— ee eh wes ; «wont Unete pon PAYS Ga ctiotcar ayndmme % which 48 Bhoulder anc upper asm during the mil ~Range of i Qleno— humeaa} aleduction. ‘ fuses thy 2 minor tease of Supracpioaruc tendon 4 D Supracpinatuc tendinitis % classification of Sumagpinatus bencton | ? Sub acsomial Rua ce i; 2 fracture of the greater tuberocitey In atl these Conditions 1 ~the Space bud the Upper Er oF he hurmerug and -the atrromton gett conmprected % S01 thak aurting sfd- abctuttfon Lhe tencton OF the Rotator cafe GES Sippel fol -the qreater tuberociey $ anc) atavmion | . . > Diaqrociey- x— Roxy. iS ‘neakrnent *- Injectfom hydeveust Cone in the Ubacromrial A Space. enckion of the antetor oPken Prominent pact J OF the Acwomion. » 9 Geer F De - quer vale teoonyrouttte 7 The “intlammation of the. common sheath of | ‘ abeluctors portete tong ane -enclons: eEntencoy pollicte brextis - enarrfination OO ieee i athe -lencterness NS localfeec at -the Raafal augtoid paccecs «Fo fe AQANANArE! Yang une sms Whe ir fording ular deufation against aewocs. the palma and + Recterance. “there! may be A palpate ‘tbiceening oF “the gheath Bi Roce of the CHE io a, Cxepe bandage > IAP, : > aanargectes ? Cooly fo. macsage ult Coure| sungery NY chyonie, Cage... mary, need efeting ang exctaron of a post of tencton sheath ‘ DMenkion fours features of “CLEY D ductive! add “Inverion oF force. foot 2 Invescion of the heey (kind foot) 2 CONUS) ane Equinus with Crewing of toec A he Fook 16) plantar flexeq at the MNICLE. Joke ‘anc| adducter| jane) Invievte| “at the Sub» balaa 4 TINK: } eo ee &) pefioe:''Volleman's:: Tchemie eontracture + Dis Condition & commonly seery Fotlouoittg faactuve¢ anued the eloow, Forearm and haeq a xPoreuig vena ectun ak -the’ “Aniele. and Foot ang sie teston occtunt lus to temporary ! @cealeion of the astehay cacutation -to past.7 Gnadtiay. loce of Senconry status ancl fuss 1 Aunctions " i vA = pots thereaces: ih -the fotensity on paccive finger enkencion > The fingers and -toce becomes swollen and didlocate; {ince pate ang biue.then blue. Recutting | fo ciffficultg So perforning movement even plicterc fay appeas. > Nosence of Radiat pulce i ' ep ~ Muscular gras toes of muscle. entensibititey Aeeing of aittnes inthe eiittay qpcots oe *D what { Tlgges Toots Gn tenostng tenosyrovi ti: >this & oF the fibaus Aiqital: cheath »,,sothat .face qtidiog of the - containeg flexor endo oes, MOE joceeys 5-5, ale — Smptom % pid at the base especialixy 00 trying to, possi the Swollen &agment of the sheath ushen an attempt & mace to eaainten the Hinges Am. the. Frereq pocfe OF Finger > ne locking can toe. overcome)! effort to Which cage, nee, ENigqer:..0F @ pig ' OF the affectey fiega, vely Enteng the. Finger XEPAOD - doed not enters the githey buy a string Eo), Can). by ntenai the fingio posciuely With othe, hanet: eftad "4 akc! b 00" tAYe > I) cated Hocking «4 vithe, Finger vemtend © vdith, acnaps - | v A corctitiea, aetulting Finm the. contteuttion 7 tproviaer evel: Local ANjeckton OF LyeULUN eR: etree Loni ; ane paid: i ; 8) navantages oF orthobiege | ounoree & the urit of Rehabilitation wobich dealc | gi trnproeiteg nition, oF “the becty bY “the apptvcation ° of m device vohich aids -the body parts the. clavicle GO manufactured is catled a orthotéec. — To forPowNel | ar Totr' Gv, ody past €q7 a patina) Jott ©» fo prevent cleformitty Eq potio Unt | qo toreck a deformity gi volemaon!¢ contaatture DF accke -tnd"! movement’ 6G" In a pollo dimb A To svetiewe voright beaving €q> Jn ad un united fracture. D To pRMAE Gupport €q7 To A Faactervers pier . a what, {6 pathoscony 2. enkion, ate two, «et = > Antros&ore fea tubular endo cLope rauigh vohich ‘mside. a Jott can be wicuaticed 4 > Aitroscopy [a prcedure of endoscopic eEmaniination of a Joint 2 St ES common perforrnes| 9 the Knee Joint wes, ? Aathoscopy % Ves ucefut fh the diagnosis ard wry 4 acsetsment of varicous “nee § Afcordeos | and “intesnal deaeneante.ments lice Feart me mensch and+ Nou adore the vonicous ateuctures’ th a Toor CON by operate, Upon without Performing a formal aathoto by frecting anthoccopfe. -fibe’ trgkrumrents ‘thrmugh “a | Sed puncture to the! Joint Hane aac 2 white ony two complication of Shula a ) = Maematomat.! : iat ; a (> Maematoma — aecutte to Aeauég Wound healiig 4 ‘fection 4p Should be asperateq and a pretiure , | Sandage & given. * 14 ean Aap neenvers* | p> 3 j i A minors (oD) major eu Aap. neers ‘indicates slosufiGent drcutatioo of the, gti flap ;, 4) Anfection by he Spread of 4 may’ Ne celsate ie oF abiahes Levon, 4 amputation, 3 + * Neunma: . 