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Swimmer's Shoulder

What is it ?

its when damage happens in the anterolateral part of the shoulder during swimming

Signs and Symptoms

Pain in the front and back of the shoulder

Inflammation of the tendon of the supraspinatus muscles

the ROM decreases

Type of pain

Acute

Chronic

Neuropathic Pain

Nociceptive pain

Short-term pain/ last for less than 6 months

For more than 6 months and pain stays after injury

Caused by nerve damage, sensation of burn/ shooting and numbness

Caused by tissue damage/ be both acute or chronic/ sensation of aching, pressure, throbbing and stabbing

Types of shoulder damage

Clavicle fracture/ Shoulder dislocation/ rotator cuff tear/ burtitis

The shoulder girldle

Clavicle

Medial

lateral

superior

Inferior

sternal end

3 tuberosities

Trapezoid

conoid

costal

conoid ligament

trapezioid ligament

Coracocravicular ligament

costoclavicular ligament

Scapula

coracoid

Glenohumeral fossa

glenohumeral joint

Humerus

Caused by?

swimming

muscles used in swimming

Butterfly

Freestyle

Backstroke

The Brachial Plexus

Examination for the shoulder

Examinations of the shoulder

Look

Touch

Examine

Look for any scar, bruises, deformaties in the posture or positions of any bone or muslce

touch for any tenderness or sense of pain, check for radial pulse and lymphnodes

examine movements actively and passively for abduction adduction extension and flexion and internal, external rotation

Stages pf imjury

Special

Impingement Test

Types

Neer test or Neer sign

Hawkins-Kennedy test.

Yocum test.

Cross-arm test

Jobe’s test.

a test where the patient should slightly flex then slightly abduct then put his thumb facing down and try to go against the force he is put by the doctor