• Elevation• Depression
7
![Page 8: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/8.jpg)
• Glenohumeral Joint• ____________ Ligament• _____________ Ligament
• AC Joint• _______________
Ligament• _______________
Ligament• __________ Ligament• __________ Ligament• ________________
Ligament
8
![Page 9: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/9.jpg)
9
![Page 10: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/10.jpg)
10
![Page 11: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/11.jpg)
• What are the four muscles that make up the rotator cuff?
• 5 minutes
11
![Page 12: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/12.jpg)
• Please read pages 452 – 455 and answer the following questions:1. What is the main function of the rotator cuff?2. What four muscles make up the rotator cuff?3. What movement do each produce? (Chart:
Pg. 454)4. Which superficial muscle act to elevate the
arm?5. What is a force couple?
12
![Page 13: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/13.jpg)
Group of four muscles of the G-H joint . Subscapularis
IR and ADD Supraspinatus
ABD Infraspinatus
ER Teres Minor
ERFunctions
Stabilization of the head of the humerus in the glenoid fossa.
13
![Page 14: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/14.jpg)
14
![Page 15: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/15.jpg)
15
![Page 16: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/16.jpg)
• _______________• Add, IR, Flex/Ext.
• _________________• Ext, Add, IR
• ________________• Abd, IR, Ext/ER, Flex/IR
• _________________• Add, IR
• ___________________• Flex, Add.
16
![Page 17: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/17.jpg)
• ________________• Scapular Elevation
• ______________• Scapular Retraction• Downward Rotation
• _________________• Elevation• Retraction• Upward Rotation• Depression
• _________________• Depression
• _________________• Protraction• Upward Rotation
• ________________• Depression• Stabilization of the SC joint
17
![Page 18: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/18.jpg)
18
![Page 19: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/19.jpg)
19
![Page 20: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/20.jpg)
20
![Page 21: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/21.jpg)
• Injuries are common due to the wide range of motion in the _________________ joint.
• A lot of the injuries to the shoulder complex are sport specific
• Types of Injuries•Fractures•Subluxation / Dislocations•Sprains•Strains
21
![Page 22: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/22.jpg)
• Ligament Injuries• A-C Injuries• G-H Injuries• S-C Injuries
• Muscular Injuries• Rotator Cuff Injuries• Biceps Tendon Injuries• Impingement Syndrome• Contusions
22
![Page 23: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/23.jpg)
• Clavicle Fracture• Scapular Fractures
23
![Page 24: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/24.jpg)
• What is the main function of the rotator cuff muscles?
• 5 minutes
24
![Page 25: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/25.jpg)
25
![Page 26: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/26.jpg)
26
![Page 27: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/27.jpg)
Read pages 464 and 466 and answer the following questions:1. What are the two types of Rotator
Cuff Tears?2. Which one requires surgery and which
one can be treated non-operatively?3. What are some signs and symptoms
of a full thickness rotator cuff tear?
27
![Page 28: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/28.jpg)
• Two Types•_______________ Thickness• Partial tear of the rotator cuff tendon.• ________________
•__________ Thickness• Complete tear of the rotator cuff
tendon.• Requires ______________
28
![Page 29: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/29.jpg)
Commonly occur as overuse injuries in the throwing athlete.
Throwing can be broken down into five phases: 1. ________________2. ________________3. ________________4. ________________5. ________________
29
![Page 30: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/30.jpg)
30
http://www.pbats.com
![Page 31: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/31.jpg)
Pain within the shoulder especially during the ___________ phase of throwing or swinging.
Pain and difficulty with ___________ and external rotation (90/90) of the arm.
Pain and stiffness __________ hours post practice or competition that involved throwing or swinging.
Point tenderness around the _________ head deep within the deltoid muscle.
31
![Page 32: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/32.jpg)
• _____________ _________________• A well designed ______________ ___________
strengthening program is essential.• Focus on training each individual rotator cuff
muscle.• ___________________• ___________________• _____________________• Combination of these movements
• ______________ training is a must.
32
![Page 33: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/33.jpg)
• With a partner• Design a 5 step warm-up program for an overhead
athlete.• Include the parameters (how long, how often, etc)• You have access to:• UBE upper body ergometer• Therabands/Theratubes• Manual Therapy
33
![Page 34: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/34.jpg)
• Application of ice to relieve pain and swelling.• Discontinue activity.• Refer to physician for further
evaluation.• Some rotator cuff injuries can be
treated non-operatively (Partial-Thickness Tear)• Some must be surgically repaired.
