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

Outline

ROTATOR CUFF TEARS

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

SHOULDER IMPINGEMENT SYNDROME

• Anatomic and functional contributors
• Cluster tests
  • Hawkins-Kennedy; Neer’s test
  • 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

SPECIAL TESTS AND MOBILIZATIONS

• Hands-On Lab
• Interpret tests quickly to recognize problem
• Glenohumeral and scapulothoracic mobilizations
• Tips and new techniques