Cla

vicl

e

Thor

ax

Sca

pula

Ste

rnum H

umer

us

S*C

Join

tA

*CJo

int

G*H

Join

tSc

apul

o-Th

orac

icA

rtic

ulat

ion

Labr

um

JOIN

T

SC

GH

AC

Cor

acoc

lavi

cula

rLi

gam

ents

SCLi

gam

ents

AC

Liga

men

ts

GH

Liga

men

tC

ompl

ex Con

oid

Trap

ezoi

dC

orac

o-ac

rom

ial

XLa

tera

l

Ant

erio

r

Pos

terio

r

Med

ial

Abd

uct

Ext

end

Fle

x

Add

uct

Shou

lder

Joi

nt

ER

IRN

o co

nsis

tent

pat

tern

MU

SCLE

Pro

pello

rs

Hum

eral

Pos

ition

ers

Sca

pula

rP

ivot

ers

GH

Pro

tect

ors

Del

toid

s

Pec

sLa

ts

Rot

ator

Cuf

f

Ser

ratu

sA

nter

ior

Trap

sR

hom

boid

sP

ecM

inor

Leva

torS

capu

lae

The Rotator Cuff

Mot

ion

Prim

e M

over

(s)

Flex

ion

Ext

ensi

on

IR ER

Abd

uctio

n

Add

uctio

n

Sho

ulde

r Mus

cle

–Jo

int I

nter

actio

n

Mot

ion

Prim

e M

over

(s)

Upw

ard

Rot

atio

n

Dow

nwar

d R

otat

ion

Pro

tract

ion

Ret

ract

ion

Sca

pula

Mus

cle

–Jo

int I

nter

actio

n

BU

RSA

Sub

acro

mia

l

BO

NE

Cla

vicl

eH

umer

us

Frac

ture

Shou

lder

Poin

ter

Frac

ture

JOIN

T

SC

AC

GH

Labr

alTe

ar

Adh

esiv

eC

apsu

litisSp

rain

Spra

in

ST

Dys

kine

sis

Dis

loca

tion

Spra

in

MU

SCLE

/TE

ND

ON

Stra

ins

Tend

initi

sIm

ping

emen

tS

yndr

ome

Bic

eps

Con

tusi

onM

yosi

tisO

ssifi

cans

BU

RSA

Impi

ngem

ent S

yndr

ome

Ner

ve /

Vasc

ular

Per

iphe

ral

Ner

ves

Thor

acic

Out

let

Syn

drom

e

Palpation Guide for the Shoulder Anterior Structures Sternal end of clavicle SC Joint Shaft of clavicle Deltoid Muscle Group Pectoralis Major Coracoid process Pectoralis Minor Biceps brachii - short head Coracobrachialis Acromion process AC Joint Head of Humerus Greater Tuberosity Bicipital Groove Biceps brachii - long head Lesser Tuberosity Humeral shaft Serratus Anterior Posterior Structures Spine of Scapula Rotator Cuff Superior Angle Medial Border Trapezius Levator scapulae Inferior Angle Teres Major Latissimus Dorsi Triceps brachii

Palpation Strategies for the Shoulder Starkey and Ryan: Anterior Structures Humerus Scapula Posterior Structures Hoppenfeld: Bony Palpation Soft Tissue Palpation Zone I – Rotator Cuff Zone II – Subacromial and Subdeltoid Bursa Zone III – Axilla Zone IV – Prominent Muscles of the Shoulder

Girdle

JOIN

T

SC

Spr

ain

AC

Spr

ain

GH

Labr

alTe

ar

AC

Tra

ctio

n

Spra

in /

Dis

loca

tion

ST

Dys

kine

sis

See

“Mus

cle”

Post

erio

rA

ppre

hens

ion

SC G

lide

AC

C

ompr

essi

on

AC

Glid

e

O’B

rien

Sulc

usSi

gn

Rel

ocat

ion

App

rehe

nsio

n

GH

Glid

e

Mot

ion

Nor

mal

R

OM

Sta

tiona

ry

Arm

A

xis

of

Rot

atio

nM

ovin

g A

rm

Flex

ion

ER

Abd

uctio

n

Ext

ensi

on

IR

Add

uctio

nGon

iom

etry

-S

houl

der

MU

SCLE

/TE

ND

ON

Sca

pula

rD

yski

nesi

s

Rot

ator

Cuf

fIm

ping

emen

tS

yndr

ome

Bic

eps

Tend

initi

sSp

eed’

s

Haw

kins

Nee

r

Ludi

ngto

n’s

Yerg

ason

’s

Empt

y/Fu

llC

an

Ger

ber

Lift

Off

Subs

capu

lari

s

Supr

aspi

natu

s

Mob

ility

Win

ging

Ner

ve /

Vasc

ular

Per

iphe

ral

Ner

ves

Thor

acic

Out

let

Syn

drom

e

Mili

tary

Bra

ce

Ads

on’s

Alle

n

Peripheral Nerve Injuries NERVE MUSCLE

WEAKNESS Suprascapular Subscapularis Inferior Subscapular Latissimus Dorsi Medial Pectoral Pectoralis Major Axillary Rhomboids; Levator Long Thoracic Trapezius Musculocutaneous Triceps;

Forearm;Hand Median Ulnar

SHOULDER COMPLEX CHECKLIST

HISTORY

General History

INSPECTION

General Inspection

Position of Head

Position of Arm

Shoulder posture

Anterior

Level of shoulders

Contour of clavicles

Symmetry of deltoids

Humerus and biceps

Lateral

Deltoid muscle group

Acromion process

Position of humerus

Posterior

Alignment of vertebrae

Position of scapulae

Muscle tone

Position of humerus PALPATION Anterior Structures

Sternal end of clavicle

SC Joint

Shaft of clavicle

Deltoid Muscle Group

Pectoralis Major

Coracoid process

Pectoralis Minor

Biceps brachii - short head

Coracobrachialis

Acromion process

AC Joint

Head of Humerus

Greater Tuberosity

Bicipital Groove

Biceps brachii - long head

Lesser Tuberosity

Humeral shaft

Serratus Anterior

Posterior Structures

Spine of Scapula

Rotator Cuff

Superior Angle

Medial Border

Trapezius

Levator scapulae

Inferior Angle

Teres Major

Latissimus Dorsi

Triceps brachii STRESS

Joint

Sternoclavicular

Glide Test

Acromioclavicular

Glide Test

Traction Test

Compression Test

Glenohumeral Glide Test

Apprehension Test

Relocation Test

Posterior Apprehension

Sulcus Sign

O'Brien

Apley's Scratch

Passive ROM

Muscle / Tendon

Glenohumeral

Active ROM

Resisted ROM

Scapular

Active ROM

Resisted ROM

Scapular Winging

Impingement

Neer

Hawkins

Rotator Cuff

Empty Can / Full Can

Gerber Lift-Off

Biceps

Yergason's

Speed's

Ludington's

Nerve

Dermatomes C4

Dermatomes C5

Dermatomes T1

Dermatomes T2

Dermatomes T3

Dermatomes T4

Dermatomes T5 Vascular

Brachial Pulse

Radial Pulse

Thoracic Outlet

Adson's

Allen

Military Brace Position