SlideShare una empresa de Scribd logo
1 de 43
Descargar para leer sin conexión
Jill Thomas
Elbow and Shoulder Clinical Specialist Physiotherapist
Wrightington Hospital
Elbow Instability

Rehabilitation



North West Upper Limb Group, May 2018
www.wrightington.com
Function
www.wrightington.com
Function
www.wrightington.com
Considerations for Rehabilitation
Acute
! Compensatory patterns
! Established apprehension
! Mechanical signs
Risk of Stiffness
Protection in a sling
Time off work for rehab’
Pain and swelling
Associated effects of trauma
Risk of H.O
Protective period
www.wrightington.com
Considerations for Rehabilitation
Acute
! Compensatory patterns
! Established apprehension
! Mechanical signs
Risk of Stiffness
Protection in a sling
Time off work for rehab’
Pain and swelling
Associated effects of trauma
Risk of H.O
Protective period
Chronic
Absence of acute post-op pain
No need for sling/protective period
Continue with normal bilateral function
" Mechanical signs
" Established stiffness
" Established compensatory patterns
é Proprioceptive deficit
Apprehension
www.wrightington.com
Team Work
Stable fracture/ligament repair
Full ROM on the table
Post-operative instructions: Early active ROM
www.wrightington.com
Proprioception
The proprioceptive deficient relative!
www.wrightington.com
Proprioception – The Elbow
Limited capsular mechanoreceptors & articular
proprioception Goodwin et al, 1972; Khabiev et al, 1998, JSES; Petrie et al,
2006, J Hand Surg; Fuentes and Bastian, 2010, J Neurophysiology
Proprioceptive drift into flexion Tsay et al, 2014, J Physiology
Limited higher level processing Walsh et al, 2013, J Physiology
2 Joint muscles - compromises muscle spindle
proprioception Sturnieks et al, 2007
www.wrightington.com
Biceps and Brachialis
Increased activity in biceps and brachialis on EMG
in stiff elbows Page et al 2003
www.wrightington.com
Overhead Extension
45 Degrees 35 Degrees
www.wrightington.com
Stability and Control
Osseous constraints greatest in full extension or
full flexion Morrey 1985; Karbach and Elfar, 2017
Only one uni-segmental muscle
www.wrightington.com
It’s not all doom and gloom
www.wrightington.com
The Good News
Cutaneous receptors Collins et al, 2005, J Neurology; Proske and Gandevia, 2009, J. Physiology
Muscle spindles Proske and Gandevia, 2009, J. Physiology; Tsay et al, 2014,J of Physiology
Vision and imagery Fuentes and Bastian, 2010, J Neurophysiology; Tsay et al, 2014,J of
Physiology; Wang et al. 2013, J Rehabil Med
Functional multi-joint movements Tillery et al,1996, J. Neurophysiology
Bilateral activities Tsay et al, 2014,J of Physiology
Kinetic chain recruitment Sciascia and Cromwell, 2012, Rehabil Research and
Practice
www.wrightington.com
The Elbow & the Upper Limb
The Hand
• UL Compensates to achieve hand placement
Bland et al, 2008; Karduna and Sainburg, 2012
• Elbow restriction affects hand functionBland et al, 2008 J Hand
Therapy
• Visual pro/supination improves hand functionBland et al, 2008 J Hand Therapy
• Hand leads UL function van Andel et al., 2008 Gait & Posture
www.wrightington.com
The Elbow & the Upper Limb
Function
• Functionally pro and supination occur in
conjunction with humeral rotation
van Andel et al., 2008 Gait & Posture
www.wrightington.com
Dynamic Stability
Compressive Forces
Varus Stability
Valgus Stability
PLR Stability
Morrey, 1985;
Udall et al., 2009; Vollans & van Riet,
2016; Karbach & Elfar, 2017
www.wrightington.com
Dynamic Stability
Compressive Forces
Biceps
Brachialis
Triceps
Varus Stability
ECU, EDC,
ECRB, ECRL
Anconeus
Valgus Stability
FDS
PT, FDP, FCU
PLR Stability
Anconeus
Morrey, 1985;
Udall et al., 2009; Vollans & van Riet,
2016; Karbach & Elfar, 2017
www.wrightington.com
Dynamic Stability
Translation into Exercise?
www.wrightington.com
Rehab’ Principles
Short lever/overhead Gain ROM
Long lever Gain control
Weight bearing Stability and function
Time
www.wrightington.com
Early Overhead Mobilisation
Alolabi et al., 2012;
