Introduction Description Scapulothoracic dyskinesis is a condition characterized by abnormal scapula motion leading to shoulder impingement and dysfunction causes are multifactorial including neurologic injury pathologic thoracic spine kyphosis periscapular muscle fatigue poor throwing mechanics secondary to pain (shoulder, neck) also known as SICK scapula Epidemiology demographics seen in athletes Pathoanatomy pathoanatomy scapulothoracic power imbalance leads to protraction of scapula leads to alteration of mechanics at glenohumeral joint excessive stress placed on anterior capsule of shoulder and posterosuperior labrum athletes have increased risk of injuring labrum rotator cuff capsule Anatomy Scapulothoracic joint anatomy Presentation Symptoms shoulder pain and dysfunction worse with arm elevation loss of throwing velocity Physical exam scapulothoracic crepitus affected scapula may be lower and protracted symptoms relieved with scapula stabilization Imaging Radiographs recommended views complete shoulder series findings usually unremarkable Treatment Nonoperative NSAIDs, PT, local injections indications main treatment technique physical therapy with emphasis on core strengthening scapular stabilizers, serratus anterior, trapezius rotator cuff muscles teaching proper core mechanics in throwers
QUESTIONS 1 of 2 1 2 Previous Next Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK (OBQ05.170) A 23-year-old professional pitcher complains of posterior shoulder pain. Physical exam is notable for scapular dyskinesis. No intra-articular pathology is found on shoulder MRI. Which of the following should be emphasized in the initial stages of rehabilitation? Review Topic QID: 1056 1 Isometric shoulder exercises 12% (57/484) 2 Isokinetic shoulder exercises 8% (37/484) 3 Closed chain shoulder exercises 16% (76/484) 4 Coordination of scapular motion with trunk and hip movements 64% (309/484) 5 Axial loading shoulder exercises 1% (4/484) ML 2 Select Answer to see Preferred Response PREFERRED RESPONSE 4
Login to View Community Videos Login to View Community Videos 2017 Orthopaedic Summit Evolving Techniques Rehab of Course! My Program for Scapular Dyskinesis: It Works! Patience, Ignore Everyone Else - W. Benjamin Kibler, MD Shoulder & Elbow - Scapulothoracic Dyskinesis 5/14/2018 428 views Login to View Community Videos Login to View Community Videos 2016 Baseball Sports Medicine: Game Changing Concepts Scapular Muscle Training - Kevin E. Wilk, PT, DPT, FAPTA (BSM #14, 2016) Shoulder & Elbow - Scapulothoracic Dyskinesis 10/31/2017 88 views Upgrade to View Premium Videos Upgrade to View Premium Videos Physical exam for scapular dyskinesia David Abbasi Shoulder & Elbow - Scapulothoracic Dyskinesis 1/29/2013 2698 views