Sports rehabilitation and injury prevention part 2
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Sports rehabilitation and injury prevention part 2
Part 5Joint specific injuries and pathologies17Shoulder injuries in sportIan HorsleyEnglish Institute of SportThis chapter outlines the anatomy of the Sports rehabilitation and injury prevention part 2 e shoulder girdle and discusses commonly presenting pathology around this area. Common orthopaedic assessment tests are described, together with a presentation of the effectiveness of these tests in assessing for specific diagnoses of commonly presenting pathology, from currently available literatur Sports rehabilitation and injury prevention part 2 e. The role of rehabilitation is covered with analysis of the function of commonly utilised exercise and the role of clinical reasoning in determiningSports rehabilitation and injury prevention part 2
the diagnosis and formulating a safe and effective rehabilitation programme.Incidence of shoulder injuryThe glenohumeral joint is one of the most frePart 5Joint specific injuries and pathologies17Shoulder injuries in sportIan HorsleyEnglish Institute of SportThis chapter outlines the anatomy of the Sports rehabilitation and injury prevention part 2 ill 1983; Lo et al. 1990; Hutson 1996; Terry and Chopp 2000: Ranson and Gregory 2008).Athletes whose sports require a large amount of lime with their arms above the level of the shoulder, such as those playing racquet sports, sports involving throwing (baseball, cricket. American Football and water Sports rehabilitation and injury prevention part 2 polo), swimmers and rugby players (due to their arm position within the tackle) commonly report a high incidence of shoulder pain with up to 43.8% repSports rehabilitation and injury prevention part 2
orting shoulder pain (Lo et al. 1990). Hutson (1996) reported (hat more than 40% of elite swimmers complained of shoulder pain at somepoint during thePart 5Joint specific injuries and pathologies17Shoulder injuries in sportIan HorsleyEnglish Institute of SportThis chapter outlines the anatomy of the Sports rehabilitation and injury prevention part 2 pain being attributed to glenohumeral joint instability (Weldon and Richardson 2001), due to significantly increased humeral head translation (Tibone et al. 2002).In American Football 15.2% of all injuries incurred by quarterbacks were shoulder injuries with direct trauma being responsible for 82.3% Sports rehabilitation and injury prevention part 2 of the shoulder injuries (Kelly et al. 2004), and in professional cricket 23% of players in one study reported suffering a shoulder injury during oneSports rehabilitation and injury prevention part 2
professional season (Ranson and Gregory 2008).The epidemiology of Rugby Union and Rugby League injuries appears to suggest that injury to the shouldePart 5Joint specific injuries and pathologies17Shoulder injuries in sportIan HorsleyEnglish Institute of SportThis chapter outlines the anatomy of the Sports rehabilitation and injury prevention part 2 rofessionalism incidence rates (Carraway and Macleod 1995; Bird et al. 1998: Gabbet 2000: Chalmers et al. 2001; Lee el al. 2001; Gissane et al. 2003: Junge et al. 2004; Handcock et al. 2005). With regards to Rugby Union. Bathgate el al. (2002) highlighted the upper limb as responsible for 15.4% of i Sports rehabilitation and injury prevention part 2 njuries, with 6.3% of overall injuries located at the shoulder.Even within non-overhead sports, such as skiing. shoulder injuries have been reported aSports rehabilitation and injury prevention part 2
s high as 11.4% of all injuries (Kocher 1996).Sports Rehabilitation and Injury Prevention Edited by Paul Comfort and Earle Abrahamson c 2010 John WilePart 5Joint specific injuries and pathologies17Shoulder injuries in sportIan HorsleyEnglish Institute of SportThis chapter outlines the anatomy of the Sports rehabilitation and injury prevention part 2 mentMiddle glenohumeral ligamentInferior glenohumeral ligament complexAttaches from the supraglenoid tubercle of lire glenoid labium onto the proximal lip of the lesser tuberosity of the humerusAttaches from the supraglenoid tubercle and anterior aspect of glenoid labrum onto the lesser tuberosity o Sports rehabilitation and injury prevention part 2 f the humerus, blending with lire subscapularis tendonAnterior band: from anterior labrum to the glenoid rimMiddle band : is an axillary pouchPosterioSports rehabilitation and injury prevention part 2
r band: form the posterior labrum to the glenoid rim. Not found in all patientsCoracohumeral ligamentGlenoid labrumLateral aspect of the coracoid procPart 5Joint specific injuries and pathologies17Shoulder injuries in sportIan HorsleyEnglish Institute of SportThis chapter outlines the anatomy of the Sports rehabilitation and injury prevention part 2 hed around the margin of the glenoid cavity attached to the circumference of the glenoid, while the free edge is thin and sharp. It is continuous with the tendon of the long head of bicepsResists inferior humeral translation with the arm adducted and in neutral rotation. Limits external rotation in Sports rehabilitation and injury prevention part 2 conjunction with the coracohunreral ligamentProvides anterior humeral stability from humeral adduction to approximately 45 degrees abductionFrom 0 toSports rehabilitation and injury prevention part 2
30 degrees humeral abduction the anterior band is the primary static stabiliser of the glenohumeral joint. It tightens with abduction and moves superiPart 5Joint specific injuries and pathologies17Shoulder injuries in sportIan HorsleyEnglish Institute of SportThis chapter outlines the anatomy of the Sports rehabilitation and injury prevention part 2 flexion and medial rotation, providing posterior stability. Il tightens with abduction and moves superiorly with combined internal rotationPart 5Joint specific injuries and pathologies17Shoulder injuries in sportIan HorsleyEnglish Institute of SportThis chapter outlines the anatomy of theGọi ngay
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