اختلالات و بیماری های شانه

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اعلاات شاد Shoulder Disorders 

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Ligaments Anatomy baa Gee Abstract \ ۱ Shoulder Disorders Impingeme nt Syndrome 9 / ۳ Rupture of | biceps tendon 

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Review of shoulder joint Anatomy ۶ The unstable joints include bones, ligaments and muscle 7), 

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Review of shoulder joint Anatomy The unstable joints include bones, ligaments and muscle 1 Bones: icle Acromion Head Coracoid of the process humerus 

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Review of shoulder joint Anatomy The unstable joints include bones, ligaments and muscle u. Ligaments: Acromiociavie Ligament Coracoacromial Ligament Joint Capsule (superior, middle, and inferior glenohumeral ligaments) 

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Review of shoulder joint Anatomy The unstable joints include bones, ligaments and muscle ‏سر‎ Mu Front View Muscles of the Rotator Cuff Subscapularis Back View 

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Review of shoulder joint Anatomy ~ The unstable joints include bones, ligaments and ‘Supraspinatus* x Spine of scapula Deltoid (cut) Greater tubercle of humerus Triceps brachi — Lateral head ~— Long head Li us dorsi Humerus. \lecranon process of ulna Anconeus {b) Posterior view * Rotator cuff muscles muscle Clavicle “Biceps brachii — Brachiali (a) Anterior view 

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Review of shoulder joint Anatomy » The unstable joints include bones, ligaments and muscle Clavicle ‘Supraspinatus* Spine of scapula Abstract 1. First move with SupraSpinatus 2. Continue with Deltoid ۱ 3. Shoulder joint, the most unstable joint of the body ۳۹ issimus dorst 5 ۱ 00 process of ulna Brachialis, Brachi = (a) Anterior view ts (b) Posterior view * Rotator cuff muscles 

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Physical Exam 1 Range Of motion 

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Physical Exai 1 Range Of motion ~ Forward Elevation os “we 2 a 

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Physical Exai . Range Of motion Forward Elevation 

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Physical Exam 1 Range Of motion 

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So 

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Frozen shoul er 1. Reduce range of motion & Articulat} u. Adhesive capsulitis um. Etiology : » — Tatrogenic inctudes surgery ~ Diabetes / Heart Dis. / Breast Ca » Psychological & idiopathic 1 signs & symptom: Nocturnal pain / reduce range of motion Reduce pain / More movement reduces ~ Return to normal Shoulder Gauide i apse ‏سي ا‎ fumens | (upper arm) 2 > f ae Bide) 

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Frozen shoul £2r Treatment: Physiotherapy Corticosteroids & injection Manipulation (MUA) Arthroscopy 

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‘Acromion mnt Syndrome The tendons of the SUPRASPINATUS become irritated as they pass through the subacromial space, the passage beneath the acromion u. Etiology painting, lifting, swimming, tennis, other overhead sports and no taint nheneenitinn Reduced sub-acromial space 

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ودين نا ۳ Painless movement 9 Pinful are Treatment: Physiotherapy Corticosteroids (methylprednisolo ne-depo-medrol) Arthroscopy Impingement Synd m. signs & symptom » Syndrome painful arc ~ Pain while Forward elevation & Intern: iv. Diagnosis » radiography of shoulder (Lat. View: sp » MRI (rupture of rotator cuff) < 

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Rupture of biceps tendon 1 Sudden pain / Reduce sudden pain u. Reduce the power of flexion and external rotation i, Popeye's sign 

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Rupture of biceps tendon / Reduce sudden pain Reduce the power of flexion and external rotation Popeye's sign Ecchymosis 5 Surgical treatr 

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Reference TextBook of orthopaedics & fractue by Dr. B. Aalami Harandi et al. ۴ (Fifth edition) medscape.com webmd.com youtube.com تهیه کننده : احسان تقوی منفرد (دانشگاه آزاد اسلامی- پیمارستان امیرالمومنین) بان