AYMAN THE SWIMMER

AYMAN THE SWIMMER

1. ANATOMY OF THE SHOULDER

   • BONES
     • scapula
     • clavical
     • humurus
     • sternum
   • MUSCLES
     • interior
       • perctorlis major
       • pectorlis minor
       • subclavius
       • subscapular
       • bicips muscle
       • anterior serratus
       • deltiod
     • posterior
       • infraspintus
       • supraspinatus
       • teres major
       • teres minor
       • latissmus muscle
       • rhomiod major
       • rhomiod minor
       • trapezuis
   • JIONTS
     • sternoclavicular jiont
       • interclavicular lligament
       • costaclavicular ligament
       • sternoclavicular ligament
     • acromioclavicular jiont
       • acromioclavicular ligament
     • scapula-thoracic jiont
     • shoulder jiont
       • gleniohumural ligament
         • superior
         • middle
         • inferior
       • corcohumural ligament
       • transverse humural ligament
       • coracoacromiom ligament

2. sport injuries

   • acute
     • nerve injury
     • ligament sprine
     • muscle strain
     • contact injury
     • fractures
     • dislocation
   • chronic
     • Overuse tendon injuries
     • Chronic muscle strains
     • Bursitis
     • Stress fractures
     • Osteoarthritis

3. physical eximanition

   • taking history
   • inspect
     • skin
       • scars
       • discolorization
     • shoulder position
     • shape
       • swelling ?
   • palpate
   • movement
     • flextion/ extension
     • adduction/abduction
     • internal rotation/ external rotation
   • special test
     • impigement test
       • flex
       • abduct
       • external rotation

4. swimmer shoulder

   • AKA syndrom
     • impegement test
   • micro- truma
   • caused by:
     • overuse
       • increasing considerably the intensity of exercise, suddenly
     • disuse
       • reusing a muscle after a prolonged time of reduced-use
     • misuse
       • improper technique
   • signs and symptom
     • pain with overhead use of the arm
     • weakness of shoulder muscles
     • difficulty reaching up behind the back

5. management of shoulder pain

   • first line
     • rest
     • Applying ice pack
     • NSAIDs
   • second line
     • Physiotherapy
     • Steroid injection
     • Surgical Treatment

6. complications

   • Progression to adhesive capsulitis
   • cuff tear arthropathy

7. investegation of shoulder pain

   • X-RAY
   • ultrasound
   • MRI
   • CT scan

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