Treating the Shoulder Complex: Advances in Conservative and Post-op Management – Michael T. Gross

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Get the solutions for several shoulder complex pathologies in this insightful and important recording. Review and practice unique assessment tests to help you with early recognition of various pathologies. Improve treatment for your clients by examining the best evidence-based practices for conservative and post-op management, and by practicing glenohumeral and scapulothoracic mobilization techniques. Gain new tips and techniques you can implement tomorrow for:

• Rotator Cuff Tears
• Shoulder Impingement Syndrome
• Anterior Glenohumeral Instability
• SLAP Lesions
• Adhesive Capsulitis
• Thoracic Outlet Compression Syndrome
• Shoulder Arthroplasties

1. Identify the etiology of common shoulder complex pathologies and identify possible anatomic and other etiologic factors
2. Review which special tests should be used to identify complex shoulder pathologies and be able to apply these tests effectively
3. Determine which patients are appropriate candidates for conservative or should be referred for assessment as surgical candidates
4. Utilize effective mobilization techniques for a variety of shoulder conditions
5. Devise an appropriate treatment plan and enable effective patient intervention based on clinical findings

ANATOMY AND BIOMECHANICS OF THE SHOULDER COMPLEX

• Etiology
• Surgical restoration of normal and altered anatomy

ROTATOR CUFF TEARS

• Surgical restoration of normal and altered anatomy
• Cluster tests
• Conservative management to prevent further injury
• Post-operative management

SHOULDER IMPINGEMENT SYNDROME

• Anatomic and functional contributors
• Cluster tests
• Conservative management based on etiologic factors
• Post-operative management
• Respect the deltoid as the worst offender

ANTERIOR GLENOHUMERAL INSTABILITY

• Anatomic restraints
• Etiologic factors
• Cluster tests
  • Apprehension test
  • Jobe relocation
  • Release test
  • Anterior drawer
  • Push-pull
• Surgical procedures
  • Bristow
  • Latarjet
  • Putti-Platt
• Rehabilitative management

SLAP LESIONS

• Classification of lesions
• Special tests
  • Biceps load II
  • Anterior slide tests for early detection
• Surgical management and rehabilitation based on lesion type

ADHESIVE CAPSULITIS

• Stages based on symptoms
• Etiologic factors
• Effects of conservative versus invasive intervention
• Conservative management based on stage of disorder
  • Scauplo-thoracic mobilizations
  • Anterior/Posterior/Inferior glenohumeral mobilizations

THORACIC OUTLET COMPRESSION SYNDROME

• Anatomic locations of potential compromise
• Etiologic factors in each anatomic location
• Intervention based on location of compromise and etiologic contributors
• Assessment tests
  • Adson’s
  • Military bracing
  • Hyperabduction
• Surgical procedures
  • Cervical rib excision
  • Scalenectomy

SHOULDER ARTHROPLASTIES

• Rehab strategies for:
  • Hemi-arthroplasty
  • Total shoulder arthroplasty
  • Reverse total shoulder arthroplasty

HANDS-ON SPECIAL TESTS AND MOBILIZATIONS – LAB

• Interpret tests quickly to recognize problem
• Glenohumeral and scapulothoracic mobilizations
• Tips and new techniques

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