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OPP Lect 12

Diagnosing somatic dysfunction of the shoulder How and where is the pain generated: making an anatomic correlation with history **Localy: is it articular, muscle, or neural
Articular Dysfunction related to the shoulder Glenohumeral joint, Acromioclavicular joint, Sternoclavicular joint, First Rib, Scapulothoracic
Layered palpation of shoulder muscles Important in diagnosing shoulder pain because you must distinguish between trapezius, levator scapulae, rhomboids, supraspinatus
Neural compression with shoulder pain Referred cervical neuropathy, brachial plexus compression, long thoracic nerve compression
Active shoulder ABD ROM testing Abduction: should be 180 degrees and symmetrical **more than 5 degrees difference indications a problem
Scapulohumeral rhythm 1:2 ratio For every 15 degrees abduction 10 is glenohumeral 5 is scapular
Glide translatory motion of bone relative ot its opposed joint surface
Glide of glenohumeral joint Inferior glide at glenohumeral joint with abduction. Anterior glide with extension
Glide of sternoclavicular joint superior/inferior, anterior/posterior **Most common SD are due to Superior glide or anterior glide
Clavicular rotation during abduction It rotates 30 degrees about SC joint to prevent the supraspinatus from getting mashed during abduction
Diagnosing Biceps tendonitis tenderness only in the bicipital groove
Diagnosing Subacromial Bursitis tenderness below the AC along with edema. changes with position
Diagnosing Rotator cuff strain tenderness at origins and insertions of muscles
Diagnosing Impingement syndrome Pain on abduction, external rotation. Supraspinatus tendon is being impinged by acromion. could cause calcification and rupturing of tendon
Diagnosing Adhesive Capsulitis Limited range of motion along with history of too much rest post injury
Don't Chase the pain Don't just jump to a diagnoses based on pain, correlate it with history and do a thorough check to see if its coming from somewhere else.
Created by: WeeG