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ANATOMYPHYSIOLOGY
KINESIOLOGY
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CONDITIONSAFFECTING THE JOINT
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STERNOCLAVICULAR
JOINT SPRAIN
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MOI
INDIRECT FORCE: : external load ree!"ed $!le l%!n& on t$e 'a('!n& roll!n& o) t$e *od% o"er t$e '$o(lder
DIRECT FORCE: d!ret !m+at on t$e la"!le
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EPIDEMIOLO,-
Mortal!t% and '!&n!.ant mor*!d!t% o(r !n)re/(entl% !t$ antd!'loat!on' o) t$e SCJ
Po'ter!or SCJ d!'loat!on $a' t$e +otent!al )or 'e"ere and e"ent$reaten!n& om+l!at!on'
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EPIDEMIOLO,-
SE1: M2F
3oe"er4 re(rrent atra(mat! anter!or '(*l(xat!on o) t$e SC5('(all% a''o!ated !t$ o"erall 6o!nt lax!t%7 t$o(&$ rare4 o(more )re/(entl% !n %o(n& &!rl'8
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PAT3OP3-SIOLO,-
ANTERIOR: med end o) la"!le *eome more +rom!nent
POSTERIOR: more +a!n4 le'' +rom!nent
,r95M!ld S+ra!n7
,r5S(*l(xat!on7
,r;5d
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ASSESMENT
10ra%
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MANA,EMENT
,r9=: !e and 'l!n&> ret(rn to at!"!t% 90?' )or &r9 and @0)or &r
,r;5Anter!or7: anal&e'!'4 'l!n& and ('(all% '(r&er%
,r;5Po'ter!or7: lo'ed red(t!on
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ACROMIOCLAVICULAR
JOINT SPRAIN
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MEC3ANISM OF INJUR-
Most common: d!ret )ore t$e t!+ o) t$e '$o(lder !t$ arm
abducted a&a!n't t$e *od%
ndmost common: FOOS3
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DISTIN,UIS3IN, S-MPTOM
+x radle' t$e !n"ol"ed arm *% &ra'+!n& '(++ort!n& t$e el*o !t$ t$e (n!n"ol"ed$and
5B7 +a!n o"er t$e 6o!nt
Inrea'ed 6t mo*!l!t%
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ASSESSMENT
Cro''0o"er Im+!n&ementte't
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MANA,EMENT
G!ade I"III: 'l!n& !mmo*!l!at!on4 !and anal&e'!'
G!ade I#"#I: Reon'tr(t!on> '(r&
G!ade I: Ie4 'l!n& and 'at$e or r
G!ade II: Re't (+ to ?'4 ROME a'tren&t$en!n& exer!'e'
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ANTERIOR S3OULDERD
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MEC3ANISM OF INJUR-
Ind$!ect %o!ce: Arm !nE&A'E(5earl% o?!n& +$a'e
+!t$!n&
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DISTIN,UIS3IN, S-MPTOM
Ma% re'(lt to a)$**a!+ ne!,e!n6(r%
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ASSESSMENT
Anter!or a++re$en'!on
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MANA,EMENT
(OME: a"o!d A'E(
St!en-t.en$n-: '$o(lder
m('(lat(re and 'a+(lar'ta*!l!er'
P!o/!$oce/t$on e)e!c$ses
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POSTERIORS3OULDER D
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MEC3ANISM OF INJUR-
Most common: Ax!al load!n& !t$e arm !n FADI(
lo to t$e )ront o) '$o(lder