4 > AD neumma aways tome atthe enq okact | eee ream = béund | cows t 6 4 Slav because. of adhectong * phantom ,.cencativg bys Ht becomec Painkuy | 1 yee pany phantory, patio. & the — awmnece OF Pain th the ] i amputated tind bacatment, tS AtFFi celtsAgcergment ro Kcotigdc,, ALUN) anrero- cf Ps Roy of the Spire. in supine. and ‘erect | poditions 1 plus lakewn) view Cove necetary’ by tone angle . . dio" Ange! bw the lime pateiog,, Armagh te | Margins of “he + Nedkeb*ae ab, heen 06 “he, canto. > Radio af) ' pee ereard Tamang, wthe. Ute hood Sok pargnect * of the Cunve. Cam ke’ made by tootefog at the ‘tine. apophy sis DIF fuse0' sity the “hae kone “ait imakintty, ave ° Andicakes the completion oF rth and .-thuc no” pocsRtcilitey., » OF Hhettinwe aes he Refecerle cigar os 10) what {6 cubituc Mique 1% Gale, .. PIES eanqyiog ~angtée (roma ax), & more, the, Cone Ter: Cobboi tus ak k va Ee Eatyen F Ulnar snenio! thaly ger dtvéicned Leading & wealtney oF Intaingde mugclec of hang D A- tnge deph ae fF plinerspntyz au > note eprain fe the com eee 1, oF av) 8 dateral ugament brats aceounts, for 6 Aovle Cpr. : ' Mechanfsmn of tojumyi- The suticed, forceful aovereiods , plantar -{lenjoo. anc Odelueki ae cauke laterdl Ufgament epiafos! 1° pes pier | Gaades of epratio;- Nok “unpaired nace &4- Grade &. Moderate pain and attanstityy wegen bering AFA ceates ether Swettiog’ pain, dislocation 190 weight bearing — pocsiiole , Signi cant cfunttional to¢e: Grade 3. 1") causes oF -thnacte outlet Cund-svene |: j |? Staten tnowo ae Cimian bane , ka deformity | 40 humane voho "cannot move, AE hums away farm the. Rett of tne __ bane we an $0 awit tg to abduct -the thumb ta >the tect fe Performed fy @otakion ANd Varus fox lateray Wes fo Supe? With tnee Y Producing Interna) merhecug » Comptete, dpe thumb and thden Koy en we tho “Ae. AIG the geink tne | the patient WY flened- place Grade at ratcimar palo and aes | lege bees 5(lors) ongerent of the lateral mericeus will Soap ox) chicie wets gato at the“ leq gets disengaged during } entencion » for medal? Meniccue” performs “the Game. ect with-the tibia aotated laterally; Wp) “Ape thumb deformity i- , a at & algo tran av gin ‘bane i, a detorenity id HUMANS -whO. Cannot; Mee IAhe s-thumb » yaa trom “he Rect oF the hand Te, isan, ‘nabilitty EO abduct the ~hurns > Ape hand. cleforipttey We one atpect of. median, nee ppaty which fs uusrattey Caused by. cleop ieuries,. ito, “the arms ream ang Whee aren, 1) wit ie eone’s fractenes > A -Sratture occuring 19 adult, al coxtico .canceliout qunukion oF -the dfttal |e ofthe “radius With dorsal. HIE and other, displacements” . gee EE chased “mary puslakion under anaesthesia, followed by below elbov plaster catt coy c6 weeks. 2a Tt the wrist fomobilite, fm a platter in a potitionch & flenioo and ulnas deiation pe 3 Mee hots) "pacts ‘Tohianad 1 warm foaee, ENS Seayoasea apy ' i 2 full aange pawnree at wel) at strog force “ful active —mmovernentt ‘of "age effichiveley dann “the. emte& tymphnte fluid.+ A SCOUOELS 6 > Tticlence '- child oth 1g" “‘Tenints etisolo > ai fe? tenderness at the Aatera\ “A COLUM Tr A dakerny deitiatlad of the « Uestebra Hae the | e . 400: ont r *AION» OF. -towwacic,,.and y tumbar, . 