Shoulder Complex

Palpations for the shoulder

SC joint

AC joint

Acromion

Coracoid process

Biceps Long head

Greater Tuberosity

Humeral Head

Supraspinatus insertion

supraspinatus fossa

infraspinatus fossa

spine of scapula

inferior angle of scapula

OSK motions of GH joint

Flexion

Extension

Abduction

Adduction

IR

ER

what is the joint rule for GH joint?

Convex on concave

How is the use of the Traction Mobilization on the GH joint?

pain relief

What is improved with a Inferior/caudal mobilization? (GH joint)

Abduction/Flexion

What is improved with a Posterior/Dorsal mobilization? (GH joint)

Flexion/IR

What is improved with Anterior/Ventral mobilization? (GH joint)

ER

How do you asses the shoulder before working on mobilizations to improve function? (GH joint)

Grip the head of the humeral head and move into the 4 direction of the shoulder motion

What positioning should you have the patient in for mobilizations? (GH joint)

Inferior and Posterior are all in supine

Anterior in prone

OSK motions of the AC joint

Elevation

Depression

Retraction

Protraction

What is the joint rule for the AC joint?

Elevation

Depression

Retraction

Protraction

What is improved with a Posterior/Dorsal mobilization? (AC joint)

Protraction

-Push on the distal clavicle

What is improved with a Anterior/Ventral mobilization? (AC joint)

Retraction

-push on the distal acromion

What is improved with a Inferior/Caudal mobilization? (AC joint)

Elevation

-Push distal clavicle inferior

What is improved with traction at the AC joint?

pain relief

-put hand on acromion and distal clavicle and push up on the clavicle.

OKC motions of the SC joint

Elevation

Depression

Protraction

Retraction

Anterior rotation

Posterior rotation

what is the joint rule for SC joint?

SADDLE JOINT

- Elevation/Depression is convex on concave

- Protraction/retraction is concave on convex

What is improved with a inferior/caudal mobilization? (SC Joint)

Elevation

what is improved with a superior/cranial mobilization? (SC joint)

Depression

What is improved with traction at the SC joint?

pain relief

-slight pull at the joint

What is improved with a Posterior/Dorsal mobilization? (SC joint)

Scapular retraction

What is important about clinical mobilization of the SC joint?

we need to wiggle it

OKC motions of the Scapuar-thoracic "joint"? (not a true anatomical joint)

Elevation/Depression

Protraction/retraction

upward rotation/downward rotation

how do we mobilize the scapular-thoracic "joint"? (not a true anatomical joint)

-grip the acromion and the inferior angle

-move in the upward and forward movement

-then down and back movement

-push into the scapula to create winging and lift the scapula with hands to move it off the thorax

what types of patients do not need to be assessed for scapular plan movements?

patients with lots of scapular winging or patients with good scapular movement.