(Full-Thickness Tear)•Why??? (Think Stabilization)
34
![Page 35: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/35.jpg)
• Read pages 458-461 and answer the following questions:•What is impingement syndrome?•What three structures are found in the subacromial space?•What are the signs and symptoms of impingement syndrome?
35
![Page 36: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/36.jpg)
• ______________ Space• Acromion Process and
the Coracoacromial ligament. (Coracoacromial _______ or ___________)
• The Glenohumeral joint capsule. (________)
36
![Page 37: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/37.jpg)
• When the arm is ______________ this space ______________ in size.
• Contents•Long head of the ___________ tendon and joint capsule.• ______________ bursa• ________________ tendon (most common)• Anything that causes a decrease in the
size of the subacromial space can cause an _______________ of one or more of these structures.
37
![Page 38: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/38.jpg)
Rotator Cuff PatholgyCongenital defects of the
coracoacromial arch.Odd shaped acromion.
Biceps TendonitisSupraspinatus TendonitisBone Spurs on the inferior part of the
acromion.Subacromial Bursitis
38
![Page 39: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/39.jpg)
39
![Page 40: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/40.jpg)
• Athletes that place the arm _____________ during their sport can often suffer from impingement syndrome.• The signs and symptoms often mimic
those of a _______________ _______ tear.
40
![Page 41: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/41.jpg)
G-H painPain when the G-H joint is actively
____________ and __________ ___________.
Point tenderness in the Subacromial Space.
Limited ____________Confirmation with special test.________________________
41
![Page 42: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/42.jpg)
RestAnti-inflammatory drugsRehabilitationStrengthen RC and Surrounding Shoulder Muscles.
When all else fails surgery may be required to open up the subacromial space. (_______________)
42
![Page 43: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/43.jpg)
• What structures are found in the subacromial space?• 5 minutes
43
![Page 44: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/44.jpg)
• Read page 466 and 469 and answer the following questions:
•What is DOMS?•What does PRICE stand for?•What is Biceps Tendonitis?•Get with a partner and palpate the Biceps tendon in the bicipital groove.
44
![Page 45: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/45.jpg)
• Long Head of the Biceps Tendon•Runs through the __________ groove of the humerus.•Originates from the supraglenoid tubercle.•Lies within the __________ capsule and subacromial space just beneath the acromion process. (Subacromial Space).•This puts the tendon at risk for impingement when the arm is __________. 45
![Page 46: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/46.jpg)
46
![Page 47: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/47.jpg)
Will develop ___________ over time.As it become inflamed, it no longer
fits in the ___________ groove and becomes prone to ______________.It is usually held in place by the ______________________.
This subluxation can also occur acutely with an extreme force commonly generated in throwing.
47
![Page 48: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/48.jpg)
• Painful abduction of the shoulder.• Pain in the shoulder when the forearm is ____________against resistance.• Subluxation of the biceps tendon when the forearm is _______ and __________ against resistance.• Pain with shoulder ________ with the elbow _____________.
48
![Page 49: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/49.jpg)
• Ice and compression if a subluxation occurs.• Rest• Anti-inflammatory drugs• Progressive rehabilitation.• Surgery may be required if chronic subluxation occurs.
49
![Page 50: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/50.jpg)
• What are three signs and symptoms of impingement syndrome?
• What are three methods of treatment?• 5 minutes
50
![Page 51: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/51.jpg)
Muscle Strains Can be overuse or traumatic . Often occur at the start of the sports season or with an
increase in activity.
Signs and Symptoms Pain and tenderness over the _________ ________.
(Palpation) Pain with muscle contraction. Pain may be delayed. (_______________)
Treatment _________________ Anti-inflammatory drugs Gentle Stretching
51
![Page 52: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/52.jpg)
Read pages 468-470 and answer the following questions:1. What are the four most common traumatic
shoulder injuries?2. Which direction do most shoulder
dislocations occur?3. What is the mechanism for an anterior
shoulder dislocation? What type of activity/sport may cause this?
4. What is the re-injury rate of a shoulder dislocation for an 18 year old athlete.
52
![Page 53: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/53.jpg)
•Glenohumeral Joint Dislocations•Acromioclavicular Sprain• Fractures• Tendon Ruptures
53
![Page 54: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/54.jpg)
• The __________ head is forced out of the _________ cavity.• Can occur in the following directions:•_________________ (Front and Down)•____________ (Back)•____________ (Down)
• ___________ Dislocation is the most common (95%) 54
![Page 55: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/55.jpg)
55
![Page 56: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/56.jpg)
Mechanism of InjuryShoulder ________ with ___________
Rotation. Tackling with outstretched arm.