Schreiber et al., 2015;
Manocha et al., 2017
www.wrightington.com
Early Overhead Mobilisation
✓Reduce biceps/
brachialis activity
✓Promotes extension
✓ Spindle stretch
✓Visual feedback
✓Cutaneous feedback
✓Protecting ligament
repair
www.wrightington.com
Early Overhead Mobilisation
✓Reduce biceps/
brachialis activity
✓Promotes extension
✓ Spindle stretch
✓Visual feedback
✓ Kinetic chain
✓ Protecting ligament
repair
www.wrightington.com
Functional Movement Pattern
✓ Reduce biceps/
brachialis activity
✓ Promotes extension
✓ Visual feedback - mirror
✓ Cutaneous feedback
✓ Bilateral Activity
✓ Kinetic chain
✓ UL function: hand leads
✓ Multi-jt proprioception
✓ Forearm supported
www.wrightington.com
Anconeus
www.wrightington.com
Progression
✓ Adequate soft tissue and fracture healing
✓ No compensatory patterns
✓ Good extension <20-25 degrees from 0
✓ Good awareness of elbow movement
✓ ‘Functional’ flexion
✓ No significant mechanical signs
www.wrightington.com
Trouble shooting: Early
? Lack of AROM
• Do they know they’re stiff
• Compensatory patterns
• Muscle tone
www.wrightington.com
Trouble shooting: Early
? Lack of AROM
• Do they know they’re stiff
• Compensatory patterns
• Muscle tone
Visual
Functional
Reduce tone
www.wrightington.com
Mirror Therapy ✓ Reduce biceps/
brachialis activity
✓ Promotes extension
✓ Visual feedback - mirror
✓ Cutaneous feedback
✓ Bilateral Activity
✓ Kinetic chain
✓ Upper limb function
✓ Multi – joint
proprioception
✓ Forearm supported
www.wrightington.com
Visual Pro/Supination
www.wrightington.com
‘Punching’ Forwards Lunge
✓ Reduce biceps/
brachialis activity
✓ Promotes extension
✓ Visual feedback –
mirror
✓ Kinetic chain
✓ Upper limb function
✓ Multi-joint
proprioception
✓ Joint compression
✓ Hand function
✓ Minimal valgus/varus
stress
www.wrightington.com
Reverse Row
✓ Reduce biceps/
brachialis activity
✓ Promotes extension
✓ Visual feedback –
mirror
✓ Kinetic chain
✓ Upper limb function
✓ Multi-joint
proprioception
✓ Hand function
✓ Compression
✓ Isometric wrist/
fingers & common
extensor activity
✓ Minimal Valgus/Varus
stress
www.wrightington.com
Get Up and Go
✓ Reduce biceps/
brachialis activity
✓ Promotes extension
✓ Visual feedback
✓ Kinetic chain
✓ Upper limb function
✓ Multi-joint
proprioception
✓ Strengthening
✓ Control
✓ Joint compression
✓ Hand function
✓ Valgus/Varus control
www.wrightington.com
Slide Outs ✓ Promotes extension
✓ Kinetic chain
✓ Upper limb function
✓ Multi-joint
proprioception
✓ Weight-bearing, joint
compression
✓ Control
✓ Hand function
✓ Varus/PLRI control
www.wrightington.com
Kneeling slide out
✓ Promotes extension
✓ Joint compression proprioception
✓ Multi-joint functional movement
✓ Kinetic chain
✓ Control
✓ Strengthening
✓ Varus/PLRI control
www.wrightington.com
Flexor/Pronators
✓ Promotes extension
✓ Kinetic chain
✓ Upper limb function
✓ Multi-joint proprioception
✓ Control
✓ Hand function
✓ Flexor/pronator activity
www.wrightington.com
Functional Pro/Supination
✓ Combined humeral rotation
✓ Functional
✓ Visual
✓ Hand function
✓ Kinetic chain
www.wrightington.com
Troubleshooting: Mid-late
? Mechanical signs
? Apprehension
www.wrightington.com
Troubleshooting: Mid-late
? Mechanical signs
? Apprehension
Support valgus/varus
Gain confidence/control
Concentrate on dynamic
control
Assess stability
?Consider imaging
www.wrightington.com
Anconeus Loading
✓ Kinetic chain
✓ Upper limb function
✓ Multi-joint proprioception
✓ Control
✓ Hand function
✓ Anconeus activity
✓ Common extensor activity
✓ Varus control
www.wrightington.com
Push Offs
✓ Promotes extension
✓ Kinetic chain
✓ Multi-joint
functional
movement
✓ Joint
compression
proprioception
✓ Uneven surface
✓ Plyometrics
✓ Varus/PLR
control
www.wrightington.com
Functional: Floor fitter
www.wrightington.com
Target Practice
www.wrightington.com
Rehabilitation Summary
Controlled
Appropriate for tissue/fracture healing
Relevant to direction of instability
Include dynamic control
Functional
Individualised