4g i> > CBolog y ee - eangential al ion, "ie "8 poctutial Aeforenitey: wore a + eee ond dion ep Ny otto pe i plegig 4 " Syshah of past ncmqoypathyy SEE pots tendered” yest, Wat nese + ‘erettaat tion ‘oF aptor eon ‘of supine tonmprei OF rine, aeFoversitey ea “oe “ceauckarse of ae atfectey efye. 44 *‘[laterat, ep conetey Ee] h he G88 ‘ Qa condition charractes tea}, . ‘by aw pain Cricondey(e OF humerus clue bo NON! pec | In Plamniatian at! jp,6! "ei ae le ntencoy MUCdee OF) Lye an’ 5 o] +5 esttohn 5 ” Tatoos ! t Bges gy 60 Upeate a o, j | Etioogyy pain» Owen use ear 5 coat injury i ASFHing heawy ;, wergnts | PF Aanmesss Grawdent) , Cauecring : clothes 7 caning suit cace” Swelling, tenaernex, mucete weabne r< IB |ncesewe Concentaatinns oF uricatiq and Come poring Rodiec fo bloat precipitate qoute D> The kidney ie unable to Seperate this Combination oF amc atid and purine looctie’ Bowhe unic atid Gate actumurate. in the bloog A St pyatolyy affects the Joint : = he aliceate. i commonly geen in she fine reetatarty phanyyngeat and metacarpo pharyngeal Joist io men oven, the age of Uo eeans- Sigect — pats at Bighky v4 tor pain free at day «fever. \ Drige’- “tof lomatory dug’ Rey Cayothenapg >vl ~ Age ~ Qendey — HAdvess + =. place, of. te Surqi Gicke. Side Teype Roctiating : antencite } ~ occeapation + «xx ~ Date of accecsenent * ~ Past hictowy + note Relevant!) § = precene yep 4 aes ~ Medical Wickory $n medication of an history — PerConal history +.” Kton gnoter URW orgsc se et {ES ——— ~ Name + xxx REX | ” acce% ment chief complaints on™ ae Non- lochouic |, 18 e819) 139 {| — fovetity hictowy + Atot Relevant ~ Socio - economic ;- Middle clacc al i . EOL UAppen dectorny Pato exatuation aut acbiewiog pain yec/ nto vas Npes mila) modesate | cevese.pent —pclletXtP geen. TT ‘ 6 10 , nupeg > Numeric palo — Rating scale Tot 4 CG ae a punation contfoucul | inteamitent Aggnewating tr Ufking any heavy weight $- perew’q factors Rett, Medications Om obtervration RuiIE eckomenphi C meCo mmarphi c | Endomorphie | nude of Abe dimb I~ bese PEILION oF the limb Swell oq Rea nese Rach predure Core. Enteral mpplianles’ Pop, Splint; brace, ting. Bony Prminance . mt Deformity Akin Colour OP palpation Ferrpesntuset warmth well? ve mild ik rey Tondernec + Grades 1, LH, 9, HiT)!Gencation Superbicial pee a Temperature , wey SARA, j oa ROM- Gomiometer * ame we! te nce pace Shoutey ; +48 flexion entencion “Abduction 1aisr Adduction media} eotation : lake Rotatzon Acai, Seba Neck ead dlenion . entencion 3254 lateral Rotation Elowd : ” Henin? tol Ailey spo entersiorn Supinativo: Pronation \ WK) Aiensoe 1 entenss on) - Monery Ship - Good / friK] poog.— chouldew choul ler lento entencios) lateral Qokaliod mecin) ROrxWoN Reflexes? weonlen's Scale - o- NO AN typo sof lenin 2- Niowma) & = ~Uyper nef lenin ue clonus tb hengih - diseripaney sioc tape posturve | plumb line. Tenteckigatinns Bloor Jock” Kray ct- SA0 meL Aunctional Fest- Final diagnotis Rae © meacicnl @® curgicnt Physiother apy pinsRags Pv, a cet 9) Avid weight aifting &) Waid bendingX phyclotherart] Yranaqenent <- i punting, FereeopStiea 00 Epcet Baveee©) = pooper charting of plactey Cla} traction to mae proper reeenoickitsatiod and Frecclom © oF he thum “ord! Reger : . — Vigroas, “ening “fa, “ranqe “of waa" ; qoidle to veduce Aoblammation ond tO, augment , heating a & matiiication (after ba meee) oO of the Rom at -the ellw - Aecuvate evalucttiv and fore aren — Refore ‘oitiation of mokilication: > Theamotherapy tite ponaFFo wan bath, hyd collate packs Ghoul} foe applied Shey induce aelamatioos aeduce pain anc| augerent- local civceatakion pricing eemFode ane encounageneot Avy exis D Movement oF the elbow Should be YD Newe acefered mnoverentt D Gravity etasontes — pocitions akduction and adduction movementsi comeseee pt nee Uren ees ~ ?) and etoous entencion wtih pagnkd®snine jqKess ry % db cw only induces retanation atthe ello) kay. X80 promote -the Range ‘ef igupibation and prdrAtion | elaned 4. ay ud e fun sree, pronation 44,2 ea nati ry foe, “Supported on thigh 5 Relamed Rhythrmicar tree actwe mobil&ation fe ) Beh Santiege Ie gna Bik 6 Bid piy ile, NAMIE shoulas’ be" dictated tnelchirr’ beeyaNd UtOrtari, for kath “ind”! Brent! Ag aecomlfor Sinks 6) “he {ut Ror he ule] be @ enpec! Sys 6-@ weers Gym & adh) volo in | ' I i i diag 4 sw 4 t 3 i 1 sqar j ci A ip | fry ' Fst x 4 a eye ven Pe LL UE aa u2 To Retieve paio 3 Improve 