Zusammenfassung der Ressource
ayman the swimmer
- demographic
- Ayman 19
yr old
- daily
swimmer .
- Anatomy of the
soulder
- muscles
- bones
- tendon and
ligamints
- shoulder arteries
- axillary veins
- physiology of the shoulder
- Protraction
Retraction
- Abduction
Adduction
- Pronation
Supination
- Depression
elevation
- Dorsiflexion
Planter fexion
- Physical examination of
the shoulder
- Introduction
Look
Feel
Move
Special
test
Closure
- Joints
- fibrous
- Sutures
Syndesmosis
Gomphosis
- crtilogenous
- primary : synchondrosis
secondry : symphysis
- =synovial
- pathophysiology
- tendinitis
- Acute: Excessive ball throwing or other
overhead activities during work or sport
can lead to acute tendinitis. Chronic:
Degenerative diseases like arthritis or
repetitive wear and tear due to age, can
lead to chronic tendinitis.
- burisitis
- excessive use of the shoulder
leads to inflammation and
swelling of the bursa between the
rotator cuff and part of the
shoulder blade known as the
acromion subacromial bursitis
- tendon tears
- These tears may be partial or may
completely split the tendon into two
pieces. In most cases of complete
tears, the tendon is pulled away
from its attachment to the bone.
- common injuries
- Rotator cuff
biceps tendon
- impingement
- occurs when the top of the shoulder
blade (acromion) puts pressure on the
underlying soft tissues when the arm is
lifted away from the body.
- instability
- the head of the upper arm
bone is forced out of the
shoulder socket. This can
happen as a result of a
sudden injury or from
overuse.
- arthiritis
- osteoarthritis, also known as "wear and tear" arthritis.
Symptoms, such as swelling, pain, and stiffness,
typically begin during middle age. Osteoarthritis
develops slowly and the pain it causes worsens over
time
- fracture
- Fractures are
broken bones.
- commonly involved
with: scapula , clavicle
and humerus
- Management of
shoulder joint
diseases
- Management in primary care is
usually conservative:
- 1-reducing precipitating
movements 2- analgesia;
paracetamol oral (NSAID).
Refer to physiotherapy.
- 1- Physiotherapy and
steroid injections.2- early
referral for orthopaedic
input.
- Calcific tendonitis:
- Treatment NSAIDs,
corticosteroids, physiotherapy,
aspiration or lavage.
- Glenohumeral disorders:
glenohumeral injection
- Acromioclavicular disease :
Acromioclavicular injury usually
responds to rest and simple
analgesia
- Swimmer’s Shoulder
Syndrome
- represents a chronic irritation
of the shoulder soft tissues
(tendons, muscles, ligaments)
- stages and
diagnosis
- Stage 3: Pain is noticeable during
practice, immediately after practice
throughout the rest of the day.
Diagnosis: Because of the
swimmer’s facial expressions,
apprehension behavior and body
gestures Stage
- Stage 1: mild prolonged pain
and discomfort several hours
after exertion Diagnosis:
based only on history of
where and when it hurt.
- 2 Pain exists during and
following the workout
Diagnosis : by specialized
tests
- stage 4: pain is chronic
and unchanging
- treatment
- During Acute Phase: apply ice rest the
shoulder Oral anti-inflammatory
medications supportive taping
therapist-administered therapeutic
modalities
- After Acute Phase: Rehabilitation
exercise program for the rotator cuff
Working with a physical therapist
- Sports Medicine
- area of medical practice
concerned with the
treatment of injuries
resulting from athletic
activities
- excellent resources for the
individual who wishes to
become active or begin an
exercise program.
- psychology
- The Fear-Avoidance
Model of Musculoskeletal
pain