Más contenido relacionado

La actualidad más candente

Radio ulnar synostosis #dr_azanki
Radio ulnar synostosis  #dr_azankiRadio ulnar synostosis  #dr_azanki
Radio ulnar synostosis #dr_azankiAbdallah El-Azanki
 
Hip Injuries in Athletes 2015
Hip Injuries in Athletes 2015Hip Injuries in Athletes 2015
Hip Injuries in Athletes 2015washingtonortho
 
Xavier Valle -Aspetar and FCB classification of muscle injuries
Xavier Valle -Aspetar and FCB classification of muscle injuries Xavier Valle -Aspetar and FCB classification of muscle injuries
Xavier Valle -Aspetar and FCB classification of muscle injuries MuscleTech Network
 
orthosis and prosthesis of upper limb
orthosis and prosthesis of upper limborthosis and prosthesis of upper limb
orthosis and prosthesis of upper limbYoosufHaleel1
 
Definitions of orthoses, orthotics, &amp; orthotist
Definitions of orthoses, orthotics, &amp; orthotistDefinitions of orthoses, orthotics, &amp; orthotist
Definitions of orthoses, orthotics, &amp; orthotistIndra Singh
 
Low back pain ii
Low back pain iiLow back pain ii
Low back pain iitbilodeau4
 
Ulnar Collateral Ligament Injury in Athletes
Ulnar Collateral Ligament Injury in AthletesUlnar Collateral Ligament Injury in Athletes
Ulnar Collateral Ligament Injury in AthletesDikshaTaani
 
Osteoarthritis of the Foot and Ankle
Osteoarthritis of the Foot and AnkleOsteoarthritis of the Foot and Ankle
Osteoarthritis of the Foot and AnkleOARSI
 
Radial club hand
Radial club handRadial club hand
Radial club handdralizameer
 
Jose Austine- Biomechanics in Total hip arthroplasty
Jose Austine- Biomechanics in Total hip arthroplastyJose Austine- Biomechanics in Total hip arthroplasty
Jose Austine- Biomechanics in Total hip arthroplastyJose Austine
 
Tunnel Enlargement in Single Bundle ACL Reconstruction Using Bio-Interference...
Tunnel Enlargement in Single Bundle ACL Reconstruction Using Bio-Interference...Tunnel Enlargement in Single Bundle ACL Reconstruction Using Bio-Interference...
Tunnel Enlargement in Single Bundle ACL Reconstruction Using Bio-Interference...TheRightDoctors
 
Impingement syndrome rehabilitation
Impingement syndrome rehabilitationImpingement syndrome rehabilitation
Impingement syndrome rehabilitationIli Diyana
 

