Shoulder, Arm, Hand

Class/E-book Content

Day 1: Shoulder Girdle

Clinical anatomy/patho-anatomy and relationships to the jing-jin ("sinew meridians" or myosfascial tracts):

Acromio- and sterno-clavicular joints
Gleno- and scapulo-humeral joints
Muscles and tendons of the shoulder girdle
Shoulder bursae

Diagnostic priorities

Identifying/ruling out urgent/serious medical conditions: fracture/dislocations, neuropathies, cartilagenous injuries
Identifying contributing factors: posture, ergonomics, psycho-social stress, and others
Identifying affected jing-jin ("sinew meridians") patterns

History-taking for the shoulder: key questions and techniques

Physical cxam of the shoulder (live class only)

Surface anatomy, inspection and palpation
Active range-of-motion: measurements, diagnostic significance
Passive range-of-motion and joint play/stability exam
Peripheral nerve sensory and motor exams
Manual strength testing
Special orthopedic tests
Documenting normal and abnormal findings

Diagnosis, pattern identification and treatment for shoulder girdle

Gleno-humeral hypermobility (TUBS and AMBRI), labral tears and DJD
Acromio-clavicular hypermobility and DJD
Sterno-costal hypermobility
Scapulo-humeral motion dysfunction
Capsulitis, adhesive and non-adhesive ("frozen shoulder")
Rotator cuff tendonitis/tendonosus, impingement, and bursitis

Day 2: Arm, Wrist, and Hand

Clinical anatomy/patho-anatomy and relationships to the jing-jin ("sinew meridians" or myosfascial tracts):

Elbow joints: ulnar-humeral, radio-humeral and -capitellar
Wrist joints: ulnar-carpal, radio-carpal, and distal radio-ulnar
Muscles and tendons of the upper- and fore-arm and hand

Diagnostic priorities

Identifying/ruling out urgent/serious medical conditions: fracture/dislocations, neuropathies, cartilagenous injuries, complex regional pain syndrome
Identifying contributing factors: posture, ergonomics, psycho-social stress, and others
Identifying affected jing-jin ("sinew meridians") patterns

History-taking for the arm, wrist and hand: key questions and techniques

Physical cxam of the arm, wrist and hand (live class only)

Surface anatomy, inspection and palpation
Active range-of-motion: measurements, diagnostic significance
Passive range-of-motion and joint play/stability exam
Peripheral nerve sensory and motor exams
Manual and dynanometer strength testing
Special orthopedic, neurologic and vascular tests

Documentation of normal and abnormal findings

Diagnosis, pattern identification and treatment for arm, wrist and hand

Posterior/radial tract: yangming and shaoyang disorders

Extensor strains, tendinosus, tennis elbow, radial tunnel compression neuritis and palsy
Radial styloid stenosing tenosynovitis
Radial collateral ligament sprains and hypermobility

Ulnar tract: taiyang and shaoyin disorders

Ulnar neuritis/neuropathy
- Ulnar groove compression
- Canal of Guyon compression
Acute sprains and chronic laxity of the ulnar-carpal joint
Acute tendonitis and chronic tendonosus
- Golfer’s elbow (“medial epicondylitis”)
- Extensor carpi ulnaris
- Flexor carpi ulnari
- Abductor digiti minimus
- Ulnar collateral ligament laxity (“Little League Elbow”)

Anterior tract: taiyin and jueyin disorders

Biceps and forearm flexor tendonitis and tendonosus
Median neuritis/neuropathy
- Pronator teres syndrome
- Carpal tunnel syndrome

Intrinsic wrist conditions

1st CMC joint pain: sprains, DJD
Triangular fibrocartilage complex tears

Intrinsic hand conditions

MCP and inter-phalangeal joints
- Sprains and laxity of finger collateral ligaments
- Degenerative joint disease
Finger extensor tendonitis

Ergonomics, postural correction and exercise therapy for shoulder, arm and hand conditions:

Scapular stabilization
Rotator cuff strengthening
Forearm exercises
Wrist stabilization
Keyboard ergonomics

Build on your skills with the Review/Practicum Lab

View schedule and register for classes