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Shoulder acromioclavicular (AC) separation glenohumeral dislocation Elbow olecrannon bursitis PowerPoint PPT Presentation


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Upper Extremity. Shoulder acromioclavicular (AC) separation glenohumeral dislocation Elbow olecrannon bursitis. Upper Extremity. Wrist distal radius fracture scaphoid (navicular) fracture ECU (tendon) subluxation/dislocation DRUJ (ligament) sprain. Upper Extremity. Hand

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Shoulder acromioclavicular (AC) separation glenohumeral dislocation Elbow olecrannon bursitis

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Shoulder acromioclavicular ac separation glenohumeral dislocation elbow olecrannon bursitis

Upper Extremity

  • Shoulder

    • acromioclavicular (AC) separation

    • glenohumeral dislocation

  • Elbow

    • olecrannon bursitis


Shoulder acromioclavicular ac separation glenohumeral dislocation elbow olecrannon bursitis

Upper Extremity

  • Wrist

    • distal radius fracture

    • scaphoid (navicular) fracture

    • ECU (tendon) subluxation/dislocation

    • DRUJ (ligament)

      sprain


Shoulder acromioclavicular ac separation glenohumeral dislocation elbow olecrannon bursitis

Upper Extremity

  • Hand

    • ulnar collateral (thumb ligament) sprain

    • phalanx (finger)

      fracture


Shoulder acromioclavicular ac separation glenohumeral dislocation elbow olecrannon bursitis

Lower Extremity

  • Abdomen/Groin/Hip

    • athletic pubalgia

    • adductor (groin) strain

    • iliopsoas/rectus

      (hip flexor) strain


Shoulder acromioclavicular ac separation glenohumeral dislocation elbow olecrannon bursitis

Lower Extremity

  • Knee

    • MCL sprain

    • ACL sprain

    • quadriceps contusion


Shoulder acromioclavicular ac separation glenohumeral dislocation elbow olecrannon bursitis

Lower Extremity

  • Ankle

    • malleolar bursitis

    • distal fibula fracture

    • syndesmosis/lateral ligamentsprain


Shoulder acromioclavicular ac separation glenohumeral dislocation elbow olecrannon bursitis

Lower Extremity

  • Foot

    • contusion/fracture

    • calcaneal bursitis


Shoulder acromioclavicular ac separation glenohumeral dislocation elbow olecrannon bursitis

Catastrophic Injuries

  • Traumatic Brain Injury

  • (Concussion)

  • Cervical Spine Fracture/Dislocation

  • (± spinal cord injury)

  • Eye Injuries


Shoulder acromioclavicular ac separation glenohumeral dislocation elbow olecrannon bursitis

Catastrophic Injuries

  • Upper Airway

  • (larynx, hyoid, soft tissues)

  • Commotio Cordis

    • (chest blow)

  • Subarachnoid Hemorrhage

    • (neck blow)

  • Spleen Rupture

  • Neck Laceration


  • Shoulder acromioclavicular ac separation glenohumeral dislocation elbow olecrannon bursitis

    Concussion

    Concussion may be caused by a direct blow to the head, face, neck or elsewhere on the body that results in an impulsive force transmitted to the head causing a rapid onset of short-lived impairment of neurologic function that resolves spontaneously.


    Shoulder acromioclavicular ac separation glenohumeral dislocation elbow olecrannon bursitis

    Concussion

    Symptoms: unaware of situation, confusion, amnesia, loss of consciousness, headache dizziness, nausea, loss of balance, flashing lights, ear ringing, double vision, sleepiness, feeling dazed


    Shoulder acromioclavicular ac separation glenohumeral dislocation elbow olecrannon bursitis

    Concussion

    Signs: altered mental status, poor coordination, seizure, slow to answer, poor concentration, nausea, vomiting, vacant stare, slurred speech, personality changes, inappropriate emotions, abnormal behavior


    Shoulder acromioclavicular ac separation glenohumeral dislocation elbow olecrannon bursitis

    Concussion

    • repeated concussions cause cumulative damage increased severity with each incident

    • initial concussion  chance of a 2ndconcussion is 4x greater


    Shoulder acromioclavicular ac separation glenohumeral dislocation elbow olecrannon bursitis

    Simple Concussion

    • Progressively resolves without complication over 7-10 days:

      • all concussions mandate evaluation by physician

      • limit training & competition while symptomatic

      • able to resume sport without further problems

      • managed by certified athletic trainers working under medical supervision

      • formal neuropsychological testing unnecessary?


    Shoulder acromioclavicular ac separation glenohumeral dislocation elbow olecrannon bursitis

    Complex Concussion

    • Specific features, persistent symptoms or recurrence with exertion:

      • prolonged loss of consciousness (>1 minute)

      • multiple concussions over time

      • repeated concussions with less impact force

      • neuropsychological testing helpful

      • multidisciplinary management

        • (experienced sports medicine physician, sports neurologist or neurosurgeon, neuropsychologist)


    Shoulder acromioclavicular ac separation glenohumeral dislocation elbow olecrannon bursitis

    Concussion Management

    A player with ANY symptoms or signs:

    • should not be allowed to return to play in the current game or practice

    • should not be left alone- regular monitoring for deterioration is essential

    • should be medically evaluated following the injury


    Shoulder acromioclavicular ac separation glenohumeral dislocation elbow olecrannon bursitis

    Concussion Management

    Return to play must follow a medically supervised stepwise process:

    • monitored by a medical doctor

    • player should never return to play while symptomatic

    “When in doubt, sit them out!”


    Shoulder acromioclavicular ac separation glenohumeral dislocation elbow olecrannon bursitis

    Concussion Management

    • physical andcognitive rest

    • monitoring of:

      • symptoms

      • neurocognitive function

      • postural stability

      • neuropsychological testing (?)

    • graded exertion protocol


    Shoulder acromioclavicular ac separation glenohumeral dislocation elbow olecrannon bursitis

    Concussion Management

    • Return to Play Protocol

    • 1. No activity, complete rest

    • 2. Light aerobic activity (walking, stationary cycling)

    • 3. Sports specific training- skating.

    • 4. Non-contact training drills

    • 5. Full-contact training after medical clearance

    • 6. Return to competition

      • * Proceed to the next level only if asymptomatic

      • * Any symptoms or signs: drop back to the previous level & attempt progression again after 24 hours


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