<div id="pf1" class="pf w0 h0" data-page-no="1"><div class="pc pc1 w0 h0"><img class="bi x0 y0 w0 h0" alt="" src="https://files.passeidireto.com/6a67a63f-32f3-4917-a666-d5e701059045/bg1.png"><div class="t m0 x1 h1 y1 ff1 fs0 fc0 sc0 ls0 ws0">Patologias <span class="_0 blank"></span>da </div><div class="t m0 x2 h2 y2 ff1 fs1 fc0 sc0 ls0 ws0">Articulação <span class="_0 blank"></span>do </div><div class="t m0 x3 h1 y3 ff1 fs0 fc0 sc0 ls0 ws0">Ombro <span class="_1 blank"></span> </div></div><div class="pi" data-data='{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}'></div></div> <div id="pf2" class="pf w0 h0" data-page-no="2"><div class="pc pc2 w0 h0"><img class="bi x0 y0 w0 h0" alt="" src="https://files.passeidireto.com/6a67a63f-32f3-4917-a666-d5e701059045/bg2.png"><div class="t m0 x4 h3 y4 ff2 fs2 fc1 sc0 ls1">\u2022<span class="ff1 ls0 ws0">O ombro <span class="_1 blank"></span>é a articulação </span></div><div class="t m0 x5 h3 y5 ff1 fs2 fc1 sc0 ls0 ws0">complexa que liga a <span class="_0 blank"></span>cintura </div><div class="t m0 x5 h3 y6 ff1 fs2 fc1 sc0 ls0 ws0">escapular <span class="_1 blank"></span>ao membro superior. É </div><div class="t m0 x5 h3 y7 ff1 fs2 fc1 sc0 ls0 ws0">formado por: </div><div class="t m0 x4 h3 y8 ff2 fs2 fc1 sc0 ls1">\u2022<span class="ff1 ls0 ws0">articulação glenoumeral, entre <span class="_0 blank"></span>a </span></div><div class="t m0 x5 h3 y9 ff1 fs2 fc1 sc0 ls0 ws0">cabeça do<span class="_1 blank"></span> úmero e a cavidad<span class="_0 blank"></span>e </div><div class="t m0 x5 h3 ya ff1 fs2 fc1 sc0 ls0 ws0">glenóide da escápula; </div><div class="t m0 x4 h3 yb ff2 fs2 fc1 sc0 ls1">\u2022<span class="ff1 ls0 ws0">articulação acrom<span class="_1 blank"></span>ioclavicular, </span></div><div class="t m0 x5 h3 yc ff1 fs2 fc1 sc0 ls0 ws0">que liga a clav<span class="_1 blank"></span>ícula à apófise </div><div class="t m0 x5 h3 yd ff1 fs2 fc1 sc0 ls0 ws0">acromial da<span class="_1 blank"></span> escápula; </div><div class="t m0 x4 h3 ye ff2 fs2 fc1 sc0 ls1">\u2022<span class="ff1 ls0 ws0">articulação esternoclavicular,<span class="_1 blank"></span> </span></div><div class="t m0 x5 h3 yf ff1 fs2 fc1 sc0 ls0 ws0">entre a <span class="_0 blank"></span>clavícula <span class="_2 blank"></span>e o esterno; </div></div><div class="pi" data-data='{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}'></div></div> <div id="pf3" class="pf w0 h0" data-page-no="3"><div class="pc pc3 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w0 h0" alt="" src="https://files.passeidireto.com/6a67a63f-32f3-4917-a666-d5e701059045/bg3.png"><div class="t m0 x4 h3 y10 ff1 fs3 fc1 sc0 ls2 ws0">O <span class="fs2 ls0">Coifa do<span class="_1 blank"></span>s Rotadores é um<span class="_1 blank"></span> conjunto de </span></div><div class="t m0 x4 h3 y11 ff1 fs2 fc1 sc0 ls0 ws0">quatro mús<span class="_1 blank"></span>culos: </div><div class="t m0 x4 h3 y12 ff1 fs2 fc1 sc0 ls0 ws0">supraespinhoso; <span class="_1 blank"></span> </div><div class="t m0 x4 h3 y13 ff1 fs2 fc1 sc0 ls0 ws0">infraespinhoso; </div><div class="t m0 x4 h3 y14 ff1 fs2 fc1 sc0 ls0 ws0">pequeno redondo; </div><div class="t m0 x4 h4 y15 ff1 fs4 fc1 sc0 ls0 ws0">subescapular. <span class="_0 blank"></span> </div><div