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ANATOMYPHYSIOLOGY

KINESIOLOGY

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CONDITIONSAFFECTING THE JOINT

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STERNOCLAVICULAR

JOINT SPRAIN

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MOI

INDIRECT FORCE: : external load ree!"ed $!le l%!n& on t$e 'a('!n& roll!n& o) t$e *od% o"er t$e '$o(lder

DIRECT FORCE: d!ret !m+at on t$e la"!le

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EPIDEMIOLO,-

Mortal!t% and '!&n!.ant mor*!d!t% o(r !n)re/(entl% !t$ antd!'loat!on' o) t$e SCJ

Po'ter!or SCJ d!'loat!on $a' t$e +otent!al )or 'e"ere and e"ent$reaten!n& om+l!at!on'

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EPIDEMIOLO,-

SE1: M2F

3oe"er4 re(rrent atra(mat! anter!or '(*l(xat!on o) t$e SC5('(all% a''o!ated !t$ o"erall 6o!nt lax!t%7 t$o(&$ rare4 o(more )re/(entl% !n %o(n& &!rl'8

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PAT3OP3-SIOLO,-

ANTERIOR: med end o) la"!le *eome more +rom!nent

POSTERIOR: more +a!n4 le'' +rom!nent

,r95M!ld S+ra!n7

,r5S(*l(xat!on7

,r;5d

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ASSESMENT

10ra%

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MANA,EMENT

,r9=: !e and 'l!n&> ret(rn to at!"!t% 90?' )or &r9 and @0)or &r

,r;5Anter!or7: anal&e'!'4 'l!n& and ('(all% '(r&er%

,r;5Po'ter!or7: lo'ed red(t!on

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ACROMIOCLAVICULAR

JOINT SPRAIN

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MEC3ANISM OF INJUR-

Most common: d!ret )ore t$e t!+ o) t$e '$o(lder !t$ arm

abducted a&a!n't t$e *od%

ndmost common: FOOS3

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DISTIN,UIS3IN, S-MPTOM

+x radle' t$e !n"ol"ed arm *% &ra'+!n& '(++ort!n& t$e el*o !t$ t$e (n!n"ol"ed$and

5B7 +a!n o"er t$e 6o!nt

Inrea'ed 6t mo*!l!t%

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ASSESSMENT

Cro''0o"er Im+!n&ementte't

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MANA,EMENT

G!ade I"III: 'l!n& !mmo*!l!at!on4 !and anal&e'!'

G!ade I#"#I: Reon'tr(t!on> '(r&

G!ade I: Ie4 'l!n& and 'at$e or r

G!ade II: Re't (+ to ?'4 ROME a'tren&t$en!n& exer!'e'

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ANTERIOR S3OULDERD

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MEC3ANISM OF INJUR-

Ind$!ect %o!ce: Arm !nE&A'E(5earl% o?!n& +$a'e

+!t$!n&

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DISTIN,UIS3IN, S-MPTOM

Ma% re'(lt to a)$**a!+ ne!,e!n6(r%

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ASSESSMENT

Anter!or a++re$en'!on

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MANA,EMENT

(OME: a"o!d A'E(

St!en-t.en$n-: '$o(lder

m('(lat(re and 'a+(lar'ta*!l!er'

P!o/!$oce/t$on e)e!c$ses

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POSTERIORS3OULDER D

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MEC3ANISM OF INJUR-

Most common: Ax!al load!n& !t$e arm !n FADI(

lo to t$e )ront o) '$o(lder