La actualidad más candente (20)

Shoulder arthroplasty
Shoulder arthroplastyShoulder arthroplasty
Shoulder arthroplasty
 
Radio ulnar synostosis #dr_azanki
Radio ulnar synostosis  #dr_azankiRadio ulnar synostosis  #dr_azanki
Radio ulnar synostosis #dr_azanki
 
Hip Injuries in Athletes 2015
Hip Injuries in Athletes 2015Hip Injuries in Athletes 2015
Hip Injuries in Athletes 2015
 
Xavier Valle -Aspetar and FCB classification of muscle injuries
Xavier Valle -Aspetar and FCB classification of muscle injuries Xavier Valle -Aspetar and FCB classification of muscle injuries
Xavier Valle -Aspetar and FCB classification of muscle injuries
 
orthosis and prosthesis of upper limb
orthosis and prosthesis of upper limborthosis and prosthesis of upper limb
orthosis and prosthesis of upper limb
 
Posttraumatic stiff elbow
Posttraumatic stiff elbowPosttraumatic stiff elbow
Posttraumatic stiff elbow
 
Definitions of orthoses, orthotics, &amp; orthotist
Definitions of orthoses, orthotics, &amp; orthotistDefinitions of orthoses, orthotics, &amp; orthotist
Definitions of orthoses, orthotics, &amp; orthotist
 
Low back pain ii
Low back pain iiLow back pain ii
Low back pain ii
 
Ulnar Collateral Ligament Injury in Athletes
Ulnar Collateral Ligament Injury in AthletesUlnar Collateral Ligament Injury in Athletes
Ulnar Collateral Ligament Injury in Athletes
 
Ankle arthodesis
Ankle arthodesisAnkle arthodesis
Ankle arthodesis
 
Osteoarthritis of the Foot and Ankle
Osteoarthritis of the Foot and AnkleOsteoarthritis of the Foot and Ankle
Osteoarthritis of the Foot and Ankle
 
Reverse Shoulder Arthroplasty.pptx
Reverse Shoulder Arthroplasty.pptxReverse Shoulder Arthroplasty.pptx
Reverse Shoulder Arthroplasty.pptx
 
Radial club hand
Radial club handRadial club hand
Radial club hand
 
Jose Austine- Biomechanics in Total hip arthroplasty
Jose Austine- Biomechanics in Total hip arthroplastyJose Austine- Biomechanics in Total hip arthroplasty
Jose Austine- Biomechanics in Total hip arthroplasty
 
Tunnel Enlargement in Single Bundle ACL Reconstruction Using Bio-Interference...
Tunnel Enlargement in Single Bundle ACL Reconstruction Using Bio-Interference...Tunnel Enlargement in Single Bundle ACL Reconstruction Using Bio-Interference...
Tunnel Enlargement in Single Bundle ACL Reconstruction Using Bio-Interference...
 
Revision TKR: Why Knee Fails Basic Surgical Principles Dr.Sandeep Agrawal Agr...
Revision TKR: Why Knee Fails Basic Surgical Principles Dr.Sandeep Agrawal Agr...Revision TKR: Why Knee Fails Basic Surgical Principles Dr.Sandeep Agrawal Agr...
Revision TKR: Why Knee Fails Basic Surgical Principles Dr.Sandeep Agrawal Agr...
 
Lecture 37 shah ttc fusion
Lecture 37 shah ttc fusionLecture 37 shah ttc fusion
Lecture 37 shah ttc fusion
 
Orthosis
OrthosisOrthosis
Orthosis
 
Impingement syndrome rehabilitation
Impingement syndrome rehabilitationImpingement syndrome rehabilitation
Impingement syndrome rehabilitation
 
RetinaculotomíA Externa
RetinaculotomíA ExternaRetinaculotomíA Externa
RetinaculotomíA Externa
 

Similar a Elbow instability Jill Thomas NWULG may 2018

Flexibility Lab Report
Flexibility Lab ReportFlexibility Lab Report
Flexibility Lab ReportSasha Jones
 
