shoulder_anatomy_ant_muscle

This event ran on the 12th of July at the gold coat anatomy wetlabs.

It was a sellout event and the AMSN hopes to be able to offer it again in early 2015.

Curriculum outline

 

 

1000-1030 1030 -1130 1145- 1245 1330-1430 1445-1545 1545 – 1615
Group 1 Introduction Practical 1 Wet lab 1 Practical 2 Wetlab 2 DebriefAssessment
Group 2 Introduction Wetlab 1 Practical 1 Wetlab 2 Practical 2 DebriefAssessment

 

 

 

 

 

Introduction

  • Ethics of wetlab (lab supervisor)
  • Outline of sessions
  • Introduction to shoulder presentations in manual therapy practice
  • Orientation to case studies

 

 

Practical 1      Regional biomechanics and assessment

 

Content

  • Functional Anatomy

o   Embryological development

o   Evolution

o   Comparative Anatomy

o   Normal Biomechanics

 

  • Pathomechanics

o   Scapular Dyskinesis

o   Glenohumeral Internal Rotation Deficit

 

  • Clinical Examination

o   Screening/Clearing

o   Orthopaedic Tests

o   Functional Assessment

o   4 ‘Enablers’

 

Learning objectives

o   Identify important functional anatomical features of the shoulder girdle

o   Demonstrate knowledge of the relationship of soft tissue to biomechanics of the shoulder girdle

o   Develop advanced diagnostic skill in identification of pathologies of the shoulder girdle

 

Practical 2      Common conditions and management

 

Content

  • Common Shoulder Problems

o   Impingement: External vs Internal

o   Tears

o   Instability

 

  • PNS & Shoulder

o   Brachial Plexus

o   PNS lesions and injuries relative to the shoulder

 

  • Treatment Ideas

 

Learning objectives

o   Understand the anatomical and biomechanical issues in the development of conditions of the shoulder girdle

o   Develop advanced diagnostic skill in identification of pathologies of the shoulder girdle

 

Wetlab 1         Clinical /functional anatomy

 

Content

  • Thoracoscapular relationship
  • Muscular attachments and fibre direction
  • Tendinous features
  • Connective tissue planes – relationship to mechanics
  • Variants

 

Learning objectives

o   Identify important functional anatomical features of the shoulder girdle

o   Demonstrate knowledge of the relationship of soft tissue to biomechanics of the shoulder girdle

 

Wetlab 2         Neuromusculoskeletal

 

Content

  • Identification of landmarks and features – refresher

o   Brachial plexus

o   Articular features

o   Ligamentous stabilisers

 

  • Identification of patho-anatomical signs on cadavers

o   Tendinous continuity

o   Ligamentous disruption

o   Cartilage degeneration/arthritic changes

 

Learning objectives

o   Identify neuro-musculoskeletal features of the shoulder girdle

o   Understand the relationship of the neuro-musculoskeletal tissues of the shoulder girdle

o   Understand the anatomical basis of the identification of pathologies of the shoulder girdle

 

 

 

Case studies

 

These are simple case vignettes to be introduced at commencement of workshop and used by tutors to provoke actions from students in relation to the practical and wetlab.

 

  • 28 yo male professional swimmer with right shoulder pain: associated with restricted abduction

o   Learning objectives

  • Understand sub-acromial impingement
  • Review rotator cuff features
  • Regain competence in shoulder examination

 

  • 64 yo female with gradual onset acheing crepitant shoulders, worse on the right: associated with motion restrictions in flexion, internal rotation and abduction

o   Learning objectives

  • Increase anatomical understanding of Degenerative Joint Disease in the shoulder
  • Understand the presentation of DJD
  • Consider causes of adhesive capsulitis

 

  • 35 yo male with recurrent anterior shoulder subluxation

o   Learning objectives

  • Understand the impact of subluxation on shoulder tissues
  • Understand the rehabilitation requirements of chronic instability

 

  • 25 yo female office worker with anterior right shoulder pain, onset since amateur tennis competition 5 weeks ago, not improving.

o   Learning objectives

  • Advance understanding of tendinopathies of the shoulder region
  • Increase competence in assessment of tissues affected by tendon injury

 

  • 60 yo male diagnosed with Thoracic Outlet syndrome – intermittent left arm acheing and finger paraesthesia

o   Learning objectives

  • Advanced competence in examination of the thoracic outlet
  • Increased understanding of the relationship of the scapula and clavicle to the brachial plexus.