rotator cuff biceps tendinopathy

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• ??????????????????????????
  (rotator cuff / biceps tendinopathy)
• ?????????????????????????
  (subacromial impingement)
• ??????????? (shoulder instability)
• ?????????? (frozen shoulder)
• ????????????????????????????

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• ????????????????? ????????? 90 ????
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• ???
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• ??????????????

• ????????? - RICE
• Ultrasound
• Electrotherapy

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• ??????????? NSAID
• ????? corticosteroid
• ???????????????????????????

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??????????????????
????????? acromion
??????????? -weakness of rotator cuff -tightness
of posterior GH capsule -rupture of joint capsule
ligaments -instability of STJ -joint
hypermobility syndrome
Degeneration of ACJ/ coracoacromion lig.
Overuse, strain, accident
Abnormal scapular movt. due to weakness of
serratus anterior, trapezius
Round shoulder
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????????????????
??????????????????
????????? acromion
??????????? -weakness of rotator cuff -tightness
of posterior GH capsule -rupture of joint capsule
ligaments -instability of STJ -joint
hypermobility syndrome
Degeneration of ACJ/ coracoacromion lig.
Overuse, strain, accident
Abnormal scapular movt. due to weakness of
serratus anterior, trapezius
Round shoulder
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?????????????????????????

• ??????????? NSAID
• ????? corticosteroid
• ??????

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Hypermobility Syndrome Assessment

• Passive extension of little finger beyond 90
  degrees (2)
• passive apposition of thumbs to flexor aspects of
  the forearm (2)
• hyperextension of elbows beyond 10 degrees (2)
• hyperextension of knee beyond 10 degrees (2)
• forward flexion of trunk with knees fully
  extended so that the palms of the hands rest flat
  on the floor (1)

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• ?????????????
• ????????? dead arm
• ?????????????????????????????
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• ?????? (arthroscopic / open repair /
  reconstruction to tightening of anterior joint
  structures ???? thermal capsulorrhaphy)

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