Supraspinatus tendinitis 30may2013
Supraspinatus tendinitis 30may2013Supraspinatus tendinitis 30may2013
Supraspinatus tendinitis 30may2013Rahila Najihah
 
Non union neck of femur
Non union neck of femurNon union neck of femur
Non union neck of femurJose Austine
 
Function of the Hip and the lower limb: The relationship between injuries and...
Function of the Hip and the lower limb: The relationship between injuries and...Function of the Hip and the lower limb: The relationship between injuries and...
Function of the Hip and the lower limb: The relationship between injuries and...Max Martin
 
Hip Joint Mx by Physiotherapy SRS
Hip Joint Mx by Physiotherapy SRSHip Joint Mx by Physiotherapy SRS
Hip Joint Mx by Physiotherapy SRSSreeraj S R
 
Ankle And Foot Essay
Ankle And Foot EssayAnkle And Foot Essay
Ankle And Foot EssayJamie Boyd
 
Hip Flexor Moment Lab Report
Hip Flexor Moment Lab ReportHip Flexor Moment Lab Report
Hip Flexor Moment Lab ReportMandy Cross
 
Rehabilitation following a reversed total shoulder arthroplasty nwulg 28.2.12
Rehabilitation following a reversed total shoulder arthroplasty nwulg 28.2.12Rehabilitation following a reversed total shoulder arthroplasty nwulg 28.2.12
Rehabilitation following a reversed total shoulder arthroplasty nwulg 28.2.12Lennard Funk
 
How to Prevent and Treat Shoulder Subluxation After Stroke?
How to Prevent and Treat Shoulder Subluxation After Stroke?How to Prevent and Treat Shoulder Subluxation After Stroke?
How to Prevent and Treat Shoulder Subluxation After Stroke?Techcare Innovation
 
Hip Dislocation Essay
Hip Dislocation EssayHip Dislocation Essay
Hip Dislocation EssayLisa Fields
 
UK snowsports ACL injury
UK snowsports ACL injuryUK snowsports ACL injury
UK snowsports ACL injurynw conditioning
 
MSD1.ppt
MSD1.pptMSD1.ppt
MSD1.pptjomy24
 
David Parker - Physical Integrity for the Throwing Events
David Parker  - Physical Integrity for the Throwing EventsDavid Parker  - Physical Integrity for the Throwing Events
David Parker - Physical Integrity for the Throwing EventsAthletics Northern Ireland
 
Anterior Cruciatetric Analysis Essay
Anterior Cruciatetric Analysis EssayAnterior Cruciatetric Analysis Essay
Anterior Cruciatetric Analysis EssayAshley Jones
 
comminuted fracture of left patellar with displacement case presentation
comminuted fracture of left patellar with displacement case presentationcomminuted fracture of left patellar with displacement case presentation
comminuted fracture of left patellar with displacement case presentationJOEL RAJAN U
 
Upper Body Structural Balance
Upper Body Structural BalanceUpper Body Structural Balance
Upper Body Structural BalanceMark McKean
 

Similar a Elbow instability Jill Thomas NWULG may 2018 (20)

Flexibility Lab Report
Flexibility Lab ReportFlexibility Lab Report
Flexibility Lab Report
 
Supraspinatus tendinitis 30may2013
Supraspinatus tendinitis 30may2013Supraspinatus tendinitis 30may2013
Supraspinatus tendinitis 30may2013
 
Non union neck of femur
Non union neck of femurNon union neck of femur
Non union neck of femur
 
Function of the Hip and the lower limb: The relationship between injuries and...
Function of the Hip and the lower limb: The relationship between injuries and...Function of the Hip and the lower limb: The relationship between injuries and...
Function of the Hip and the lower limb: The relationship between injuries and...
 