20") > Strengthening athe mutcles- 3 prevent! eonect the SLAF Frecs > prevent | correct the efor tey » Jo > correct -the chortenfng 7 To innpreve_ co-ordination foe function Smpaovement- A eectme functional’ activity \ baad | CA Groots 4Home Adwicec * ols he i aa ; > eck it a 28 Voasvse) > enercicec Tas OIE > Wor voater fermentation : s 7 Proper pocitioning of the otic sore tie ad 190, % wage oF cxthotte appliances Espey) om tor > matotain correct gait patter OF posture. > patiente chou gt on chair" shed | couch: Cor ceten nutnitis vnece j+5) * Poor's FP Avil tong dieting > Awoid SiEGAG 00 -ftoor || Word) tong walting A Jertey movements ve ctitpoing Wing heave weighte ? Nolqus and vemuc a Strece on eneet medial and date! ? eeach walloing (long Rotation.ROE ioe » Woe pack. 5. ukpee anple foot cnthost “Chat ofteceer fawcele 7 Knees and hip - mild lemee| and rms tution itty _Sappht } hon 3s a dur. Rom conte ‘a doy or att qointt + > suppited sitting io pected Chota, > ponaitel Bat, wheel chait And. -o7thocis, 2 fonaaie stienulatieo : 1a ay dein ”) Boel “Acie Asciste ') paccive Rong eds A DcHVE aecit ted 2 kengtberiog ere | > Balance tnototog (eteiogy eae 2 hyaro tein AmMUBIZAHDN OPV Rouke- OFA os; gite- mouth No-OF Aose- 3ctoces Age Adoce - g wees after With misimum fotemal blw clo - cf week poinge - 2 dvops Storage temperature’ - (16) to (-aee)\ li al ve > congential aramoly ip, , uppich #6 sae, eo | asume the appearance of. dumtear wentela | > the upper mest segment oF gacmien 10 D0 fevtey : eb par ate’ 4th. = ae @ gue to mere. and porte § ‘e ie neighbouring furnboas Neatebrae. | & ‘Gobet 4 acts Segment %& vata to “ke damned ied | ac.cratteatton Saeralicatton > > Sco arisee| , lumbar ; seqment can be othe one Side “ony ‘@ ott, ah SABSEd to cacwum below (oD to ‘tun 4k Cae 2 Sacral atfon With. Sacrum ~ genta Y > where af to vides Hun oy tlarern . | Gatratisation > emercicos for hack. es | > Gtr mobilisation , Guengthentng: a qPI Management Upper _Embvennfeey r aesecemen © 4k of Ahe cladicle Ws ue oe aiitak eee 1 VeFination © The fe a common fracture of alr, age qs : eT ego! Cauces Qecutt¢ Im adald on he shouider Ane ako f Some outstretched hand. , we te 1 pathoanatomeyi- Atle of davicle ave tua, Sen io Ike MFddle - tind OF -the ’ clawicle boneAwe =? To Relieve pain \ Tp STO improve Rom > Stren thetring of -the muscles P Péauent | corvect the SFF OES > Prevent] covrect the clefownstey ait = FY SAD. Sell 10 Sopriwe” Corovetination so #opawe) gate Patter) hy One) > Comect ane’ Shortening’ \ A yoink functivo ncoae| Bact object Active full Range oF AU the ovement of the Chouldey Conmplen shoutd be Regained ee Bi fog * Fnvmnobiteation [inte Sivecris) ” » TO cece athe alignment 10F the. -f wlth Seomotsit’sation wathuNed , hone end¢ In bre 4 | Suprice of ind elbow) bo eutoid gqrarttationay foeco encdhing any pull fn the chouldter qicdlle and the Ghoulder qoiht complen 9 te tiquc ef Right banclage ( amied, te — the capula. FO: peopecty >—. Polen i» wD peopealay Supporter sectsttive All vangein overeat to be enplatnec| to the patient” he the elo) tovearm | wict and hand ‘ F Mobiiatoo (after Feer tweets) ve MobRReation | Ghouls WE fettated damnit’ eances Qolomec| movtement< using Codman'¢» rpenciuilar enerctce ¢ gpaduatly thereat tne Range and -futher qelomtion fs achiewed: PD hen) elome PAK) -merremeAts,. adith «lhe sputient {Supine postion COI 00 ” 1 > sleuden collakerrnd , peel imme be used — befrre, a F tec] auyer) dumiog MEN. Curve » gecttted enercisec uting clumbellt and self TEACEAME ehroue) ee practi Yq vio ne secelsni el ataetchiag - f > the after want ty taught the hone avercieDP while fnittatin. 09 MLW enowemenk within the Sy Jase ts pacer to confit that no movernso octdrving” at the’ -fractuded!’ tone ere" : > tein bo he lorach§ ay plenus. re Rory, 0, Shou be opcentedt * the enariect cle a “ foactwve, of coxppatg Réebinate > Ney nid Jog i y > Iractuves ce the ciaputa ane ‘eae; 1 Common- the bane ae be: peed “GH imenye at hus ates. d : OF Padiets 4 The byl and. be k a> The neck 2 ) he {Spine , & the (SCAPULA Lagwomion. procem) W) he — Comevid [POAG wr V2) ascieire bber A ¥ Caue Be we ov . Hh PAS psoqr plies 4 | > octus by IP ] c JD PIECE GD uncting ey ET bs esis 2) fan on -the Bhoutaer weHFOq,, Doig AE on HE — uit” eetehed "Hidg THO ae =i) dae —— Beebe parr. > i ‘4 Aime goals | 3 problem tft oe treat ment ic objects is to | a ect Io Regain acbAretull gonae of ry [Ane movements a Ghouldey complen Duning inmoisilicatiod AMF onecee edame at clariicte ++ 2 ony wDmetRic enercises to the Shoulder gitdle MmULcleS Could] fe cone Cady . Mobilisation 7 2 Popen Abslicatioo Ef he Slagula and aubiindle pry dotbernpy nncl ey to conteol pata fs tssentiny > drengther’og exle acing Pr& , dumlellé and att | aecistance exe techiquec - D In the sungery (on Ades patient gpecial mobilitation techniques mary be necelary oy re scapula. 2 full ange oF Aeliaty string — movementt of chouldles Complen chartd be Chtathed by c-6 weereetl ja wi Rake commonest -pidt fo i; ‘ human, body to | afelocato. al PCOS yall om out Sknelehed hand ‘seh thouldes, ebducted and entornatiy: AdtAred. pe one 2 yes ch choutdex A@lorabion Y) Antecioy % poctoriag, YAoterivy oftocatibo + 2 Jo “nic Sopy cthe head. o phe, shumnesiig a gleroid cousity ond Lec {ANERRI OK 9 wee butted toto luvce types ae comes out 1) sup- Gla he heal Gee & not ch the i Sab tmatoid - “the head Gel belovs the W cabetavicutas + greoca (oracoig prey, The head bel toca the clavicle © pottecioy cidlocation Danthic Sumy he head tie Prcteriontey behing the *e raqnosis (Potmeshqations; toy! Mey Koa eb the humenne Comet to qlencidA a Bort 9 wien! anid 'dnale’ ! > problems utr ie a Dal ob, greater teabenvsity oe i i B guvepcay neck). es humermer’o bt" If} S cupraspiogtussstendtioikeh iy iz a Rotator cuff fury Oe toate o Baste object 2) Regain, s ful Range ‘of active (ieeensote eb ouder L tomplen witb emphyy st on os ein Return Ah tomvec | ab edduetion One enternay Robtion , ore sos =e “a £ 1% outing A iaisess Cit ste on > MAhe ann % Strmppedy rto-the! brunt) \5'a "position dh adduct on ond Antena} Lotntion \ A Only — yout dinges, movements. ave poscible welF gecictive Jometaic contaactions tan Safety be Sacktuted b clelboial, Biceps ane] a tnicepe,pa) vermont DF | Ctaxtppidg the Lib & Suppateel fo ctl ‘i : Ua 2s eo cut ’ 2 etloow Should be mobileel to fut) entenk by erertowtq athe sibq Antes mittentty 9 Mobilieation oF chouldes,. -flenion, ententivo Skoutey be Initiated ta tma Lange jPendtulas, Selrging | erovements tb a foricard atoop Pociion P THE movements carsied with Aya withto the Sig the Cubq coutel be {oo¢ened. ? HAHN OF abquetion, Enteral Rotntion taucrr T pectigtocation vthery have to be anitiated ‘idlthy ‘mot love , Glos5iliSC AL glenobuneral Toot \ Relamed pattive abduction Upto Ute voflt) ai lo Antennal Rotation . % external Should be done with arn abducted} by the Side of bade > Active accicted eelaned movement are helptuy ac this Stage. a P Ome ued pactive Range (¢ attained Regine ef, [Strengthening enercises bequo 4 > active eesttkeq Scometaic yma ak home prqram |? Sl Feotomic movements P pecistive gevice see cdumbel) F majority eb patienk again la -fmnciivo boy ne weett forowirg ieguen, «aint. perforant |] 2 patient need to,, be warned 04 7 in enternal | movement Sovewing quolden abduction a | Rotation to al id ecermTgnle. 4, 0d Knot u | Mowii@ation dechnfqude’y Vee pacsive’ -Anauilay ‘gtheechidg!"* 2° yoink a'dibq “aesetehitn . Z ar ” 9 } , & Compre chon ; d u | Traction * i | Pe) A a > cectuce — palo and foflammaation aaa oc RESE > perme, . Shleq ase yadt : Ultaasoung febagy Laettrend pp we Sc yotheranyy, oyu catwnas PON | PD prevention OF Recurrence. i hacia 23 opi | “ ' t snegeny veil jn got yyRIVOAT rodaat ’ ater au tush oh ' ? - nye Mth ' igebbation)- ap of the quoakes usberodiby of the punerus ccuss fo aceetks Ip the -frackine f ucuathy caused by a 4a 00 the [stones and rect tha trianqulag sting : ee | 9 prio 9) GHF Fess % pragnosis: Amnestigations by 4 , X-Ray (eas Me : x Types of -hacknesy J Contusion ' a vision 4 N+ Contusioe # of the gqreates, “aber