1. salwa
  2. anatomy of axilla
    1. walls
      1. anterior wall
        1. pectoralis major
        2. pectoralis minor
      2. posterior wall
        1. scapula
        2. subscapularis M
        3. latissimus dorsi M
        4. teres major M
      3. apex
        1. 1st rib
        2. clavicle
        3. scapula
      4. medial wall
        1. 1-4 ribs
        2. intercostal M
        3. serratus anterior M
      5. lateral wall
        1. intertubercular groove
    2. axillary artery
      1. divided into 3 parts by pectoralis minor
        1. 1st part
          1. 1 branch
          2. superior thoracic artery
        2. 2nd part
          1. 2 branches
          2. thoraco-acromial artery
          3. lateral thoracic artery
        3. 3rd part
          1. 3 branches
          2. subscapular artery
          3. anterior humeral circumflex
          4. posterior humeral circumflex
  3. anatomy of brachial plexus
    1. brachial plexus
      1. network of nerves
      2. provide motor and sensory innervation to the arm
      3. made up of the ventral rami of the spinal nerves from C5 to T1
    2. skeleton of brachial plexus
      1. 5 roots(each from C5 to T1)
      2. 3 trunks
        1. C5 and C6
        2. C7
        3. C8 and T1
      3. 6 divisions
      4. 3 cords
      5. 5 terminal branches
        1. Musculocutaneous
        2. axillary
        3. median
        4. radial
        5. ulnar
      6. anterior branches
        1. subclavius
        2. lateral pectoral nerve
        3. medial pectoral nerve
        4. medial brachial cutaneous nerve
        5. medial antebrachial cutaneous nerve
      7. posterior branches
        1. dorsal scapular nerve
        2. suprascapular nerve
        3. upper subscapular
        4. thoracodorsal
        5. lower subscapular
        6. long thoracic nerve
    3. lesions
      1. erbs palsy
        1. injury to superior trunk
        2. waiters tip position
      2. klumpkes palsy
        1. injury to inferior trunk
        2. clawed hand
      3. long thoracic nerve palsy
        1. usually in mastectomy
        2. winged scapula
  4. Burnout
    1. Physical/emotional exhaustion, sport devaluation, and reduced athletic accomplishment
    2. Internal Factors
      1. Perfectionism
      2. High expectations
    3. External Factors
      1. Physical exhaustion
      2. Injury
  5. noora
  6. physical examination
    1. inspection
      1. deltoid wasting
      2. head and neck posture
      3. scars
      4. alignment f shoulder girdle
    2. palpation
      1. cervical spine
      2. joints
      3. bicipital groove
    3. range of motion
      1. flexion & extension
      2. abduction & adduction
      3. external & internal rotation
    4. rotator cuff examination
      1. supraspinatus tests
        1. isometric strength
        2. empty can test
        3. painful arc and drop test
      2. infraspinatus test
        1. external rotation against resistance
      3. subscapularis tests
        1. internal rotation lag sign
    5. shoulder impingment test
      1. neer's test
      2. hawkins-kennedy test
      3. empty can test
  7. Sports Medicine
    1. Deals with physical fitness, the treatment and prevention of injuries related to sports and exercise.
    2. Aspetar
    3. Services
      1. Outpatient Services and (MSK) Athletes Screening
      2. Fitness and Recovery