“chicken wing” position (affected arm and elbow bent at 90 degrees, hand tucked under the patient’s pelvis). • Doctor: on affected side. • Procedure: doctor takes hold of pa- tient’s elbow, applies P-A pressure, and instructs the patient to resist, while maintaining their arm in this position. (This resistance, while in the chicken wing position, applies external rotation and adduction to the affected arm. The only muscle that performs both of those func- tions is teres minor). • Normal: If a posterior humerus sub- luxation is not present, the patient will be able to resist the doctor’s pressure, and keep the arm in the same position. • Subluxation: If the patient is un- able to resist the doctor’s P-A pres- sure, and is unable to maintain the arm position; this confirms that the humerus has subluxated posteriorly, and that the teres minor is damaged. Once this is confirmed, move on to Step 2. Step 2: Correction: Posterior Humerus Prone Adjustment. (See Picture 2) Some products cover up muscle pain. Picture 2: Doctor position for a posterior humerus subluxation adjustment. • Patient: Prone, involved arm straight and extended 45 degrees. • Doctor: On affected side, facing cephalad. • Table: Dorsal piece in the ready position, or toggle board under the affected area. • Contact 1: Web contact of medial hand on posterior surgical neck of the humerus. • Contact 2: Lateral hand grasping wrist of involved arm. • LOC: Contact 1: P-A. Contact 2: Long axis distraction. For treatment of the muscular compo- nent of this injury, I would recommend www.canadianchiropractor.ca CANAdiAN ChirOPrACTOr | JUNE 2009 • 33 Traumeel® works deep down to treat the cause. t the cause. Available in an odorless cream or gel, Traumeel is a natural product that is convenient for the entire family. Scientifically proven, Traumeel works directly at the root of your muscle pain, backaches, and sports and repetitive stress injuries, to accelerate the healing process. Draw the line on pain. For a free Traumeel sample or for more information, contact us at 1888 879-4335 or at [email protected] www.heel.ca Sold in 50 countries for over 70 years Another great innovation from
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