Hip Joint Mx by Physiotherapy SRS
Hip Joint Mx by Physiotherapy SRSHip Joint Mx by Physiotherapy SRS
Hip Joint Mx by Physiotherapy SRS
 
Carrying Angle
Carrying AngleCarrying Angle
Carrying Angle
 
Ankle And Foot Essay
Ankle And Foot EssayAnkle And Foot Essay
Ankle And Foot Essay
 
Differential Diagnosis Of The Hip2010
Differential  Diagnosis Of The  Hip2010Differential  Diagnosis Of The  Hip2010
Differential Diagnosis Of The Hip2010
 
Hip Flexor Moment Lab Report
Hip Flexor Moment Lab ReportHip Flexor Moment Lab Report
Hip Flexor Moment Lab Report
 
Rehabilitation following a reversed total shoulder arthroplasty nwulg 28.2.12
Rehabilitation following a reversed total shoulder arthroplasty nwulg 28.2.12Rehabilitation following a reversed total shoulder arthroplasty nwulg 28.2.12
Rehabilitation following a reversed total shoulder arthroplasty nwulg 28.2.12
 
How to Prevent and Treat Shoulder Subluxation After Stroke?
How to Prevent and Treat Shoulder Subluxation After Stroke?How to Prevent and Treat Shoulder Subluxation After Stroke?
How to Prevent and Treat Shoulder Subluxation After Stroke?
 
PostureTek PPT
PostureTek PPTPostureTek PPT
PostureTek PPT
 
PostureTek Full Version
PostureTek Full VersionPostureTek Full Version
PostureTek Full Version
 
Hip Dislocation Essay
Hip Dislocation EssayHip Dislocation Essay
Hip Dislocation Essay
 
UK snowsports ACL injury
UK snowsports ACL injuryUK snowsports ACL injury
UK snowsports ACL injury
 
MSD1.ppt
MSD1.pptMSD1.ppt
MSD1.ppt
 
David Parker - Physical Integrity for the Throwing Events
David Parker  - Physical Integrity for the Throwing EventsDavid Parker  - Physical Integrity for the Throwing Events
David Parker - Physical Integrity for the Throwing Events
 
Anterior Cruciatetric Analysis Essay
Anterior Cruciatetric Analysis EssayAnterior Cruciatetric Analysis Essay
Anterior Cruciatetric Analysis Essay
 
comminuted fracture of left patellar with displacement case presentation
comminuted fracture of left patellar with displacement case presentationcomminuted fracture of left patellar with displacement case presentation
comminuted fracture of left patellar with displacement case presentation
 
Upper Body Structural Balance
Upper Body Structural BalanceUpper Body Structural Balance
Upper Body Structural Balance
 

Más de Lennard Funk

ACJ Disloc Management 2022.pdf
ACJ Disloc Management 2022.pdfACJ Disloc Management 2022.pdf
ACJ Disloc Management 2022.pdfLennard Funk
 
Clavicle Fractures Pro Cyclists 2021.pdf
Clavicle Fractures Pro Cyclists 2021.pdfClavicle Fractures Pro Cyclists 2021.pdf
Clavicle Fractures Pro Cyclists 2021.pdfLennard Funk
 
ACJ Osteolysis.pdf
ACJ Osteolysis.pdfACJ Osteolysis.pdf
ACJ Osteolysis.pdfLennard Funk
 
Chronic Pectoralis Major Injuries Len Funk 2020
Chronic Pectoralis Major Injuries Len Funk 2020Chronic Pectoralis Major Injuries Len Funk 2020
Chronic Pectoralis Major Injuries Len Funk 2020Lennard Funk
 
Rotator Cuff Augment 2018.pdf
Rotator Cuff Augment 2018.pdfRotator Cuff Augment 2018.pdf
Rotator Cuff Augment 2018.pdfLennard Funk
 
Rotator Cuff Update 2022 for Medbelle Len Funk.pptx
Rotator Cuff Update 2022 for Medbelle Len Funk.pptxRotator Cuff Update 2022 for Medbelle Len Funk.pptx
Rotator Cuff Update 2022 for Medbelle Len Funk.pptxLennard Funk
 
