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Chapter 13 – The Shoulder and Upper Arm. Pages 456 - 462. Ligamentous and Capsular Testing. Difficult to manipulate clavicle. Test for SC Joint Laxity. Test for AC Joint Laxity. Test for GH Joint Laxity. Test for GH Joint Laxity. All motions occur relative to plane of scapula
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Chapter 13 – The Shoulder and Upper Arm Pages 456 - 462
Ligamentous and Capsular Testing • Difficult to manipulate clavicle
Test for GH Joint Laxity • All motions occur relative to plane of scapula • Standard – humerus is distracted from glenoid fossa • Load and Shift technique – load placed upon humerus
Test for GH Joint Laxity • Implications: • Anterior – coracohumeral L, superior and middle GH L., anterior joint capsule, labral tear • Posterior – posterior joint capsule, labral tear • Inferior-anterior – inferior joint capsule, superior GH ligament, coracohumeral L,
Neurological Testing • Box 1-6, page 17 • C5 nerve root level • Sensory testing • Motor testing • Reflex testing
SC Joint Sprains • Evaluative Findings • Table 13-6, page 459 • Pseudo-dislocation • Surgical vs. conservative treatment
AC Joint Sprains • Evaluative Findings • Table 13-8, page 461 • Stability of AC joint • Horizontal (anterior/posterior) – AC L. • Superior – coracoclavicular L (conoid/trapezoid) • “separated shoulder” • Classification of AC sprains • Table 13-7, page 460
AC Joint Sprains • Step deformity • Piano key sign • Surgical vs. conservative treatment
