Diagnosis and Treatment of the Upper Extremities: by Dos Winkel

By Dos Winkel

Here's an in depth and functional assessment of higher extremity patholo gies and handbook remedy cures for the health care provider, actual therapist, or chiropractor. the 3 significant elements of the higher extremi ties are coated in-depth; sensible and floor anatomy, exam and diagnostic strategies, compression neuropathies, and remedy ap proaches are mentioned for every significant half. broad illustrations, r eview questions and solutions, and scientific algorithms for analysis and remedy also are integrated.

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Extra info for Diagnosis and Treatment of the Upper Extremities: Nonoperative Orthopaedic and Manual Therapy

Sample text

The anterior structure is the short head of the biceps and the coracobrachialis; the posterior structure is the neurovascular bundle. Further dorsally, - SU11ace Anatomy oj the Shoulder Region Figure 2-22A Deltoid muscle, spinal part, dorsal view, right side. Figure 2-22B Deltoid muscle, acromial part, lateral view, right side. Figure 2-22C Deltoid muscle, clavicular part, ventral view, right side. 35 36 DIAGNOSIS AND TRE ATMENT OF THE UPPER EXTREMlTIES and deep within the axilla, the lateral part of the subscapularis can be palpated .

Tion of the cervical spine. Palpation Before performing the functional examina­ It is often necessary to differentiate be­ tween a shoulder problem and a possible tho­ racic outlet syndrome. ure and the presence of syndrome (refer to Chapter swelln i g clavicular, and sternoclavicular joints. If 8). To obtain information about. scapulothor­ acic mobility, as well as the sternoclavicular swelling is noted, palpation is performed to and acromioclavicular joints, the patient is test consistency (soft versus firm).

Left sidebend If one of these tests provokes the patient's chief complaint, the examiner should then feel 3. 10. Passive adduction from a position of in­ ternal rotation and extension 3. 11. Passive horizontal adduction 3. 12. Active external rotation Examination the Shoulder In this instance, the 47 could or h:ypomobile. Tests-Resisted Motions Other Examinations If necessary, other examinations can also be either to confirm a to further information when cannot be reached based on the functional examination: ..

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