By Dos Winkel

This is an in depth and useful assessment of higher extremity patholo gies and handbook treatment therapies for the health care provider, actual therapist, or chiropractor. the 3 significant elements of the higher extremi ties are lined in-depth; sensible and floor anatomy, exam and diagnostic approaches, compression neuropathies, and therapy ap proaches are mentioned for every significant half. huge illustrations, r eview questions and solutions, and medical algorithms for analysis and therapy also are integrated.

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30 The pain disappears. elevation. coracoacromialligament 160° and 180°. This can indicate a lesion of • lesser tubercle the acromioclavicular joint. However, acro­ • greater tubercle • In some cases, a painful arc is demon­ strated near the end of elevation, between mioclavicular pathology generally causes pain at the end-range of both active and pas­ sive elevation. Sometimes there is also a small limitation of motion. 50 DIAGNOSIS AND TREATMENT OF THE UPPER EXTREMITJES A A B B c Figure 3-3 Painful arc, in this case caused by a subacromial-subd e ltoid bursitis.

It runs inserts at the is seldom pos- to the lower border and of the lower border inserts near the inferior angle of the scapula). c its part of the sternum. Sometimes differentia­ with a small maneuver, the of the the breast. The sternocostal part of the muscle can be Now the examiner the arms backward . same extent, because the central per arms are in extension and inter­ nal 2-19 and In women, this muscle is not palpable to the The up- part of the major is usually its entire surface and also to its muscle.

26 DLAGNOSIS AND TREATMENT or THE UPPER EXTREMITIES Figure 2-16 Throat region, lateral view of the right side: relationship between muscles and neurovas­ cular structures. 1, Sternocleidomastoid muscle; a, clavicular part; b, sternal part; 2, anterior scalene muscle; 3, middle scalene muscle; 4, posterior scalene muscle; 5, levator scapulae muscle; 6, splenius capitis muscle; 7, trapezius muscle; 8, cords of the brachial plexus; 9, subclavian artery; 10, subclavian vein; 11, clavicle; 12, mastoid process; 13, omohyoid muscle; 14, punctum nervosum.

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