Shoulder

Subacromial impingement syndrome (SAIS) is a commonly diagnosed disorder of the shoulder. Though this disorder has been known for a long time, it remains a poorly understood entity.

Since decompression with surgery does not provide any additional benefits as compared to conservative treatment for patients with SAIS, the impingement theory has become antiquated and surgical treatment should have no role in the treatment of such patients. There are calls by some practitioners to abandon the term impingement syndrome and rename it as anterolateral shoulder pain syndrome. It appears that SAIS is a medical myth. There are others who called SAIS as a clinical illusion.

Shoulder pain after a cerebrovascular accident or traumatic brain injury is a common but often under-recognized problem. It is due to a number of causes including inferior subluxation, spasticity, adhesive capsulitis, and heterotopic ossification. Many of these are amenable to surgical intervention.

In recent years, there have been many advances in the assessment and treatment of shoulder pain. Part one of these on-line courses reviews:

• the functional anatomy of the shoulder complex;
• the key features of the clinical history;
• how to conduct a swift and effective physical examination;
• investigations;
• treatment of important shoulder conditions; and
• the prescription for practical shoulder rehabilitation.

Part 2 focuses on mechanism of injury, assessment and rehabilitation of the rotator cuff.

In recent years, there have been many advances in the assessment and treatment of shoulder pain. Part one of these on-line courses reviews:

• the functional anatomy of the shoulder complex;
• the key features of the clinical history;
• how to conduct a swift and effective physical examination;
• investigations;
• treatment of important shoulder conditions; and
• the prescription for practical shoulder rehabilitation.

Part 2 focuses on mechanism of injury, assessment and rehabilitation of the rotator cuff.

These courses are based on the physiology and biomechanics of the shoulder. They provide very effective rehabilitation protocols in terms of return to play. They will assist you to diagnose not only local anatomical lesions, such as rotator cuff tear or Bankart lesion, but also the biomechanical deficits that exist in the shoulder girdle and spine.

But that's not all. Distant disorders such as inflexibilities of hip rotation, short hamstrings, or the stiff back also often contribute to shoulder abnormalities. The course will enable you to make a complete diagnosis and to look beyond the injured tissues to tissues that may be overloaded.

You will also learn to detect functional biomechanical deficits as well as the subclinical adaptations that sports people use to try to maintain performance.

These courses are based on the physiology and biomechanics of the shoulder. They provide very effective rehabilitation protocols in terms of return to play. They will assist you to diagnose not only local anatomical lesions, such as rotator cuff tear or Bankart lesion, but also the biomechanical deficits that exist in the shoulder girdle and spine.

But that?s not all. Distant disorders such as inflexibilities of hip rotation, short hamstrings, or the stiff back also often contribute to shoulder abnormalities. The course will enable you to make a complete diagnosis and to look beyond the injured tissues to tissues that may be overloaded.

You will also learn to detect functional biomechanical deficits as well as the subclinical adaptations that sports people use to try to maintain performance.

Only practitioners with significant clinical experience in diagnostic ultrasound examination should attempt to use the technology to diagnose something as complex as tears of the rotator cuff or for pathology in the long head of the biceps muscle.  Right?

This on-line course offers some answers as it examines the outcome achieved by an orthopaedic surgeon with little experience in ultrasound.

The conclusions of this course may surprise you. And help you to put your own ambitions to possibly broaden your own diagnostic horizons into perspective. 

This illustrated on-line course covers the assessment, interpretation and treatment of the following tight upper quarter muscles:

Part 1:

• Pectoralis major

• Latissimus dorsi

• Upper trapezius

• Scalenes

• Sternocleidomastoid