class="t m0 x4 h3 y16 ff1 fs2 fc1 sc0 ls0 ws0"> </div><div class="t m0 x4 h3 y17 ff1 fs2 fc1 sc0 ls0 ws0">As <span class="_1 blank"></span>suas principais<span class="_1 blank"></span> funções são: </div><div class="t m0 x4 h3 y18 ff1 fs2 fc1 sc0 ls0 ws0">Centralizar <span class="_1 blank"></span>e baixar a <span class="_1 blank"></span>cabeça umeral; </div><div class="t m0 x4 h4 y19 ff1 fs4 fc1 sc0 ls0 ws0">Potencializar <span class="_0 blank"></span>as rotações <span class="_1 blank"></span>da articulação </div><div class="t m0 x4 h3 y1a ff1 fs2 fc1 sc0 ls0 ws0">glenoumeral; </div><div class="t m0 x4 h3 y1b ff1 fs2 fc1 sc0 ls0 ws0">Estabilizar <span class="_1 blank"></span>a articulação glenoumeral; </div><div class="t m0 x4 h3 y1c ff1 fs2 fc1 sc0 ls0 ws0">Proporcionar um compa<span class="_1 blank"></span>rtimento fechado </div><div class="t m0 x4 h4 y1d ff1 fs4 fc1 sc0 ls0 ws0">importante <span class="_0 blank"></span>para a nutrição a<span class="_1 blank"></span>rticular. </div><div class="t m0 x4 h3 y1e ff1 fs2 fc1 sc0 ls0 ws0"> </div></div><div class="pi" data-data='{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}'></div></div> <div id="pf4" class="pf w0 h0" data-page-no="4"><div class="pc pc4 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w0 h0" alt="" src="https://files.passeidireto.com/6a67a63f-32f3-4917-a666-d5e701059045/bg4.png"><div class="t m0 x6 h1 y1f ff1 fs0 fc1 sc0 ls0 ws0">Síndrome <span class="_1 blank"></span>do Impacto- <span class="_0 blank"></span><span class="ls5 ws1">SI<span class="_2 blank"></span><span class="ls0 ws0"> </span></span></div><div class="t m0 x7 h3 y20 ff2 fs2 fc1 sc0 ls1">\u2022<span class="ff1 ls0 ws0">Conceito: <span class="_3 blank"> </span>síndrome <span class="_3 blank"> </span>dolorosa </span></div><div class="t m0 x8 h3 y21 ff1 fs2 fc1 sc0 ls6 ws2">do<span class="ls0 ws0"> <span class="_4 blank"> </span>ombro <span class="_4 blank"> </span></span>de<span class="ls0 ws0"> <span class="_4 blank"> </span>natureza </span></div><div class="t m0 x8 h3 y22 ff1 fs2 fc1 sc0 ls0 ws0">microtraumática <span class="_5 blank"> </span>e </div><div class="t m0 x8 h4 y23 ff1 fs4 fc1 sc0 ls0 ws0">degenerativa<span class="_1 blank"></span>, <span class="_6 blank"> </span>acompanhad<span class="_1 blank"></span>a </div><div class="t m0 x8 h3 y24 ff1 fs2 fc1 sc0 ls7 ws3">ou<span class="ls0 ws0"> <span class="_7 blank"> </span>não <span class="_7 blank"> </span><span class="ls6 ws2">da</span> <span class="_8 blank"> </span>perda <span class="_8 blank"> </span><span class="ls6 ws2">de</span> <span class="_7 blank"> </span>forças <span class="_7 blank"> </span>e </span></div><div class="t m0 x8 h3 y25 ff1 fs2 fc1 sc0 ls0 ws0">caracterizada <span class="_9 blank"> </span>por <span class="_a blank"> </span>tendinite </div><div class="t m0 x8 h3 y26 ff1 fs2 fc1 sc0 ls6 ws2">do<span class="ls0 ws0"> <span class="_b blank"> </span>manguito <span class="_b blank"> </span>rotador, </span></div><div class="t m0 x8 h4 y27 ff1 fs4 fc1 sc0 ls0 ws0">podendo <span class="_c blank"> </span>haver<span class="_1 blank"></span> <span class="_c blank"> </span>ruptur<span class="_1 blank"></span>a </div><div class="t m0 x8 h3 y28 ff1 fs2 fc1 sc0 ls0 ws0">parcial <span class="ls7 