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The Shoulder

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.

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The Shoulder

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  1. The Shoulder Acute Care Lab Spring ‘10

  2. 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

  3. Soft Tissue Anatomy: Muscles • Pectoralis Major • Deltoids (Anterior, Middle, Posterior) • Latissimus Dorsi • Teres Major

  4. Soft Tissue Anatomy: Muscles

  5. Rotator Cuff Muscles • Rotator Cuff • Supraspinatus • Infraspinatus • Teres Minor • Subscapularis

  6. 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

  7. 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

  8. 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

  9. Range of Motion

  10. Padding • AC Joint Pad • Can be custom made using Orthoplast • Can be generic

  11. Bracing • “Sully” Brace

  12. 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.

  13. Shoulder Spica

  14. 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.

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