Download - The Shoulder
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The Shoulder
Acute Care Lab
Spring ‘10
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Bony Anatomy
Clavicle “Collar Bone” Only part of shoulder girdle
that articulates with the trunk (Sternoclavicular Jt.)
Scapula “Shoulder Blade”
Humerus Upper Arm Bone Articulates with the Scapula
at the Glenoid Fossa
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Soft Tissue Anatomy: Muscles
Pectoralis Major Deltoids (Anterior, Middle, Posterior) Latissimus Dorsi Teres Major
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Soft Tissue Anatomy: Muscles
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Rotator Cuff Muscles
Rotator Cuff Supraspinatus InfraspinatusTeres MinorSubscapularis
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Soft Tissue Anatomy: Ligaments
Acromioclavicular Connects Acromion
Process to the Clavicle Coracoclavicular
Connects Coracoid Process to the Clavicle
Coracoacromial Connects Coracoid
Process to the Acromion
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Range of Motion
Flexion Pec. Major (Clavicular Portion)/Ant. Deltoid
Extension Latissimus Dorsi/Teres Major/Pec Major (Sternal
Portion) Abduction
Deltoids and Rotor Cuff Adduction
Pec. Major (Sternal Portion)/Lat. Dorsi/Teres Major
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Range of Motion Con’t
External Rotation Supraspinatus/Infraspinatus/Teres Minor Also known as the “SIT’s” muscles of the Rotator Cuff
Internal Rotation Subscapularis and Pec. Major
Horizontal Abduction Infraspinatus, Teres Minor, and Post. Deltoid
Horizontal Adduction Coracobrachialis, Pec. Major, Ant. Deltoid
Circumduction
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Range of Motion
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Padding
AC Joint Pad Can be custom made using Orthoplast Can be generic
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Bracing
“Sully” Brace
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Shoulder Wrap
Shoulder Spica Have athlete place their hand on their hip with the elbow in a
flexed position. Beginning on Proximal Humerus, roll wrap twice to anchor. Pulling wrap across the chest, crossing the shoulder at the
Acromion process. Pull wrap under opposite axilla region (armpit) and around
behind the back crossing over the Acromion process, underneath the axilla and around crossing back over the Acromion.
Repeat steps until wrap is completed. Secure with stretch and white tape.
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Shoulder Spica
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Taping
McConnel taping for AC Jt. Sprain Use Cover-Roll to form a “T” shape with the long axis
following the length of the humerus to the deltoid tuberosity. The short axis crosses the top of the long axis over the AC Jt.
Using Leukotape place along the long axis pulling in a distal to proximal manner. Place another strip on the anterior aspect of the short axis pulling from anterior to posterior across the AC Jt.