ws3">ou</span> <span class="_2 blank"></span>total <span class="ls6 ws2">de</span><span class="ls3"> <span class="ls8 ws4">um</span><span class="ls4"> <span class="ls7 ws3">ou</span></span></span> <span class="_2 blank"> </span>mais </div><div class="t m0 x8 h3 y29 ff1 fs2 fc1 sc0 ls0 ws0">tendões, <span class="_d blank"> </span>dependendo <span class="_d blank"> </span><span class="ls6 ws2">da</span> <span class="_d blank"> </span>fase </div><div class="t m0 x8 h3 y2a ff1 fs2 fc1 sc0 ls0 ws0">clínica <span class="ls6 ws2">da</span> doença. </div><div class="t m0 x9 h5 y2b ff1 fs5 fc1 sc0 ls0 ws0"> </div><a class="l"><div class="d m1" style="border-style:none;position:absolute;left:399.820000px;bottom:99.792000px;width:255.160000px;height:317.568000px;background-color:rgba(255,255,255,0.000001);"></div></a></div><div class="pi" data-data='{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}'></div></div> <div id="pf5" class="pf w0 h0" data-page-no="5"><div class="pc pc5 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w0 h0" alt="" src="https://files.passeidireto.com/6a67a63f-32f3-4917-a666-d5e701059045/bg5.png"><div class="t m0 xa h6 y2c ff1 fs6 fc1 sc0 ls0 ws0">Patologia da SI<span class="_2 blank"></span> </div><div class="t m0 x7 h7 y2d ff2 fs7 fc1 sc0 ls9">\u2022<span class="ff1 ls0 ws0">distúrbio<span class="_2 blank"></span> <span class="_e blank"> </span>funcional </span></div><div class="t m0 x8 h8 y2e ff1 fs8 fc1 sc0 ls0 ws0">doloroso<span class="_2 blank"></span> <span class="_f blank"> </span><span class="lsa ws5">do</span> <span class="_f blank"> </span>ombro, </div><div class="t m0 x8 h8 y2f ff1 fs8 fc1 sc0 ls0 ws0">causada<span class="_2 blank"></span> <span class="_10 blank"> </span>por <span class="_10 blank"> </span>uma </div><div class="t m0 x8 h8 y30 ff1 fs8 fc1 sc0 ls0 ws0">sequência <span class="_11 blank"> </span><span class="lsa ws5">de</span> <span class="_11 blank"> </span>eventos<span class="_2 blank"></span> </div><div class="t m0 x8 h7 y31 ff1 fs7 fc1 sc0 ls0 ws0">inflamatórios, <span class="_12 blank"> </span>onde <span class="_12 blank"> </span>o </div><div class="t m0 x8 h8 y32 ff1 fs8 fc1 sc0 ls0 ws0">manguito<span class="_2 blank"></span> <span class="_13 blank"> </span>rotador<span class="_2 blank"></span><span class="lsb"> </span>é </div><div class="t m0 x8 h8 y33 ff1 fs8 fc1 sc0 ls0 ws0">submetido<span class="_2 blank"> </span> <span class="_14 blank"> </span>à <span class="_14 blank"> </span>compressão<span class="_2 blank"></span> </div><div class="t m0 x8 h8 y34 ff1 fs8 fc1 sc0 ls0 ws0">exercida<span class="_2 blank"> </span> <span class="_15 blank"> </span>por <span class="_15 blank"> </span>estrutur<span class="_2 blank"></span>as </div><div class="t m0 x8 h8 y35 ff1 fs8 fc1 sc0 ls0 ws0">ósseas <span class="_16 blank"> </span>(acrômio<span class="_2 blank"></span> <span class="_16 blank"> </span>e </div><div class="t m0 x8 h8 y36 ff1 fs8 fc1 sc0 ls0 ws0">cabeça úmero). </div><div class="t m0 x9 h8 y37 ff1 fs8 fc1 sc0 ls0 ws0"> </div></div><div class="pi" data-data='{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}'></div></div> <div id="pf6" class="pf w0 h0" data-page-no="6"><div class="pc pc6 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w0 