Signs and SymptomsPossible ___________ of the shoulder___________ arm on affected sidePalpable head of Humerus in _________.Partially ______________ arm with _______
elbow.Pain with any G-H movement.
56
![Page 57: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/57.jpg)
57
![Page 58: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/58.jpg)
• Apply Ice to shoulder and secure with Ace Wrap or Plastic Wrap. Place _________ roll under the axilla.• Apply standard ______ and __________.• Refer to physician for immediate reduction and X-Rays.• Treat for __________ if necessary.
58
![Page 59: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/59.jpg)
• ____% of all G-H dislocations will recur in athletes younger than ____ years old.• Why????•This is due to the stretching of the ____________ ______ and __________ of the supporting musculature.
• May have to be surgically repaired.• Chronic dislocation/subluxation can
also cause an injury to the glenoid _______. 59
![Page 60: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/60.jpg)
• Read page 470 -471 and answer the following questions:
1. What is the glenoid labrum and where is it located?
2. What is the function of the Glenoid Labrum?
3. What are the signs and symptoms of a Glenoid Labrum tear or injury?
4. How would you treat a glenoid labrum tear?
60
![Page 61: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/61.jpg)
• A ring of ________ attached to the margin of the glenoid cavity.
61
![Page 62: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/62.jpg)
• Functions to help ________ the head if the humerus within the glenoid cavity.• Mechanism of Injury•Traumatic __________ of the shoulder.•___________ Tear:• Repetitive stress due to an ___________. (GH joint being too loose).
62
![Page 63: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/63.jpg)
• Signs and Symptoms• Pain deep within the shoulder.• __________ or ___________ when the shoulder is rotated.• Shoulder weakness.• Decrease ability to use the arm.
• Treatment• Refer to physician for diagnosis.• MRI, X-Ray
• Surgery may be required.• Shoulder strengthening program.• Rotator Cuff
63
![Page 64: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/64.jpg)
• Read the section titled “Acromioclavicular Injuries” on pages 473-474 and answer the following questions.1. What two boney structures form the A-
C joint?2. What is the number one mechanism of
injury for an A-C sprain?3. How would you care for someone with
an A-C joint injury?64
![Page 65: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/65.jpg)
Articulation between the distal end of the _________ and the __________.
Soft Tissue SupportAnterior Deltoid MusclesTrapezius MusclesAcromioclavicular Ligaments
Superior Inferior
Coracoclavicular ligament Trapezoid ligament Conoid ligament.
65
![Page 66: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/66.jpg)
Three types of Injuries1. __________: A-C ligament is
partially injured. The articulation is stable. Pain is the primary symptom.**
2. ________: AC joint capsule and CC ligaments partially disrupted. Articulation is stable.
3. __________: AC joint capsule and CC ligaments completely disrupted. Superior displacement of the clavicle. (________ key sign) 1. AKA: Shoulder Separation
66
http://biomed.brown.edu/Courses/BI108/BI108_2004_Groups/Group01/mechSSD.htm
![Page 67: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/67.jpg)
Mechanism of Injury_________ blow to the outer end of the
clavicle.Fall forward on an outstretched arm.______________
Signs and SymptomsSwellingPoint-TendernessDiscolorationPain with any movement
Horizontal Flexion+ Piano Key Sign (Grade __ only)
67
![Page 68: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/68.jpg)
• Application of Ice Pack secured with Ace Wrap or Plastic Wrap.• Apply sling and swath bandage.• Refer to physician for X-ray.• Immediately for Grade III or if signs or shock are present.
• Possible Surgical Intervention may be required.
68
![Page 69: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/69.jpg)
• Most occur at the mid-shaft of the bone.•This is the thin/flat portion.
69
![Page 70: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/70.jpg)
Mechanism of Injury Direct Blow Fall on outstretched hand or tip of shoulder. FOOSH
Signs and Symptoms Swelling or deformity (Could be an _________ fracture) Discoloration Point tenderness Pain with ___________ flexion Athlete may hear or feel a “___________” Athlete will be holding the arm in a ______________
position.Treatment
Treat for shock Immobilize Use ice pack Apply a sterile dressing to any wounds. Arrange for transport to a medical facility.
70
![Page 71: 1 The Shoulder. Read pages 450-451 and answer the following questions: 1.What three bones make up the shoulder girdle? 2.What three articulations make](https://reader035.vdocuments.net/reader035/viewer/2022062519/56649f0c5503460f94c1ffaa/html5/thumbnails/71.jpg)
• Commonly happens to ___________- athletes.
71