28.8 - Special Collection Series - Shoulder

Course Objectives

1. Understand the anatomical and biomechanical concepts that form the framework of shoulder evaluation and treatment.
2. Identify key clinical tests used to evaluate a patient with shoulder dysfunction.
3. Appropriately interpret clinical examination findings of the shoulder complex using evidence-based clinical reasoning.
4. Understand the role of imaging, functional testing, and isokinetic testing in a patient with shoulder dysfunction.
5. Develop evidence-based strategies to manage nonoperative shoulder dysfunction.
6. Identify proper indications and contraindications for range of motion and strengthening interventions for patients following common surgical procedures.
7. Understand the underlying mechanisms and patient presentation of the patient with a frozen shoulder.
8. Describe the active and passive restraints about the shoulder, including their anatomical differences, the key roles in providing stability, and the relationship to glenohumeral instability.
9. Differentiate between anterior, posterior, and multidirectional instability and describe patient reported symptoms as well as typical injury patterns for each direction of shoulder instability.
10. Discuss the difference in the pathomechanics and management of traumatic and atraumatic shoulder instability.
11. Describe possible concomitant and secondary injuries associated with shoulder instability.
12. Determine and perform an examination using appropriate tests and measures to assess shoulder instability and the associated impairments and functional limitations.
13. Determine the appropriate use of diagnostic testing, as well as recognize and describe the difference between normal and abnormal findings.
14. Describe the patient population that is most appropriate for nonoperative management of shoulder instability and implement an evidence-based rehabilitation program.
15. Identify the criteria for operative management and demonstrate an understanding of the surgical techniques, possible complications, postoperative precautions, and rehabilitation goals shoulder instability.
16. Describe the recommendations and differences for returning a patient, surgical and nonsurgical, to prior level of function, occupation, and sport for shoulder instability.
17. Describe, use, and interpret appropriate outcome measures for shoulder instability.
18. Identify the pathogenesis, evaluation, and surgical considerations involved in the replacement of the glenohumeral joint.
19. Understand the surgical technique for hemiarthroplasty, total shoulder arthroplasty, and reverse total shoulder arthroplasty.
20. Develop an appropriate rehabilitation program based on an understanding of the bony and soft tissue status of the patient and the surgical procedure performed.
21. Understand potential surgical and postsurgical precautions and complications following shoulder arthroplasty.

Topics and Authors

• Joint Arthroplasty: Advances in Surgical Management and Rehabilitation: Shoulder Arthroplasty
  Todd R. Hooks, PT, SCS, ATC, MOMT, MTC, CSCS; Andrew Hsiao, MD; James R. Andrews, MD
• Alternative Special Topics: Innovations in Practice: Shoulder Instability: A Review of Anatomical and Biomechanical Considerations, Prevalence, and Diagnosis as well as Nonoperative and Operative Management
  Brittany Lynch, PT, DPT, SCS, OCS; Tara Ridge-Hankin, MS, PT, SCS; Dharmesh Vyas, MD, PhD
• Current Concepts of Orthopaedic Physical Therapy 4th Ed: The Shoulder: Physical Therapy Patient Management Using Current Evidence
  Todd S. Ellenbecker, DPT, MS, SCS, OCS, CSCS; Robert C. Manske, DPT, MEd, SCS, ATC, CSCS; Marty Kelley, PT, DPT, OCS