h0" alt="" src="https://files.passeidireto.com/6a67a63f-32f3-4917-a666-d5e701059045/bg6.png"><div class="t m0 x5 h2 y38 ff1 fs1 fc1 sc0 ls0 ws0">Epidemiologia <span class="_0 blank"></span>SI </div><div class="t m0 x6 h3 y39 ff2 fs2 fc1 sc0 ls1">\u2022<span class="ff1 ls0 ws0">Nadado<span class="_1 blank"></span>res, </span></div><div class="t m0 x6 h3 y3a ff2 fs2 fc1 sc0 ls1">\u2022<span class="ff1 ls0 ws0">Beisebol, </span></div><div class="t m0 x6 h4 y3b ff2 fs4 fc1 sc0 lsc">\u2022<span class="ff1 ls0 ws0">Tênis, </span></div><div class="t m0 x6 h3 y3c ff2 fs2 fc1 sc0 ls1">\u2022<span class="ff1 ls0 ws0">Vôlei, </span></div><div class="t m0 x6 h3 y3d ff2 fs2 fc1 sc0 ls1">\u2022<span class="ff1 ls0 ws0">Basquete, </span></div><div class="t m0 x6 h3 y3e ff2 fs2 fc1 sc0 ls1">\u2022<span class="ff1 ls0 ws0">Marceneiros; </span></div><div class="t m0 x6 h4 y3f ff2 fs4 fc1 sc0 lsc">\u2022<span class="ff1 ls0 ws0">Metalúrgicos; </span></div><div class="t m0 x6 h3 y40 ff2 fs2 fc1 sc0 ls1">\u2022<span class="ff1 ls0 ws0">Pintores; </span></div><div class="t m0 x6 h3 y41 ff2 fs2 fc1 sc0 ls1">\u2022<span class="ff1 ls0 ws0">Faxineiras; </span></div><div class="t m0 x6 h3 y42 ff2 fs2 fc1 sc0 ls1">\u2022<span class="ff1 ls0 ws0">Donas de casa<span class="_1 blank"></span>; </span></div><div class="t m0 x6 h3 y43 ff2 fs2 fc1 sc0 ls1">\u2022<span class="ff1 ls0 ws0">Domésticas; </span></div><div class="t m0 x6 h3 y44 ff2 fs2 fc1 sc0 ls1">\u2022<span class="ff1 ls0 ws0">Sedentários; <span class="_1 blank"></span> </span></div></div><div class="pi" data-data='{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}'></div></div> <div id="pf7" class="pf w0 h0" data-page-no="7"><div class="pc pc7 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w0 h0" alt="" src="https://files.passeidireto.com/6a67a63f-32f3-4917-a666-d5e701059045/bg7.png"><div class="t m0 xb h2 y38 ff1 fs1 fc1 sc0 ls0 ws0">Etiologia <span class="_0 blank"></span>SI </div><div class="t m0 x4 h7 y45 ff2 fs7 fc1 sc0 ls9">\u2022<span class="ff1 ls0 ws0">Deformidade <span class="_2 blank"> </span>congênita acromial;<span class="_2 blank"></span> </span></div><div class="t m0 x4 h8 y46 ff2 fs8 fc1 sc0 lsd">\u2022<span class="ff1 ls0 ws0">Esporões degenerativos;<span class="_2 blank"> </span> </span></div><div class="t m0 x4 h8 y47 ff2 fs8 fc1 sc0 lsd">\u2022<span class="ff1 ls0 ws0">Bursite inflamatória;<span class="_2 blank"></span> </span></div><div class="t m0 x4 h7 y48 ff2 fs7 fc1 sc0 ls9">\u2022<span class="ff1 ls0 ws0">Pós-trauma; </span></div><div class="t m0 x4 h8 y49 ff2 fs8 fc1 sc0 lsd">\u2022<span class="ff1 ls0 ws0">Frouxidão ligamentar;<span class="_2 blank"></span> </span></div><div class="t m0 x4 h8 y4a ff2 fs8 fc1 sc0 lsd">\u2022<span class="ff1 ls0 ws0">Fraqueza muscular; </span></div><div class="t m0 x4 h7 y4b ff2 fs7 fc1 sc0 ls9">\u2022<span class="ff1 ls0 ws0">Neurológica. </span></div></div><div class="pi" data-data='{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}'></div></div> <div id="pf8" class="pf w0 h0" data-page-no="8"><div class="pc pc8 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w0 h0" alt="" src="https://files.passeidireto.com/6a67a63f-32f3-4917-a666-d5e701059045/bg8.png"><div class="t m0 xc h2 y4c ff1 fs1 fc1 