3/06/14 Today’s Agenda:1. Students will complete Daily Cerebral Exrs.

2. Students will label boney anatomy of the shoulder on Jimmy, Benny, and Penny from previous class.

3. TO: What are common soft tissue injuries to the shoulder?

4. Students will add to Upper Extremities Flash Card set.

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.

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.

1. Daniesha, Ariel, Shey, Nick, Sydni, Jadi, Caleb

2. Kyle, Alexis, Kierra, Allison, La’Schirrae, Brayden

3. KB, Raven, Danielle, Kareem, Olivia, Kim

• Clavicle• Humerus• Scapula• AC Joint• SC Joint

• Sternum• Cranium• Mandible

3/06/14 Today’s Agenda:1. Students will complete Daily Cerebral Exrs.

2. Students will label boney anatomy of the shoulder on Jimmy, Benny, and Penny from previous class.

3. TO: What are common soft tissue injuries to the shoulder?

4. Students will add to Upper Extremities Flash Card set.

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.

1. Rotator Cuff Strain (RC)

Anatomy Coloring Book:

Pg 2

Muscles of Musculotendinous Cuff

4 RC mm – mvmt ea causes1. Supraspinatus – Abduction2. Infraspinatus – External Rotation (lat)3. Teres Minor – External Rotation (lat)4. Subscapularis – Internal Rotation (med)

Color in RC MM on Muscles of Musculotendinous Cuff Page

RC Strain or TearMOI: 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

2. Impingement Syndrome

Impingement SyndromeMOI: 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

Anatomy Coloring Book:

Page 3

Glenohumeral Joint

BursaGlenoid LabrumBiceps Tendon

ClavicleAcromion

3. Labrum Tear

Labrum TearMOI: 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.

4. “Stinger” / “Burner”

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

Brachial Plexus Injury

• S/S:• Pain in neck & down arm • Arm on “fire”/ pins &

needles sensation • Last several minutes,

hours, days, or months

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.

#1

#4

#2

#3

3/06/14 Today’s Agenda:1. Students will complete Daily Cerebral Exrs.

2. Students will label boney anatomy of the shoulder on Jimmy, Benny, and Penny from previous class.

3. TO: What are common soft tissue injuries to the shoulder?

4. Students will add to Upper Extremities Flash Card set.

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.