1. Chapter 13 – The Shoulder and Upper Arm Pages 456 - 462

2. Ligamentous and Capsular Testing  Difficult to manipulate clavicle

3. Test for SC Joint Laxity Clavicular Motion Structures Involved Inferior Interclavicular L. Superior Costoclavicular L. Anterior SC L. (posterior fibers) Posterior SC L. (anterior fibers)

4. Test for AC Joint Laxity Clavicular Motion Structures Involved Inferior AC L. (superior fibers) Superior Conoid, Trapezoid AC L. (inferior fibers) Anterior AC L. Coracoclavicular L. Posterior Clavicle on acromion Stress on AC L.

5. Test for GH Joint Laxity

6.  All motions occur relative to plane of scapula  Standard – humerus is distracted from glenoid fossa  Load and Shift technique – load placed upon humerus

7. Test for GH Joint Laxity  Implications:  Anterior – coracohumeral L, superior and middle GH L., anterior joint capsule, labral tear  Posterior – posterior joint capsule, labral tear  Inferior-anterior – inferior joint capsule, superior GH ligament, coracohumeral L,

8. Neurological Testing  Box 1-6, page 17  C5 nerve root level  Sensory testing  Motor testing  Reflex testing

9. SC Joint Sprains  Evaluative Findings  Table 13-6, page 459  Pseudo-dislocation  Surgical vs. conservative treatment

10. AC Joint Sprains  Evaluative Findings  Table 13-8, page 461  Stability of AC joint  Horizontal (anterior/posterior) – AC L.  Superior – coracoclavicular L (conoid/trapezoid)  “separated shoulder”  Classification of AC sprains  Table 13-7, page 460

11. AC Joint Sprains  Step deformity  Piano key sign  Surgical vs. conservative treatment

12. AC Traction Test

13. AC Compression Test