Presentation on theme: "Chapter 13 – The Shoulder and Upper Arm Pages 484 - 488."— Presentation transcript:
Chapter 13 – The Shoulder and Upper Arm Pages
Question #1 What are the most important pathologies to rule out? Why?
On-Field Evaluation of Shoulder Injuries Most important to rule out Fractures Dislocations Distal Pulse Evaluation of cervical and/or thoracic spine
Question #2 Describe equipment considerations when evaluating a shoulder on the field.
Equipment Considerations Familiarize yourself! Palpation Under the Shoulder Pads Figure 13-36, page 485 Removal of the Shoulder Pads Figure 13-37,page 486
On-Field History Location of Pain Shoulder vs. brachial plexus pathology Mechanism of Injury
Question #3 Describe an on-field inspection of the shoulder.
On-Field Inspection Arm Posture Arm splinted against the torso Clavicular fracture, AC joint pathology Arm hanging limply Brachial plexus pathology Arm “locked” GH dislocation Gross Deformity
Question #4 Describe on-field palpation of the shoulder.
On-Field Palpation Position of humeral head AC joint alignment Piano key sign Clavicle SC joint Humerus
Question #5 Describe on-field functional tests for the shoulder.
On-Field Functional Tests Rule out dislocation or fracture Apley’s Scratch test
Initial Management of On- Field Shoulder Injuries Figure 13-38, page 487
Question #6 Describe scapular fractures.
Scapular Fractures Body of scapula, glenoid fossa, glenoid neck, coracoid process Secondary to GH dislocation S/S similar to rotator cuff pathology Immobilization/transportation
Clavicular Injuries Clavicular Fractures Immobilization, referral to physician SC Joint Injuries Potential compromise to underlying structures from posterior dislocation Immobilization, transportation (supine)
Clavicular Injuries AC Joint Injuries Figure 13-39, page 488 Nonsurgical treatment Protection during activity
Question #7 Describe GH dislocations.
GH Dislocations Monitor distal pulses, circulation, sensation Immobilization Keep wrist and hand exposed Immediate transportation Reductions performed by physician
Question #8 Describe humeral fractures.
Humeral Fractures Extreme pain, dysfunction, obvious deformity May be secondary to GH dislocation Immobilization Keep wrist and hand exposed Immediate referral to physician