Disorders of the Scapula and Their Role in Shoulder Injury : A Clinical Guide to Evaluation and Management.

Intro -- Foreword I -- Why This Book Should Be Written (A Shoulder Surgeon's Viewpoint) -- Recognition -- Rotator Cuff Issues -- AC and Clavicle Issues -- Instability Issues -- References -- Foreword II -- References -- Preface -- Contents -- List of Contributors -- Part I: The Basics -- 1: Anatomy of the Scapula -- Introduction -- Scapula: Anatomy -- References -- 2: Mechanics of the Scapula in Shoulder Function and Dysfunction -- Introduction -- Overview of Component Joint Motions and Scapular Function -- Sternoclavicular Joint Position and Motion -- Acromioclavicular Joint Position and Motion -- Scapulothoracic Position and Motion -- Composite Motions During Planar Elevation and Functional Reaching -- Coupling of SC and AC Joint Motions -- Abnormal Motions Identified in Patient Populations (Dyskinesis) -- Potential Influence of Abnormal Scapular Motions and Positions on Shoulder Pain and Tissue Pathology -- References -- 3: Muscle Activation Associated with Scapular Function and Dysfunction -- Alteration in Muscle Activations and Resultant Motions -- Soft Tissue Flexibility -- Clinical Implications for Rehabilitation Guidelines -- References -- 4: Scapular Examination -- Scapular Motion and Pathology -- Examination -- Visual Observation -- Manual Correction -- Surrounding Tissue Evaluation -- References -- Part II: The Scapula and Shoulder Pathology -- 5: The Scapula and Impingement/Rotator Cuff Disease and Treatment -- Background -- Evaluating the Role of the Scapula in Impingement/Rotator Cuff Disease -- Cadaveric Studies -- Animal Models -- Development of Rotator Cuff Disease/Impingement -- Static Anatomic Variants -- Scapular Kinematics and the  Dynamic Influence -- Importance of the Scapula in Treatment of Rotator Cuff Disease -- Summary -- References -- 6: The Scapula and the Throwing/Overhead Athlete -- Introduction.

Normal Scapular Function -- Static Position -- Kinematics -- Kinetics -- Strength -- Muscle Activity -- Adaptations to Stress -- Scapular Dyskinesis -- Muscular Fatigue -- Soft Tissue Tightness -- Pectoralis Minor -- Posterior Shoulder Tightness -- Teres Major -- Long Head of the Triceps -- Effect of Pain -- Clinical Implications of Scapular Dyskinesis -- Rotator Cuff -- Hypertwist -- Internal Impingement -- External Impingement -- Scapula and the Elbow -- Examination -- Rotator Cuff -- Supraspinatus -- Internal Impingement -- Labral Tear -- Imaging Findings in Thrower's Shoulder -- Treatment -- Key Principles of Rehabilitation -- Indications for Surgery -- Surgical Pearls -- Posterior Capsular Release -- Prevention -- References -- 7: Scapular Dyskinesis and Glenohumeral Instability -- Anatomy and Biomechanics -- Alterations of the Scapula Associated with Glenohumeral Instability -- Physical Examination -- Scapular Evaluation in Glenohumeral Instability -- Nonoperative Treatment Options -- Rehabilitation of the Scapula in Glenohumeral Instability -- Rehabilitation Guidelines -- Specific Scapular Rehabilitation Exercises -- References -- 8: The Scapula and Clavicle Fractures -- Introduction -- Clavicle Anatomy and Mechanics -- Clavicle Fracture and the Scapula -- Radiograph Interpretation -- Clinical Evaluation -- Treatment Guidelines -- Goals of Operative Fixation of Clavicle Fracture, Malunion, and Nonunion -- Summary -- References -- 9: The Scapula and Acromioclavicular Joint Separation and Arthritis -- Acromioclavicular Joint Anatomy -- Disruption of the Acromioclavicular Joint -- Clinical Diagnosis of Acromioclavicular Joint Disruption -- Operative Treatment of Unstable Acromioclavicular Joint Injuries: Classification of Operative Types -- The Authors' Surgical Technique for Operative Treatment of Unstable Acromioclavicular Joint Injuries.