ocityy Nfl) “onthe gide oF the’ Shodider’ tontuGon 4 poufal go 298 2d | 2 Greck keto the cide oF the Shouldec eetultr as (2) awuleion at of the qveater — tubencityy ee ‘erry Recutte fryers 4a) on the cet Stretcieo) | handPL magegemene I] 2 Re ang qoatey Se ? Phobolem tit x treatment 2 Racic object > qo Pega ‘the’ fall’ Range of resin all the Shoulden coumiees Duting Samoeiitiativ (srftial Rees) firs Some Ak clanticle 4 scapula + |? frictfoo maccage and ultrasonic over the an0a Ch the _fercon tan te telpfal to cee and to break “the: Freectorn of movement 40 : > all furetion,, Ag? Dorma} Rasige ef) MOHD Coals be Ragainect a 6-€ wieeles sae . Hy _ 48 io}se i my tial coue|. 2tn259 =e | 6 Si ae boon aay +[a dnattune Unough the Singical nec of the: buen ¢. octurs moet f the eldeety word ie R ane -ractaie} teuall yy ea ue pare & athe ha Mount COLE ky a tall on the choulles choulcies pe management * img 4 goat paviclery wet pt dneatment * i heatiye eee x During Smomowilke ation j y aeitially, ceyotherapy, Deep heabidg thermo therapy pce Sw, the packs, Tene, wlkoatonics Canbe given to 4he Rectuction oF pain Tayselt gesfeted fun Range elim, forearm, wich ond hand movement tothe encouraged %) Relaned paccive movements one Smpoctant Nope D Me Qecult depends Upon the tenee ® Shoulder mols Lisation) ? Relomec| —Penctular movements , 40 a smal) Bango wit the arm fh a Chg Can be Stasked As eaaly at after (weer) D Lelomed Penduian movements 4 gradu aly abductioyy ANA Colation shoul be attempted at Gon at Ming is Remo ‘ Cdr Progretting tw Lupine to Sting to Cewrcing —mocivinns-| phyciotberapit to teach the “oF setts mowititartog + Hi th 7 techn pote Oe ae ones ie ed! Oh aden eee by Ae... prtient:, with in } } Wa Yip om 13 Coeer | 3 aoe 1 4a mt b 8 NaS Spans) SHB i f Jasiisvest at er , svt MAY 440299 wots sage ie oF tam pa ascMsvern ‘ Is PE fytREe EA Hdd vol ced dtl SMA uisaee Y , vf 4 in forest To Bsugt 4 r ot intel Sw ¥ sored og 1 f pendoe, ae : j i j Jat tthe common -fractine patients at antag Ike fe wuatiey eusladed -fom an Anctinect twihting (61) {tending sfince anc alte mary be fall or oute Stoete heel ee” ) by a dhecte injury to the ane Bt typos pe management ‘ chine.and goals. 2 } Beepkocler Mr ce asiayy 8 2A HP Fawr pan pt kn eat rent 7 Bacic Cbiect Return ‘of the ul) aiainge active movesent. Movemerk, at she. Shoistdea complen, 2 Dating moigtiatton case feDe weetet) lo “chetie 482 ates foe EHe ! pretince OF" nactfay aeiue fiojuny spodeala od a Tyutscr 2 sbwong wait and finger rmavements waiving io fal [Range ch Tot mution to be Stade immediately A The Hom % immobile in a pop ~ vslale with He mn teei » he pop-v- lab Wh a sting fe given Feometsnc O'S fy, J Ane welt otc, scepe 4 picepl ‘ : | 3 tut ho -netine! Acie ie ei , |] > Wager peviod of Seommdftt¢ aio aecults fo > ate ang patfal shoulder: % before anitiating ghoulder movements a cubtable pair } a 1 aeliewtog medatity Ue teepaces, TeNC, vtbraserice 4 le Bod ie necectary - y 2 2, iu PMobLatfon of AS clay chouldl beqan aca LOU ACS cles a © AS 4 — elamect passive movement i a Small Range | if ide > The patient holde the am jh cling pociti«n bythe etter || a hand with the ello of the -froctenad aan at flere the patient then Supporte the -fractemed|'! Us "With hs other hand and moves tt at g Chg toca) Belamec} patie || > prenecnenee fox ih Ni? The patie’ — pealod of piece > fay neo vasies |) e || ovo SED, Uy /mmoothts ' ? A Eady en menements .0F tna sali of “Plenion- enkentit > YH] Akduchon -Adduction,. oa iy 7 > 4 these will accepted .. by the» patients ...$0 he Soild I Sage later Cidcumductivy can be Started « ly ! ® ‘ 2wensvE N46 apes ety ape % one of the motk seesouc Anacture wo, jepaiabood f ie ge te canted by a ie ©D an out ctnetched bang 2 8e the” hand seeilees. the grvund, the ellows|s forced | fote beypertension Reculting io 4p 10F the. humen¢ aleve “the Condeytes- | ee abypes ' - flenion a. Chtens Gon. Wo Enkeng on. Eppeteos oT age ts Ube“ gommeadnect.. of two, fag ment ie entendep biked Backeoorde) to Go Relate gelation to he peal toeqment a) Hlensb> supe 7 ‘ “ ; PAR ARIS the, Akkal sloagment fe .