AYMAN THE SWIMMER

Shoulder
1. Anatomy
  1. Joints
    1. A point at which two or more bones meet / articulate
    2. Fibrous Joint
      1. The Articular surface of the bones are connected together by a STEONG FIBROUS TISSUE
      2. NO MOVEMENTS are permitted
      3. found in:
        Sutures of the skull
        Syndesmosis
        Gomphosis
    3. Cartilaginous Joint
      1. Primary
        connected by
        Hyaline cartilage
        NO movement
        Ossify w/ age
        Found in:
        Epiphyseal Cartilage
        B/W the 1st costal cartilage & sternum
      2. Secondary
        Connected by
        LIMITED movement
        RARLY ossify
        Found in:
        Symphysis Pubis
        Intervertebral Disc
        Joints B/W pieces of the sternum
        White Fibro-cartilage
    4. Synovial Joint
      1. Structure
      2. Classification
  2. Muscles
    2. Rotator's Cuff
      1. Pathology
        Swimmer's Shoulder
        AKA
        Throwers Shoulder
        Painful arc syndrome
        Supraspinatous Syndrome
        Shoulder Impingement syndrome
        Causes
        Tendon impingement and an inflammatory response in subacromial space
        As a result of
        Loss of function of the
        Bony Spurs
        Thickening of the subacromial bursa
        Signs & Symptoms
        Weakness of affected site
        Pain deep to the shoulder
        Restrictions of motion
      2. Prevention
        Avoid over exercising
        Avoid use of swimming paddles
        Avoid sudden increase in the intensity
  3. Nerves
  4. Bones
  5. Blood supply
Sports Injuries
1. common sports injuries
  1. Runner's Knee injury
    1. Tennis Elbow
      1. Ankle sprain
2. Types
  1. Acute
    1. Signs
      1. Tenderness in the upper limb
        Inability to move joint in complete range of motion
        Weakness in the lower limb
        Visible dislocation
        Sudden sever pain
    2. Types
      1. Contact injuries
        Nerve injuries
      2. Dislocation
        Fractures
        Avulsions
      3. Strains
        Sprains
  2. Chronic
    1. Overuse of a particular part of the body due to excercise
3. Preventions
  1. When jumping land with knees bent
    1. Use protective equipment
      1. Avoid twisting ankles
        Warm up
Shoulder pain
1. causes
  1. Arthritis of the shoulder
    1. Rotator's Cuff
      1. Frozen shoulder
        Poor posture
        Fracture
2. Management
  1. Physiotherapy
    1. Regaining ROM
      1. Restore technique
        Restore scapular control
        Restore normal neck-scapula-thoracic shoulder function
  2. Pain relief
    1. Apply ice
      1. Rest & decrease activities
        Anti-inflammatory medications
3. Investigations
  1. MRI
  2. CT Scan
  3. X-ray
4. Types of pain
  1. Somatic
    1. Visceral
      1. Neuropathic
Sports Medicine
1. Physical examination
  1. Impingement test
    1. Impingement
      1. complications
        Tearing
        Arthritis
        Loss of motion
2. Management
  1. Patient Education
    1. Physiotherapy
      1. NSAIDS
        RIC
Physiology
Psychology

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AYMAN THE SWIMMER

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