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SHOULDER AND ELBOW

Shoulder

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The human shoulder is made up of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone) as well as associated muscles, ligaments and tendons.

The articulations between the bones of the shoulder make up the shoulder joints. The shoulder joint, also known as the glenohumeral joint, is the major joint of the shoulder, but can more broadly include the acromioclavicular joint. In human anatomy, the shoulder joint comprises the part of the body where the humerus attaches to the scapula, and the head sits in the glenoid cavity. the shoulder is the group of structures in the region of the joint.

The shoulder joint is the main joint of the shoulder. It is a ball and socket joint that allows the arm to rotate in a circular fashion or to hinge out and up away from the body. The joint capsule is a soft tissue envelope that encircles the glenohumeral joint and attaches to the scapula, humerus, and head of the biceps. It is lined by a thin, smooth synovial membrane. The rotator cuff is a group of four muscles that surround the shoulder joint and contribute to the shoulder's stability. The muscles of the rotator cuff are supraspinatus, subscapularis, infraspinatus, and teres minor. The cuff adheres to the glenohumeral capsule and attaches to the humeral head.

The shoulder must be mobile enough for the wide range actions of the arms and hands, but stable enough to allow for actions such as lifting, pushing, and pulling.

The muscles and joints of the shoulder allow it to move through a remarkable range of motion, making it one of the most mobile joints in the human body. The shoulder can abduct, adduct, rotate, be raised in front of and behind the torso and move through a full 360° in the sagittal plane. This tremendous range of motion also makes the shoulder extremely unstable, far more prone to dislocation and injury than other joints

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Common disorder

A


Acromioclavicular Arthritis

Acromioclavicular Joint Disorders

Anterior Drawer Test Of The Shoulder

Anterior Shoulder Instability

C


Calcific Tendinopathy of the Shoulder

Chronic Rotator Cuff Tendinopathy

D


Dead Arm Syndrome

Dynamic Stabilisers of the Shoulder Complex

F


Frozen Shoulder

H


Hemiplegic Shoulder Subluxation

Hill Sachs Lesion

I


Internal Impingement of the Shoulder

P


Parsonage-Turner Syndrome

Pectoralis Major Rupture

Posterior Shoulder Instability

Proximal Humerus Fractures

Q


Quadrilateral Space Syndrome

R


Remplissage Procedure

Rotator Cuff Tears

Rotator Cuff Tendinopathy

Rupture Long Head Biceps

S


Scapular Dyskinesia

Serratus Anterior Strength Test or ( Punch out test )

Shoulder Bursitis

Shoulder Dislocation

Shoulder Instability

Shoulder Osteoarthritis

Shoulder Subluxation

Shoulder-hand Syndrome

SLAP Lesion

Sternal fracture

Sternoclavicular Joint Disorders

Subacromial Pain Syndrome

Supraspinatus Tear

Supraspinatus Tendinopathy

Swimming Overuse Injuries

Trearment offred

Fracture fixation - fixation of proximal humrus, clacicle, scapula and ac joint.

Arthroscpic surgery

Shoulder replacement

Complex shoulder surgery

Ligament and tendon repair

Tendon transfer

Elbow

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The elbow is a hinged joint made up of three bones, the humerus, ulna, and radius. The ends of the bones are covered with cartilage. Cartilage has a rubbery consistency that allows the joints to slide easily against one another and absorb shock. The bones are held together with ligaments that form the joint capsule. The joint capsule is a fluid filled sac that surrounds and lubricates the joint.

The important ligaments of the elbow are the medial collateral ligament (on the inside of the elbow) and the lateral collateral ligament (on the outside of the elbow.) Together these ligaments provide the main source of stability for the elbow, holding the humerus and the ulna tightly together. A third ligament, the annular ligament, holds the radial head tight against the ulna.

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There are tendons in your elbow that attach muscle to bone. The important tendons of the elbow are the biceps tendon, which is attached the biceps muscle on the front of your arm, and the triceps tendon, which attaches the triceps muscle on the back of your arm.

The muscles in your forearm cross the elbow and attach to the humerus. The outside (lateral) bump just above the elbow is called the lateral epicondyle. Most of the muscles that straighten the fingers and wrist come together and attach to the medial epicondyle, or the bump on the inside of your arm just above the elbow. These two tendons are important to understand because they are common locations of tendonitis.

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All of the nerves that travel down the arm pass across the elbow. Three main nerves begin together at the shoulder the radial nerve, the ulnar nerve and the medial nerve. These nerves are responsible for signaling your muscles to work and to also relay sensations such as touch, pain and temperature.

CONDITIONS AND DISORDER

Fracture of elbow

Elbow dislocation

Cubital Tunnel Syndrome

Ligamentous Injuries

Lateral Epicondylitis(tennis elbow)

Medial Epicondylitis

Olecranon Bursitis

Osteochondritis Dissecans of the Elbow

Ulnar Nerve Entrapment

Rheumatoid Arthritis

Treatment offred

Fracture fixation of humrus ulna and radius.

Elbow Arthrolysis

Elbow Arthroscopy

Open debridement or synovectomy

Radial head excision and synovectomy

Radial head replacement

Reconstruction elbow replacement

Release of lateral epicondylitis

Total elbow replacement (TER)

Ulnar nerve decompression