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Related Concept Videos

Bones of the Upper Limb: Humerus01:19

Bones of the Upper Limb: Humerus

The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
Muscles of the Shoulder01:23

Muscles of the Shoulder

The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Muscles that Move the Arm01:31

Muscles that Move the Arm

Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
Flail Chest-I01:24

Flail Chest-I

Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Herniated Intervertebral Disc l: Introduction01:29

Herniated Intervertebral Disc l: Introduction

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Shoulder injury in the throwing athlete.

D W Altchek1, M Levinson

  • 1Hospital for Special Surgery, New York, New York, USA.

Physical Medicine and Rehabilitation Clinics of North America
|November 25, 2000
PubMed
Summary

Nonoperative management of shoulder injuries in throwing athletes relies on a team approach, prioritizing physical therapy for strength and endurance before a gradual return to throwing. This process demands patience from both athletes and medical professionals.

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Area of Science:

  • Sports Medicine
  • Orthopedics
  • Rehabilitation Science

Background:

  • Shoulder injuries are common in throwing athletes.
  • Nonoperative management is a viable option for many shoulder injuries.
  • A structured approach is crucial for successful recovery.

Purpose of the Study:

  • To outline the key components of successful nonoperative shoulder injury management in throwing athletes.
  • To emphasize the importance of a multidisciplinary team approach.
  • To describe the phases of rehabilitation and return to throwing.

Main Methods:

  • Focus on physical therapy to restore shoulder girdle strength, balance, and endurance.
  • Implementation of a progressive return-to-throwing program.
  • Multidisciplinary team collaboration involving physicians, physical therapists, and athletic trainers.

Main Results:

  • Successful nonoperative management leads to restored function and return to sport.
  • Physical therapy is the cornerstone of rehabilitation.
  • A lengthy and patient-driven process is typical for return to competitive throwing.

Conclusions:

  • A comprehensive team approach is essential for successful nonoperative shoulder injury management in throwing athletes.
  • Physical therapy is critical for restoring shoulder function.
  • Patience and a structured rehabilitation plan facilitate a safe return to competitive throwing.