Pathology:
- AC injury
- 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