1 / 34

Shoulder Injuries

Shoulder Injuries. Clavicle Fx. MOI: FOOSH, Fall on tip of shoulder, direct contact S&S: guarding, obvious deformity, swelling, point tenderness. Clavicle Fx. Plan: refer for x-rays, sling and swathe, treat for shock, possible surgery Follow up: immobilize 6-8 weeks.

myrna
Download Presentation

Shoulder Injuries

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Shoulder Injuries

  2. Clavicle Fx • MOI: FOOSH, Fall on tip of shoulder, direct contact • S&S: guarding, obvious deformity, swelling, point tenderness

  3. Clavicle Fx • Plan: refer for x-rays, sling and swathe, treat for shock, possible surgery • Follow up: immobilize 6-8 weeks

  4. Acromioclavicular Sprain • MOI: direct contact to tip of shoulder or FOOSH

  5. Acromioclavicular Sprain • S&S: • Grade 1-point tenderness, discomfort during movement • Grade 2-partial displacement, acromial end of clavicle sticks up, ttp, unable to fully abduct, AC stress test positive

  6. Acromioclavicular Sprain • S&S: • Grade 3 – complete rupture of the AC and CC ligaments, displacement, limited abduction • Grade 4 – posterior dislocation of clavicle, point tenderness, limited ROM

  7. Acromioclavicular Sprain • S&S: • Grade 5 – Muscle and ligament ruptures, gross deformity, severe pain, loss of movement, shoulder instability • Grade 6 – clavicle displaced inferior to the coracoid, rare in sports

  8. Acromioclavicular Sprain • Plan: • 1. Cold and pressure • 2. Sling and Swathe • 3. Refer to doctor

  9. GH Dislocations • Anterior • Posterior

  10. GH Dislocations • Extensive damage to the shoulder complex occurs.

  11. Anterior Dislocation • MOI: • Direct contact to posterior shoulder • Forced abduction, external rotation, and extension

  12. Anterior Dislocations • S&S • 1. Flattened deltoid contour • 2. Guarding – slight abduction and external rotation • 3. Humeral head palpated in the axilla(armpit) • 4. Unable to touch opposite shoulder • 5. Moderate pain • 6. Disability

  13. Posterior GH Dislocation • MOI: • Forced adduction and internal rotation • Fall on extended and internally rotated arm

  14. Posterior GH Dislocations • S&S: • 1. Severe pain and disability • 2. Guarding – adduction and internal rotation • 3. Acromion and coracoid stick out • 4. Head of humerus visible posterior • 5. Limited external rotation and elevation

  15. GH Dislocation - Plan • Immobilization • Ice • X-ray if first dislocation • Reduce shoulder • Ice • Immobilization

  16. GH Dislocation - Plan • Rehab • Internal and External rotation are IMPORTANT • Start with isometrics then add resistance • Bracing for play

  17. Impingement Syndrome • MOI: repetitive overhead stress • Examples: • Swimming • Serving a tennis ball • Hitting volleyball (spike) • Throwing (baseball, track, football)

  18. Impingement Syndrome • S&S: • 1. Diffuse pain around acromion • 2. Pain with overhead activities • 3. E.R. weaker than I.R. • 4. Positive impingement tests • 5. Empty can and drop test increase pain.

  19. Impingement Syndrome • Plan: • 1. Restoring normal biomechanics • 2. Strengthen rotator cuff • 3. Strengthen core • 4. Joint Mobilizations • 5. RICE and e-stim • 6. Modify activity

  20. Severe Impingement • Plan: • Immobilization and complete rest. • Potentially need surgical intervention

  21. Thoracic Outlet – Basics • Compression of the brachial plexus, subclavian artery and vein

  22. Thoracic Outlet Syndrome • MOI: • 1. Narrowing between 1st rib and clavicle • 2. Anterior and middle scalene muscles • 3. Pectoralis minor compressing • 4. Presence of a cervical rib

  23. Thoracic Outlet Syndrome • S&S: • Paresthesia • Pain • Feeling cold • Muscle weakness • Muscle atrophy • Radial nerve palsy • Poor circulation in hand

  24. Thoracic Outlet Syndrome • Special Tests: • 1. Wright’s Test or Hyperabduction test • 2. Eden’s Test • 3. Roo’s Test • 4. Adson’s Test

  25. Thoracic Outlet Syndrome • Plan: Correcting the MOI with stretching & strengthening • 1. Stretching • Pectoralis minor • Scalenes

  26. TOS - Plan • Strengthening • Trapezius • Rhomboids • Serratus Anterior

  27. TOS - Plan • Strengthening • Trapezius • Rhomboids • Serratus Anterior

  28. Strengthening • Trapezius • Rhomboids • Serratus Anterior

  29. Brachial Plexus Neuropraxia • Also called a stinger or burner. • MOI: direct contact or hyper-horizontal abduction

  30. Brachial Plexus Neuroplaxia • S&S: • Numbness and tingling down through hand • Pain shooting to hand • Inability to move hand • Pain in shoulder

  31. Brachial Plexus Neuroplaxia • Plan: • Have athlete move their arm. • Give them about 15 minutes to recover. If they don’t recover, send to hospital.

  32. Biceps Brachii Ruptures • MOI: • Powerful eccentric or concentric contraction of • the muscle • Can rupture at long head or insertion • “Popeye” effect

  33. Biceps Brachii Rupture • S&S: • SNAP • Sudden, intense pain • Popeye effect • Weakness of the biceps

  34. Biceps Brachii Rupture • Plan: • Cold • Sling • Refer to physician • Usually surgery

More Related