Humeral Superior Glide Syndrome

Humeral Superior Glide Syndrome

Description:

Pain in the front or the side of the shoulders that is present during medial and lateral rotation as well as abduction.  This is due to insufficient downward pull of the rotator cuff muscles and excessive upward pull of the deltoid muscles.

Medical Diagnoses:

  • Impingement Syndrome
  • Supraspinatus tendinopathy
  • subacromial or subdeltoid bursitiis
  • bicipital tendinopathy
  • calcific tendinitis
  • rotator cuff tear
  • early frozen shoulder or adhesive capsulitis

Diagnostic Tests

  • Decreased pain while flexing or abducting the arm with the elbow flexed
  • Decreased pain while flexing or abducting the arm with the ulnar side of the forearm maintaining contact with the wall in a vertical direction

Treatment:

  • Lengthen deltoids if appropriate.
  • Lengthen teres major and lateral rotators if appropriate
  • correct dominance of posterior deltoid vs. posterior rotator cuff

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