Shoulder Injuries

Pathology:

  • AC injuryshoulder.png
  • Shoulder dislocation
  • Labral tears – SLAP lesion, unstable joint; if the joint is unstable then bicep will still function but will be less efficient
  • Bankhart’s lesions
  • Cuff tears – overloading young sports players or degenerate joints in old people are most common causes
  • Impingement

Cuff Tears:

  • Partial
  • Complete
  • Acute
  • Chronic

Impingement:

  • Pathology
  • Most common in overhead athletes such as swimming or racquet sports
  • Causation
  • Intrinsic e.g. acromium made the wrong shape
  • Extrinsic e.g. what you’re doing such as excessive serving for tennis

Rehab:

  • Core stability; fix core, scapula, move well
  • Scapula control; often anterior structures are damaged
  • Range of movement
  • Cuff strength
  • Strength through range

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