-flened (tte Ip) the auieal * depwanalls AD. retaken tose. prohiondy Yrag ment P swelling | > pain” ; 2 Belordity P Amossitiy to move the affectec| elimvw Pag nose oa ey, : pr ma nt Thins 4 gon Polen KEEBasie ob Coject hethare full ange, ok movennare = |} and nd the fon oO" a |S So childnens , the sure confor ee : ; at Ve ne © ententions tyre + a 5 ue 7? J phyjfiothetpy Spr gram , depend ate th dod {niiay management 'of the, +h 4 ithe , CorOMen.,|| 1s Huving Immobilfation Cfiace sweet tate tnattioo to 2 pooper necteng) oF the plaster @ pooper Ammokilfeation ang -freedom oF the thumb. Fogenc af 3 Vgmus ) cteneg funy @ange oF monernent for free “pot to seatesce scllammatiod” oor Ds ae oe a+ Motsifaation fer shee) occa: wants ce ey > Newrate evamation * of “he Rong ak the ebhwang fore ara) | SD CTE the) -mdBlelatis OOF are rmoerap y ute | Farsak0, Kem bath, “hyd evllately paclie’ thoula oe applic | “ ee Movement, oF the etme chout be ay* ee D Active geefeked movement =, a 9 Gravity eUminate pod eon a D) Aeduckion aod AeAectfon movements 2 Lelan j & suing OF etlorp Fen on Sth éupiontio and elbrw0 entenSon with presses | | the prrqvee of the Movement need tp be monitered by Requiar ‘nkonvale. , ; D> he Reus Hehildven ano mati, quod and , . aHf sty i ; . “Te cats ts. common at tn adults” fen the fat)” 00. -the ‘pofot oF the elon gplitting foto -two humeral conde av iia ge cect Hj ane fet humerst 5 : $ Bech the etary! thapea ee Lpremiouted G1) ‘aieplaced Lractye B ak Commumcat } Er i pain P gach ? caepitusS around the etlpwd Biognors & confiamed buy %- Cay 4 pemanagement Ain S 4 Gon problem Ue % pk Eneatment | Smmobstieotsy — Cfinck 2 weets) ‘ 17 Vigews strong movement? for +he ‘qJofrts which Be Aree vomit to be mmeved with atcisiance by t 5 . . empon ani Ity aemoving tanc| Suppoct- sting 4p traction REGAEC Marco an.for deltoid without alfeuaing the Tenmobi litation |) mnoeRiftabion | CNrteriz eels): De Cuneta, | orcerereees . ])? 2srkally euitabie thenmp thera py Ghoul be | given ty, Relanation | D mofotafoante of enkaeme; fenton. ache ed forse MAUL enerc’se and, to after continous Ught steetchir| J eect bey cutf and Cotiqn ating - 9 Grefu) Cont! oF pacive stretching techniquel Car, | be used aften 6 menths to eeqain luether Rom. aToetontor alfelocatien fe the, commonett type of nd lfelocaio. (fallen out, ctagtched hand) otrRO6 ome posted lateral, potter meatal anc alivengeat ry Beye ts accodated with the = of mectial eprcondeyle, q Lay hand of fadius, af OF Cortoid| prxe% of ulna, an | oe 7 bas dl L, serene pain ok Eton B Tercerv nes Bidgmnsis-* x- Raq ye management > moe § goats > padlem list ‘tr ‘i pt taeatrreor se ———_.. A Burihg Immowlfeatioo (fete “aroeekes) 7 check he _aplacten tnct bo enture freedom movereat of the tree Tits / 2 Vignw$ ang) Stawng, ex'S ID all the dee Sorts epediatley full Rang? shoulder, abduction fo elevation 4 Rotrhirn ?ieger andl sthuins) emle fo elertateee| poccitio with AnD Letting onthe te top ave. - ampoctant , A mM srnese " duce SOWA, anf Al snflamArtioeyI D careful’ evaluate’ EE the ‘Range sh alpha DN- 0 Pterivn- entendos atthe elhye any pont UpinAki Ak thei fore.orm . % alone « ines > -Evaluakdn» of . the, cleqree \of pain OF: mai me ale to le clone | ' ' 1) ’ yy Pony | t > gic modal try may be use| AS before lay, MBlicativg Lilee parattin wan bath and warm cate fi Could be uted 1n ahe aepantment and hore agente, ? Retrneq and Shepton cay OF ethno nd fer conn A Yo ‘witiate Mobili ation ] Roller cuales; rie po Du wand 4F avrilaute tnd wee ited ]? Prnatieo and urination ty be ioKbiated in Fneenm lap pocftan - est ache aac tsted motaiatie 7 meagorato entareme ange of Cts Henion ang t eatancien) after ex's Peter tying a sq 3 paccue- Hevements)” pactve one Stiictty Contra InolFcateg 2 The cegine of exis fe prgeccedy! “-faetteg 10 the ful Pprange oF nctine moweinstt'” anc Functiodas tee oF the vholé upper eakneas'ityy > deretesing ‘ana maatenge 8 2 Rye "eh oh “(be a sey aceeptabi | RetUNKE “could he” achietedfe! 