Should We Repair Rotator Cuff Tears OPN 2017.pdf
Should We Repair Rotator Cuff Tears OPN 2017.pdfShould We Repair Rotator Cuff Tears OPN 2017.pdf
Should We Repair Rotator Cuff Tears OPN 2017.pdfLennard Funk
 
Anterior shoulder instability st4-6
Anterior shoulder instability   st4-6Anterior shoulder instability   st4-6
Anterior shoulder instability st4-6Lennard Funk
 
ACJ revision surgery for failed reconstructions and excisions
ACJ revision surgery for failed reconstructions and excisionsACJ revision surgery for failed reconstructions and excisions
ACJ revision surgery for failed reconstructions and excisionsLennard Funk
 
Pectoralis Major Injuries for BESS 2020
Pectoralis Major Injuries for BESS 2020Pectoralis Major Injuries for BESS 2020
Pectoralis Major Injuries for BESS 2020Lennard Funk
 
Anterior shoulder Instability in the young athlete 2020 bostaa
Anterior shoulder Instability in the young athlete 2020 bostaaAnterior shoulder Instability in the young athlete 2020 bostaa
Anterior shoulder Instability in the young athlete 2020 bostaaLennard Funk
 
Superior Capsular Reconstruction Outcomes Wrightington 2020
Superior Capsular Reconstruction Outcomes Wrightington 2020Superior Capsular Reconstruction Outcomes Wrightington 2020
Superior Capsular Reconstruction Outcomes Wrightington 2020Lennard Funk
 
Shoulder Instability Sports - Decision Making
Shoulder Instability Sports - Decision MakingShoulder Instability Sports - Decision Making
Shoulder Instability Sports - Decision MakingLennard Funk
 
The Incidence of Traumatic Posterior and Combined Labral Tears in Patients Un...
The Incidence of Traumatic Posterior and Combined Labral Tears in Patients Un...The Incidence of Traumatic Posterior and Combined Labral Tears in Patients Un...
The Incidence of Traumatic Posterior and Combined Labral Tears in Patients Un...Lennard Funk
 
Pectoralis major allograft reconstruction
Pectoralis major allograft reconstructionPectoralis major allograft reconstruction
Pectoralis major allograft reconstructionLennard Funk
 
What the surgeon wants from radiologist
What the surgeon wants from radiologistWhat the surgeon wants from radiologist
What the surgeon wants from radiologistLennard Funk
 
Rotator cuff tear management 2019
Rotator cuff tear management 2019Rotator cuff tear management 2019
Rotator cuff tear management 2019Lennard Funk
 
Perioperative pain management toni hundle the arm clinic 2019
Perioperative pain management toni hundle the arm clinic 2019Perioperative pain management toni hundle the arm clinic 2019
Perioperative pain management toni hundle the arm clinic 2019Lennard Funk
 
Hydrodistension outcomes 2017
Hydrodistension outcomes 2017Hydrodistension outcomes 2017
Hydrodistension outcomes 2017Lennard Funk
 

Más de Lennard Funk (20)

ACJ Disloc Management 2022.pdf
ACJ Disloc Management 2022.pdfACJ Disloc Management 2022.pdf
ACJ Disloc Management 2022.pdf
 
Clavicle Fractures Pro Cyclists 2021.pdf
Clavicle Fractures Pro Cyclists 2021.pdfClavicle Fractures Pro Cyclists 2021.pdf
Clavicle Fractures Pro Cyclists 2021.pdf
 
ACJ Osteolysis.pdf
ACJ Osteolysis.pdfACJ Osteolysis.pdf
ACJ Osteolysis.pdf
 
Chronic Pectoralis Major Injuries Len Funk 2020
Chronic Pectoralis Major Injuries Len Funk 2020Chronic Pectoralis Major Injuries Len Funk 2020
Chronic Pectoralis Major Injuries Len Funk 2020
 
Rotator Cuff Augment 2018.pdf
Rotator Cuff Augment 2018.pdfRotator Cuff Augment 2018.pdf
Rotator Cuff Augment 2018.pdf
 
