shoulder w1/d1

shoulder considerations

• mobility vs stability

• ROM

• pain

• strength

anatomy sxs for shoulder use

• unrestricted ROM

• musc strength

• intact neuro sxs = stimulate muscle firing

• intact blood supply = provide nutrition to muscle

brachial plexus

RTDCB

BP - R

roots

C5, C6, C7, C8, T1

BP - T

trunks

upper, middle, lower

BP - D

divisions

anterior and posterior

BP - C

cords

lateral, posterior, medial

BP - B

branches

musculocutaneous, axillary, median, radial, ulnar

musculocutaneous

bicep area

bicep

median

ant/lat forearm

tip index

ulnar

ant/med forearm

tip pinky

axillary

arm pit

lat deltoid

radial

back of arm

web space b/w 1st and thumb posterior

sprengels deformity

high or low scapula

scapular winging

muscle weakness or neuro involvement

step deformity

on proximal or distal clavicle

sulcus sign

divot on anterior shoulder

throwing stages

1. wind up

2. cocking

3. acceleration

4. deceleration

clavicle

S-shaped = common fxs in middle

humerus

bicipital groove

greater tuberosity

lesser tuberosity

suprascapular notch

vessels pass through

shoulder joints

sternoclavicular

acromioclavicular

glenohumeral

scapulothoracic

anterior/posterior sternoclavicular

life threatening

costoclavicular

stabilizer from 1st rib

superior/inferior acromioclavicular

fall on tip of shoulder

coracoclavicular

conoid

trapezoid

superior/middle/inferior

glenohumeral