sc0 ls0 ws0">Avaliação <span class="_0 blank"></span>da artic<span class="_2 blank"></span>ulação </div><div class="t m0 xd h1 y4d ff1 fs0 fc1 sc0 ls0 ws0">do Ombro </div><div class="t m0 xe h9 y4e ff2 fs9 fc1 sc0 lse">\u2022<span class="ff1 ls0 ws0">História Clínica: QP; episódio </span></div><div class="t m0 xf h9 y4f ff1 fs9 fc1 sc0 ls0 ws0">traumático envolvido, idade, tipo de </div><div class="t m0 xf h9 y50 ff1 fs9 fc1 sc0 lsf ws0">atividade <span class="_0 blank"></span>profissional; pr<span class="_0 blank"></span>ática de </div><div class="t m0 xf h9 y51 ff1 fs9 fc1 sc0 ls0 ws0">esporte; afastamento de atividade; </div><div class="t m0 xf ha y52 ff1 fsa fc1 sc0 ls0 ws0">uso de me<span class="_1 blank"></span>dicamentos e patologias </div><div class="t m0 xf h9 y53 ff1 fs9 fc1 sc0 ls0 ws0">associadas. </div></div><div class="pi" data-data='{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}'></div></div> <div id="pf9" class="pf w0 h0" data-page-no="9"><div class="pc pc9 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w0 h0" alt="" src="https://files.passeidireto.com/6a67a63f-32f3-4917-a666-d5e701059045/bg9.png"><div class="t m0 xc h2 y4c ff1 fs1 fc1 sc0 ls0 ws0">Avaliação <span class="_0 blank"></span>da artic<span class="_2 blank"></span>ulação </div><div class="t m0 xd h1 y4d ff1 fs0 fc1 sc0 ls0 ws0">do Ombro </div><div class="t m0 xe h9 y4e ff2 fs9 fc1 sc0 lse">\u2022<span class="ff1 ls0 ws0">Dor </span></div><div class="t m0 xe h9 y54 ff2 fs9 fc1 sc0 lse">\u2022<span class="ff1 ls0 ws0">Instabilidade </span></div><div class="t m0 xe h9 y55 ff2 fs9 fc1 sc0 lse">\u2022<span class="ff1 ls0 ws0">Luxação </span></div><div class="t m0 xe ha y56 ff2 fsa fc1 sc0 ls10">\u2022<span class="ff1 ls0 ws0">Limitação de mo<span class="_1 blank"></span>vimento </span></div></div><div class="pi" data-data='{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}'></div></div> <div id="pfa" class="pf w0 h0" data-page-no="a"><div class="pc pca w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w0 h0" alt="" src="https://files.passeidireto.com/6a67a63f-32f3-4917-a666-d5e701059045/bga.png"><div class="t m0 xc h2 y4c ff1 fs1 fc1 sc0 ls0 ws0">Avaliação <span class="_0 blank"></span>da artic<span class="_2 blank"></span>ulação </div><div class="t m0 xd h1 y4d ff1 fs0 fc1 sc0 ls0 ws0">do Ombro </div><div class="t m0 xe h9 y4e ff2 fs9 fc1 sc0 lse">\u2022<span class="ff1 ls0 ws0">Inspeção estática: </span></div><div class="t m0 xe h9 y54 ff2 fs9 fc1 sc0 lse">\u2022<span class="ff1 ls0 ws0">Observar: vestígios de trauma edema </span></div><div class="t m0 xf h9 y57 ff1 fs9 fc1 sc0 ls0 ws0">equimoses, sinal de dragona( <span class="_0 blank"></span>luxaçã<span class="_2 blank"></span>o </div><div class="t m0 xf h9 y58 ff1 fs9 fc1 sc0 ls0 ws0">anterior), sinal de tecla( luxação </div><div class="t m0 xf h9 y59 ff1 fs9 fc1 sc0 ls0 ws0">acrômio clavicular) </div><div class="t m0 xe h9 y5a ff2 fs9 fc1 sc0 lse">\u2022<span class="ff1 ls0 ws0">Observar: coluna cervical e torácica </span></div><div class="t m0 xe h9 y5b ff2 fs9 fc1 sc0 lse">\u2022<span class="ff1 ls0 ws0">Simetria e mobilidade escapular </span></div></div><div class="pi" data-data='{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}'></div></div>