Rotator Cuff Update 2022 for Medbelle Len Funk.pptx
Rotator Cuff Update 2022 for Medbelle Len Funk.pptxRotator Cuff Update 2022 for Medbelle Len Funk.pptx
Rotator Cuff Update 2022 for Medbelle Len Funk.pptx
 
Should We Repair Rotator Cuff Tears OPN 2017.pdf
Should We Repair Rotator Cuff Tears OPN 2017.pdfShould We Repair Rotator Cuff Tears OPN 2017.pdf
Should We Repair Rotator Cuff Tears OPN 2017.pdf
 
Anterior shoulder instability st4-6
Anterior shoulder instability   st4-6Anterior shoulder instability   st4-6
Anterior shoulder instability st4-6
 
ACJ revision surgery for failed reconstructions and excisions
ACJ revision surgery for failed reconstructions and excisionsACJ revision surgery for failed reconstructions and excisions
ACJ revision surgery for failed reconstructions and excisions
 
Pectoralis Major Injuries for BESS 2020
Pectoralis Major Injuries for BESS 2020Pectoralis Major Injuries for BESS 2020
Pectoralis Major Injuries for BESS 2020
 
Anterior shoulder Instability in the young athlete 2020 bostaa
Anterior shoulder Instability in the young athlete 2020 bostaaAnterior shoulder Instability in the young athlete 2020 bostaa
Anterior shoulder Instability in the young athlete 2020 bostaa
 
Superior Capsular Reconstruction Outcomes Wrightington 2020
Superior Capsular Reconstruction Outcomes Wrightington 2020Superior Capsular Reconstruction Outcomes Wrightington 2020
Superior Capsular Reconstruction Outcomes Wrightington 2020
 
Shoulder Instability Sports - Decision Making
Shoulder Instability Sports - Decision MakingShoulder Instability Sports - Decision Making
Shoulder Instability Sports - Decision Making
 
Scapula Pain
Scapula PainScapula Pain
Scapula Pain
 
The Incidence of Traumatic Posterior and Combined Labral Tears in Patients Un...
The Incidence of Traumatic Posterior and Combined Labral Tears in Patients Un...The Incidence of Traumatic Posterior and Combined Labral Tears in Patients Un...
The Incidence of Traumatic Posterior and Combined Labral Tears in Patients Un...
 
Pectoralis major allograft reconstruction
Pectoralis major allograft reconstructionPectoralis major allograft reconstruction
Pectoralis major allograft reconstruction
 
What the surgeon wants from radiologist
What the surgeon wants from radiologistWhat the surgeon wants from radiologist
What the surgeon wants from radiologist
 
Rotator cuff tear management 2019
Rotator cuff tear management 2019Rotator cuff tear management 2019
Rotator cuff tear management 2019
 
Perioperative pain management toni hundle the arm clinic 2019
Perioperative pain management toni hundle the arm clinic 2019Perioperative pain management toni hundle the arm clinic 2019
Perioperative pain management toni hundle the arm clinic 2019
 
Hydrodistension outcomes 2017
Hydrodistension outcomes 2017Hydrodistension outcomes 2017
Hydrodistension outcomes 2017
 

Último

Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets barmohitRahangdale
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .Mohamed Rizk Khodair
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfDolisha Warbi
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxkomalt2001
 
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptxDNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptxMAsifAhmad
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxNaveenkumar267201
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE Mamatha Lakka
 
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdfPAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdfDolisha Warbi
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptPradnya Wadekar
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfHongBiThi1
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationMedicoseAcademics
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...Sujoy Dasgupta
 
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdfSGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdfHongBiThi1
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.whalesdesign
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionkrishnareddy157915
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptPradnya Wadekar
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaSujoy Dasgupta
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptxNIKITA BHUTE
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondSujoy Dasgupta
 

Último (20)

Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets bar
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptx
 
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptxDNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE
 
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdfPAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.ppt
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
 
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
 
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdfSGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung function
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologyppt
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and Beyond
 

Elbow instability Jill Thomas NWULG may 2018