eon looks at an ultrasound it may look like a snow storm.*insert article *attachedBesides being able to see the inside of a shoulder, doctors use different physical tests to evaluate the shoulder in order to determine what type of injury and how severe an injury may be. One such test was recently developed by Dr. Carl J. Basamania at the Womack Army Medical center in Fort Bragg, N.C. The test was developed to evaluate shoulder instability in a patient. During the test the Dr. or examiner stands next to the patient who is to lay flat on his/her back. The hand of the examined should is held firmly by the examiner. The examiner then pushes against the clavicle to stabilize th scapula, while they also gently hold the pectoral muscle with their thumb in order to be able to assess relaxation. The examiner then rotates the arm form neutral to full external rotation. If the patient has AIGHL incompetence there is a lack of tightening as the arm reaches full external rotation. The test has appeared to be highly accurate and may be of value to Dr.’s and surgeons alike. After doctors have determined what type and what degree of injury a patient has sustained using various tests it is on to the next step, rehabilitation.*insert article* attachedThere are four phases a patient must undergo to properly manage an injured should. The first phase is only rest and pain control. That is accomplished by obviously resting and using ice and possibly medications to control pain. Phase two is the strengthening phase. During that phase the focus is on the rotator cuff and scapular stabilizer muscles such as the pecs, lats, and the serratus anterior. Strength building begins with Isometric exercises (strengthen without using full range of motion) and progresses to Isotonic exercises (strengthen using full range of motion). There are about 20 different weight-lifting exercises that can be used to strengthen the shoulder muscles. Phase Three ...
