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Published byAlison Jordan Modified over 9 years ago
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Examination of the Athlete’s Shoulder Damon H. Petty, MD 3-24-2007 8 a.m. SEATA Conference
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Background Residency @ Cleveland Clinic Fellowship @ ASMI with Jim Andrews and Bill Clancy Team MD for AAA Baseball, Professional Soccer, Middle Tennessee High Schools Practices in Nashville & Lebanon No conflict of interest statements
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Aim of Talk Special Tests for Exam of the Athlete’s Shoulder Live Demonstration Categorized by Pathology and Complaints Questions
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The Thrower’s Shoulder 80% is internal impingement Rotator Cuff Posterior Labrum Anterior-inferior instability
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Remember the Basics Inspect Palpate ROM Neurovascular Special Tests
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Thrower’s Rotator Cuff Strength Testing ER 0 & 90 deg abd Elevation Cuff Avoidance Posterior Cuff & Capsule tenderness
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Thrower’s Rotator Cuff ROM ER/IR GIRD Pain with max IR The myth of Posterior Capsular Tightness
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Thrower’s Rotator Cuff Internal Impingement Test “Andrews Test”
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The Thrower’s Labrum Posterior Labral Tear Kim Test Jerk Test SLAP Tear O’Brien’s Test Resisted Supination- External Rotation Test Kibler Test Speed Test Yergason’s Test
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Posterior Labral Tear Kim Test Jerk Test
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SLAP Lesion O’Brien’s Test Kibler Test Speed Test Yergason’s Test Resisted Supination- External Rotation Test
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SLAP Lesion O’Brien’s Test Kibler Test Speed Test Yergason’s Test Resisted Supination- External Rotation Test
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SLAP Lesion O’Brien’s Test Kibler Test Speed Test Yergason’s Test Resisted Supination- External Rotation Test
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SLAP Lesion O’Brien’s Test Kibler Test Speed Test Yergason’s Test Resisted Supination- External Rotation Test
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Shoulder Instability MDI/hyperelasticity Traumatic/Bankart Drawer Test Load and Shift Sulcus Sign Apprehension Test Relocation Test
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Shoulder Instability Drawer Test Load and Shift Sulcus Sign Apprehension Test Relocation Test
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Shoulder Instability Drawer Test Load and Shift Sulcus Sign Apprehension Test Relocation Test
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Shoulder Instability Drawer Test Load and Shift Sulcus Sign Apprehension Test Relocation Test
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Adhesive Capsulitis Supine Horizontal Abduction 90/90 attempt ER/IR @ 90 deg Forward Flexion
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AC Joint Arthrosis/Separation Grade I Tenderness over AC joint Cross-body adduction Grade II + Prominent distal clavicle
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Neurological Dysfunction Cervical Disc Herniation Stinger/burner Long Thoracic Nerve Spinal Accessory Nerve Brachial plexopathy Axillary Nerve
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Thank You Questions?
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