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3/06/14 Today’s Agenda:

U3 EQ: What are the anatomical structures of the upper extremity & their common injuries ? 1:3 Identify major bones in the body. 1:5 Describe general injury causations and/or mechanisms. 3/06/14 Today’s Agenda:. Students will complete Daily Cerebral Exrs .

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3/06/14 Today’s Agenda:

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  1. U3 EQ: What are the anatomical structures of the upper extremity & their common injuries? 1:3 Identify major bones in the body. 1:5 Describe general injury causations and/or mechanisms. 3/06/14 Today’s Agenda: Students will complete Daily Cerebral Exrs. Students will label boney anatomy of the shoulder on Jimmy, Benny, and Penny from previous class. TO: What are common soft tissue injuries to the shoulder? Students will add to Upper Extremities Flash Card set.

  2. Groups: In the given groups to the left, label the list of structures listed below on Penny, Benny, & Jimmy. Each group member must label one structure bilaterally. Your label must contain the name of the structure and your initials. Daniesha, Ariel, Shey, Nick, Sydni, Jadi, Caleb Kyle, Alexis, Kierra, Allison, La’Schirrae, Brayden KB, Raven, Danielle, Kareem, Olivia, Kim • Clavicle • Humerus • Scapula • AC Joint • SC Joint • Sternum • Cranium • Mandible

  3. U3 EQ: What are the anatomical structures of the upper extremity & their common injuries? 1:3 Identify major bones in the body. 1:5 Describe general injury causations and/or mechanisms. 3/06/14 Today’s Agenda: Students will complete Daily Cerebral Exrs. Students will label boney anatomy of the shoulder on Jimmy, Benny, and Penny from previous class. TO: What are common soft tissue injuries to the shoulder? Students will add to Upper Extremities Flash Card set.

  4. 1. Rotator Cuff Strain (RC)

  5. Anatomy Coloring Book: Pg 2Muscles of Musculotendinous Cuff

  6. 4 RC mm – mvmtea causes • Supraspinatus – Abduction • Infraspinatus – External Rotation (lat) • Teres Minor – External Rotation (lat) • Subscapularis – Internal Rotation (med)

  7. Color in RC MM on Muscles of Musculotendinous Cuff Page

  8. RC Strain or Tear MOI: Most common is the supraspinatus muscle…. Repetitive overhead throwing or any activity overhead c/ rotation • Seen more commonly in older adults, • Tears are partial or full • S&S: • Unable to raise arm overhead  will see shoulder shrug upward • Catching in the shoulder • Unable to sleep on affected side TO

  9. 2. Impingement Syndrome

  10. Impingement Syndrome MOI:Condition where space between humeral head and acromion is narrowed • Pinches: • Supraspinatus • Subacromial bursa • Biceps tendon • Common in repetitive overhead sports S&S: Diffuse p! in glenohumeral area in an overhead position, weakness. Tx: RICE, PT. Prevention: Proper strength in RC mms. TO

  11. Anatomy Coloring Book:Page 3Glenohumeral JointBursaGlenoid LabrumBiceps Tendon ClavicleAcromion

  12. 3. Labrum Tear

  13. Labrum Tear MOI: Similar to meniscus in knee, found between the head of the humerus & glenoid fossa • Keeps humerus positioned properly • Stabilizes GH joint S&S: • Diffuse p! around the shoulder when overhead, weakness • Catching/popping sensation • Limited use of arm Prevention: Proper strength in RC mms.

  14. 4. “Stinger” / “Burner”

  15. Brachial Plexus Injury • MOI: Head & neck are forcibly moved or hit to one side as a result stretches bundles of nerve in the neck known as the brachial plexus • Nerves that leave the spinal cord through the neck and into the shoulder and down the arm

  16. Brachial Plexus Injury • S/S: • Pain in neck & down arm • Arm on “fire”/ pins & needles sensation • Last several minutes, hours, days, or months

  17. No! No! No! On the next slide you will see four pictures. ATCs have to train their eyes to look for potential MOI as they could possibly occur. To do that you must be able to quickly recognize directional terms / body positions and what injuries occur in those positions. For the next four pictures, look at the position of the shoulders. Predict what injuries could potentially occur in those positions based off the knowledge you have acquired. Remember to consider velocity, contact, repetition, or other elements in the environment.

  18. #1 #2 #3 #4

  19. U3 EQ: What are the anatomical structures of the upper extremity & their common injuries? 1:3 Identify major bones in the body. 1:5 Describe general injury causations and/or mechanisms. 3/06/14 Today’s Agenda: Students will complete Daily Cerebral Exrs. Students will label boney anatomy of the shoulder on Jimmy, Benny, and Penny from previous class. TO: What are common soft tissue injuries to the shoulder? Students will add to Upper Extremities Flash Card set.

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