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SHOULDER

ashleycarr545 Inglés 49 fichas

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  1. 1Glenohumeral subluxation and dislocation''
  2. 2most dislcations occur inanterior-inferior
  3. 3anterior- inferior dislocation occurs how-when the abducted UE is forcefully ER causing a tear of the inferior glenohumeral ligament, anterior capsule, occasionally glenoid labrum
  4. 4posterior dislocations are ? occur with?-rare
    -multidirectional laxity of glenohumeral joint
    -horizontal adduction and IR
  5. 5for the position of the anterior-posterior dislocation, what is providing the stabilitysubscapualris
    GH ligaments
    LH of the triceps
  6. 64 complications-Hills-Sachs lesion
    -SLAP lesion
    -avulsion of the anteroinferior capsule and ligaments associated with the glenoid rim (Bankart lesion)
    -bruising of the axillary nerve
  7. 7position to avoid after surgery-APPREHENSION POSITION
    flexion to 90 or more
    horizontal abduction to 90 or more
    ER to 90 or more
    (at least first 3 months)
  8. 8focus of PTregain dynamic scapulothoracic and glenohumera stabilization and muscle re ed
  9. 9strengthen which 4 muscles-deltoids
    -RTC
    -Traps
    -Pecs
  10. 10LABRUMLABRUM
  11. 11superior injury tear of the rim above the middle of the socket which may also involve the biceps tendonSLAP
  12. 12TEAR OF The rim below the middle of the glenoid socket is called involves the inferior glenohumeral ligamentBankart Lesion
  13. 136 signs1. shoulder pain that can not be localized to one point
    2. pain is worse with overhead activities or when the arm is behind the back
    3. weakness
    4. shoulder instability
    5. pain on resisted elbow flexion
    6. tenderness over the front of the shoulder
  14. 14inuries that require surgery-unstable injuries
    -Bankart's Lesion
  15. 15TOSTOS
  16. 16compression of the neurovascular bundle in the thoracic outlet between bony and soft tissue structures''
  17. 17compression occurs whenwhen the size or shape of the TO is altered
  18. 184 common area of compression1. superior TO
    2. scalene triangle
    3. between clavicle and first rib
    4. b/w pec minor and thoracic wall
  19. 194 tests1. Roo's test
    2. Adson's test : INTERSCALENE TRIANGLE
    3. Wright's test
    4. Costoclavicular test
  20. 2010 signs1. pain
    2.paresthesia
    3. numbness
    4. weakness
    5. discoloration
    6. swelling
    7. loss of pulse
    8. ulceration
    9. gangrene
    10. Raynaud's phenomenon
  21. 213 etiologiescompressive neuropathy
    faulty posture
    entrapment of neural tissue from scar tissue or pressure
  22. 222 main PT goals1. postural re-ed
    2. manipulations of the first rib articulation to diminish pain and soft tissue grinding
  23. 23AC AN STC JOINT DISORDERS''
  24. 24mechanism of injury?-fall onto shoulder with UE adducted
    - collcison with another during sports
  25. 25avoid what during acute phase of healingshoulder elevation
  26. 26pain with?-the involved area
    -end range of motion with shoulder elevation
    -shoulder horizontal abd/abb
  27. 27main PT-cross fiber massage to the fiber/capsule
    -manual therapy; STM, JT oscilaltions/mobs,
  28. 28have a close relationship to RC tendons which makes them susceptible to over usesub-acromial and sub-deltoid bursa
  29. 29can become impinged beneath theacromial arch
  30. 30tendons of rotator cuff are susceptible to tendinitis due to ? RC tendonitis-relatively poor blood supply near the insertion of the muscles
  31. 31results from ?mechanical impingement of the distal attachment of the RC muscles on the anterior acromion and/or coraoacromial ligament with repetivie overhead activites
  32. 32characterized by sot tissue inflammation of the shoulder from impingement against?the acromion with repetitive AROM
  33. 33THREE TEST1. Neer's impingement test
    2. supraspinatus test
    3. drop arm test
  34. 34avoid which mvmtshoulder elevation over 90
  35. 35PT activityrestore posture
  36. 36characterized by an irritation b/w the RC and greater tuberosity or posterior labrum or glenoidinternal impingement
  37. 37often seen in ? pain commonly noted in?athletes performing overhead activites
    posterior shoulder
  38. 38most commonly an inflammation of the long head of the bicepsbicipital tendonitis
  39. 39results from mechanical impingement of the?proximal tendon b/w the anterior acomiron and the bicipital groove of the humerus
  40. 40humeral neck fxs frequently occur with ?all onto an outstretched UE among older OP women
  41. 41generally does snot require? bc?immobilization/surgery
    fairly stable fx
  42. 42greater tuberosity fxs frequently occur with?fall onto the shoulder
  43. 43more common in?middle aged/elderly adults
  44. 44does not require what for healing?immobilization
  45. 45important to prevent capsular adhesionsPROM
  46. 46restriction in shoulder motion as a result of infalmation and fibrosis of the shoulder capsuleadhesive capsulitis
  47. 47usually due todisuse following disuse or repetitive microtrauma
  48. 48capsular pattern of limitation-most in ER
    -followed by abduction and flexion
    -least restricted in IR
  49. 49COMMONLY SEEN INPEOPLE WITH DM

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Fichas sobre SHOULDER, creado por ashleycarr545 el 03/07/2016.
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ashleycarr545
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