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% (50/433) 2 Isokinetic shoulder exercises 7% (32/433) 3 Closed chain shoulder exercises 17% (72/433) 4 Coordination of scapular motion with trunk and hip movements 63% (274/433) 5 Axial loading shoulder exercises 1% (4/433) ML 2 Select Answer to see Preferred Response PREFERRED RESPONSE 4
Rehab of Course! My Program for Scapular Dyskinesis: It Works! Patience, Ignore Everyone Else - W. Benjamin Kibler, MD Shoulder & Elbow - Scapulothoracic Dyskinesis - All Rehab of Course! My Program for Scapular Dyskinesis: It Works! Patience, Ignore... 5/14/2018 415 views Scapular Muscle Training - Kevin E. Wilk, PT, DPT, FAPTA (BSM #14, 2016) Shoulder & Elbow - Scapulothoracic Dyskinesis - Treatment Consult Title: Scapular Muscle Training Speaker: Kevin E. Wilk, PT, DPT, FAPTA Length:... 10/31/2017 82 views Physical exam for scapular dyskinesia Shoulder & Elbow - Scapulothoracic Dyskinesis - Physical Exam Video demonstates physical exam techniques to assess for scapular dyskinesia. 1/29/2013 2650 views