3...He an “oblique Antaa ~ at colon Praleae ot the Gace ace’ méta'tonPal Hb eUiblunation © cidlowte oO he MetnCarpAL, ben ' ge % custatoed at gq Recut of 6 H et tor the thumb 1 1 I lengituctina| trate > Internal finaticn “ey “Eire oiratcon saa Bie ocoqemnntr time fq qoats Problem lee = physiotherapy » taeatment [i Ding motivation Pmencuves are tated to gedtute paid any AnHlammation. Madlitation * A Irkersive +thewapeuc Preduacs ave tortiated to 9 Senptore , Rota 8) Stoemgtband, @ eect ance ot ee. SMU armups ch “he thumb | ” buparic SUF + to Ie” enteocos poiiei® tenqus tendon. ; " , A QTMAUAULY PUYTEWME therapy Choutel be que 80) thls ne. -thumh thant bane ms| C Roce bo) -foqes) Guciden passive terion oF OOP 2hig ot 9 Leger Flemed at the, orp Totdt, due to, avulsion Con ul Rupture ef entencor tendon atthe bate of the cl a flulann. ‘ B LUE Gudclen forced fenton of the dittal poalgonts A WCUAL mecle oF ‘ofiuny. CLE pain f Swelling ee Unable to octivetey entend the figs. i ¢ ¥ Rlognosis- y_ Ray e) pe ma management: 5 Z. ie a ene 4 goats :- a A10 @egoin Voluntary entension atthe orp 4 2 fal) Ron J? Strong at the orp Problean LSE | pEmanagement Reutog | roenoisirtertio 2 ehtoundyed bb uke - hanel “WS ‘cpidt @' Por: fat DF viqnus Early moverente ani. be ques ‘to. all ard apd pip doints ak Sinden Finger. Wit gue! pnitecting the DIP Toinrs, ip 2 et ot ke ee Ikies bp allnramarson i pokes Hon tc co i en . b oraliio vom bath enter USCA to improve Bam, a inn 03 > AM ‘h 2 faci irate atvetchibg Ws he Saeed my 1 entourage wn snebare eno errentsS Eo Dip Tints | purge \ \ b crrenatherfing ancl 22 ~edULAHON OF the ontencor’ ASqitowum communis a en's to lumbsf cate ave, Ald | Anbportant B -retbve ce of’ hand ratty Spldt ane| Uightiang actufities withour Spot are encouraged. 2 ean function ¢houte| Retin ry eu weer oiiowing — denmobilic akon& end oF the Rog: ate fo -tractuve at the alta) ly ar "KS Covtfco Canceltlous Jurction Dak fethe commonest fracture im people Uodur Hoy SOR ageryet st pl vee reyedeey Ahn ; PAE Kaleo pacticajarty eommon io ugomen he cance | PF post: eee osteoporosie’ . * * =—reert }] feeee Ge eeautee fae a fa ‘on an outStretcheg haoddsics sal ly ottas 1 than patsy Gwett. Bebormityy Coinnes tc defosite) “kndlernecs. Viagnexis)- * x —@ay : ° | ; ; aN ~ Hime fF aoaie . tH 2 & Ce ae AY — Peobleo list X Pt breatrenr | Rustng tmobile ates 2 ImmbBisating De vat | OOF hand above the elbuo and elbow |] abowe the Shoutcler. & neectec]_ to aectuce edema bys 2- The pute} Qaiwanic SBmutatior % used to weduce edema (elect asta) SHenal ation) | | ing kechesaue, |¢ mCP Tints OF TNE TIGER ; 9 sing ud elbow fo at leack -lo®s OF flenioo sr moter hot paeke Zila red, voarm soars, Cnperg| we *C@ racsage and TENS Could be alto uted. ’ ° NN ‘ewe procecteres ave helpful tn’ npn 4 fesinsion ano| deeseatiog paid and eden. oe anie ‘alto “prevent anit SH eg > wn semssgt Ler ° To concentaake on the weft ane) -fore army 7 Abeak by acing bya coltatey pack (em paraffis wax _ bath anduces Relanakion Improwec Fecarotion 2 (oi mosis aon f'tettbaker boi frat) -esnge of let and entun eto With -tyrearm 5 che voeiise fe Semmob th eel in lear dleitiatog 9 foiritiate Proakio) and cupination ae F viqmus to ceqiin, “he iter. Cange oF eaten oF she watt and fore arm. £ ; CNL to ‘innprove dlenion- entension ab te weit |Athe Patients GiHing with PAlnd over dhe Cclge of ‘table b CrABBUGES ancl Ly pubg — pale of “Ihe oie hand pede: Bere pabiint hen gradually towers the fore cae . ee words fyr vst flexion (oD UP word! fo“10, |] % epptice to fmprove the ‘Range i ate ° 3 « . 2) enercttes & fiepawe pronation ano “pation, : > he goed hand on be uced| 1 Mh Range, mpryec the movements bly 4. | Feometeick “| pvt avonaps pe | D sett eecistive ener cises mc) ucing, weight a '® passive Parge enceed? ne pettye Range oF moti, eal Fracoung , 1 Beinomie Sra splints ancl lator. [GEV omer ercale Ss the, ARUUES are! godt loUg! | @ A overt! BIE acvicted ; pcsive staetepfog,.. weit pala a edge of trie.” P Get aschiked witice Memjon angy enteotieg Hindu aMmaLcKae- y . poatieo ,