The Shoulder

Acute Care Lab

Spring ‘10

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

Soft Tissue Anatomy: Muscles

Pectoralis Major Deltoids (Anterior, Middle, Posterior) Latissimus Dorsi Teres Major

Soft Tissue Anatomy: Muscles

Rotator Cuff Muscles

Rotator Cuff Supraspinatus InfraspinatusTeres MinorSubscapularis

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

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

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

Range of Motion

Padding

AC Joint Pad Can be custom made using Orthoplast Can be generic

Bracing

“Sully” Brace

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.

Shoulder Spica

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.