Postoperative Rehabilitation After Acromioclavicular Reconstruction -- Outcomes After Anatomic Acromioclavicular Reconstruction -- References -- 10: The Scapular and Shoulder Arthritis -- Introduction -- Scapular Dyskinesis and Primary Glenohumeral Joint Arthritis: Onset, Prevention, and Treatment of Early Posterior Subluxation and Posterior Glenoid Erosion -- Implications for Surgical Treatment in Early Posterior Subluxation and Posterior Glenoid Erosion and Primary Glenohumeral Joint Osteoarthritis -- Scapular Dyskinesis and Rotator Cuff Tear Arthropathy: Scapulohumeral Rhythm and the Role of Glenohumeral Joint Versus Scapulothoracic Motion -- Implications for Surgical Treatment with Reverse Shoulder Arthroplasty -- References -- 11: Scapular Muscle Detachment -- Pathoanatomy and Clinical Presentation -- Imaging -- Scapular Muscle Reattachment Procedure -- Postsurgical Outcomes -- Summary -- References -- 12: Neurologic-Based Injuries and Scapula Winging -- Introduction -- Long Thoracic Nerve Injury and Serratus Palsy -- History -- Physical Examination -- Imaging -- EMG Analysis -- Differential Diagnosis -- Treatment -- Outcomes -- Spinal Accessory Nerve Injury and Trapezius Palsy -- History -- Physical Examination -- Imaging -- EMG Analysis -- Differential Diagnosis -- Treatment -- Outcomes -- Dorsal Scapular Nerve Injury and Rhomboid Paralysis -- Summary -- References -- 13: Rehabilitation for Neurological Issues -- Assessment -- Principles of Rehabilitation -- Management of Associated Symptoms/Limitations -- Compensatory Strategies -- Retraining Affected Musculature -- Appendix -- References -- 14: Snapping Scapula Syndrome -- Pathophysiology -- Clinical Presentation -- History -- Physical Examination -- Imaging -- Radiographs -- Computed Tomography -- Magnetic Resonance Imaging -- Electromyograms -- Diagnostic Injections.

Nonoperative Treatment -- Operative Treatment -- Indications -- Arthroscopic Technique -- Open Technique -- Postoperative Rehabilitation -- Outcomes After Operative Treatment -- Arthroscopic Techniques -- Open Techniques -- References -- 15: Scapula Fractures -- Classifications -- Scapular Body -- Glenoid Fossa -- Glenoid Neck -- Coracoid Fractures -- Acromion Fractures -- Superior Shoulder Suspensory Complex Injuries and Lateral Scapular Suspension System Fractures -- Associated Injuries -- Radiographic Assessment -- Surgical Indications -- Glenoid Fractures -- Glenoid Neck Fractures -- Scapular Body Fractures -- Acromion and Coracoid Fractures -- Combined Fractures -- Operative Intervention -- Surgical Approaches -- Anterior Deltopectoral and Transverse Clavicle Approach -- Posterior Approach -- Superior or Anterior-Superior Approach -- Athroscopic -- References -- 16: Rehabilitation of Scapular Dyskinesis -- Introduction -- Treatment of Flexibility Deficits -- Treatment of Muscle Performance Deficits -- Scapular Rehabilitation in the Overhead Athlete -- Outcomes After Scapula-Focused Exercise Programs -- References -- 17: Rehabilitation for Complex Scapular Dysfunction: Considerations of Pain and Altered Motor Patterns -- Introduction -- Non-exercise-Based Considerations -- Understanding the Kinetic Chain Approach -- Modifying the Kinetic Chain Approach -- Address Proximal Deficits -- Facilitate Scapular Motion -- Case Examples -- Summary -- Appendix -- References -- Index.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.