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Ortho Shoulder 2 Lecture (Key muscles to strengthen (TRY TO ENCOURAGE…

- - - - bony
      - muscular
  - - - pec minor insertion
        
        coracoid process
    - - levator scap
        
        origin transverse process C1-C4
        
        insert: medial border scap. / superior angle
        
        can impact scap. position
    - - subacromial lat arm pain
      - AC joint
      - thoracic outlet
- - - - pt stands arms at side relaxed abducted
        
        lateral displacement
        
        visual
        
        dropped scap.
    - - dropped scapula
        
        downward rotation
        
        what anatomy is required?
- - - - look at engagement through motion on app
- - - - REVIEW sensitivity and specificity
  - - - assess translation
        
        arm abducted 90 deg. abduction
        
        elbow bend at 90?
    - - reproduce symp
  - - - peel back at 12 o clock
        
        long head of biceps
        
        popeye
        
        comp integrity of bicep tendon
  - - - RULE OUT
        
        sensitivity
      - Rule out
        
        Specificity
    - - Yergenson
    - - specific
        
        Hawkins kennedy
      - sensitive
    - - RC stabilizers.
        
        if not functioning
        
        NO STABILITY
    - - sensitive
      - specific
- - - - weakness, tendon tear
        
        what can allude to tendon tear?
        
        steroids(corticos?)
        
        pathological
        
        diabetes mellitus
        
        avascular tissue and not well vascularized person
  - - - bony anomalies(bone spurs, calcium)
- - - - restrain to inferior translation
    - - restrains anterior at midrange
- - - - glenoid fossa avulsion
    - - humeral head avulsion
- - - - seen in forward head
        
        tension
        
        ant muscles tight
        
        post muscles lengthened
        
        stretch weakness
- - - - scapula
    - - cervical thoracic junction
    - - bony
        
        cervical rotation
        
        C1-T4
      - soft- splenius, rhomboids,
- - - - sharp/dull, light touch, hot/cold
        
        SHOW WHAT YOU ARE DOING