Presentation on theme: "MOI, S&S, AND TREATMENT INJURIES TO THE SHOULDER."— Presentation transcript:
MOI, S&S, AND TREATMENT INJURIES TO THE SHOULDER
FRACTURE OF CLAVICLE MOI: direct blow or FOTOSA (falling on the outstretched arm) S&S: step off deformity, visible or palpable Common in athletes who are still maturing
TREATMENT OF FRACTURED CLAVICLE Immobilize in a sling until healing process is complete Surgery with plates and pins may be required if the two ends are to far apart to heal properly.
ACROMIOCLAVICULAR JOINT SPRAIN/DISLOCATION MOI: FOTOSA, fall on tip of shoulder, direct blow to acromion process Tear of acromioclavicular ligament and coracoclavicular ligament
AC JOINT DISLOCATION 1 st degree acromioclavicular lig. Stretched/torn 2 nd degree – AC lig torn and coracoclavicular lig stretched/partial torn 3 rd degree – AC and CC ligaments torn
IMAGE OF FOTOSA Humeral head is forced superiorly into glenoid humeral joint
HUMERAL DISLOCATION MOI: blow to shoulder when humerus is abducted and externally rotated Anterior/inferior dislocation is most common; posterior is rare!
HUMERAL DISLOCATION S&S: visual deformity, drop off from deltoid Tingling down the arm
SHOULDER DISLOCATION The athlete many times will want the shoulder to “hang” in order to release the pain and numbing sensation.
REDUCTION OF DISLOCATION Many times the humeral head will self reduce but if not have a PROFESSIONAL reduce the shoulder so as not to impinge blood vessels and nerve routes to the arm!
POTENTIAL NERVE IMPINGEMENT Median nerve can be trapped under the humeral head upon reduction
TREATMENT OF SHOULDER DISLOCATIONS 9 out of 10 dislocations reoccur Surgery required for recurrent subluxations and dislocations Immobilize for 3-4 weeks Rehabilitation to strengthen the rotator cuff muscles
STERNOCLAVICULAR DISLOCATION Tear of sternoclavicular ligament Treatment: immobilization with sling
STERNOCLAVICULAR JOINT DISLOCATION MOI: direct blow or compression to the shoulder joint – humeral head S&S: visual deformity, instability
BICIPITAL TENDONITIS Swimmers shoulder MOI: overuse injury caused by repetitive movement, lifting or overload Rest, ice, massage, stretching Pain flexion and supination
IMPINGEMENT SYNDROME MOI: overuse injury to the rotator cuff. supraspinatus tendon becomes impinged under the acromion process
IMPINGEMENT RANGE OF MOTION Pain upon degree abduction
TREATMENT OF IMPINGEMENT ICE ULTRASOUND NSAIDS and REST CORTISONE INJECTIONS FOR CHRONIC PAIN COMPLICATIONS: frozen shoulder due to scar tissue that forms due to using scapula instead of humerus to move the shoulder joint.
SLAP LESION S=superior L=labral A=anterior L=lesion Tear of the labrum, cartilage that deepens the socket
SLAP LESION A SLAP lesion is a tear that occurs where the biceps tendon meets the labrum
MOI AND S&S OF SLAP LESIONS MOI: FOTOSA Direct blow Sudden pull – lifting overhead Repetitive use – throwing, pitching, lifting S&S: Clicking/locking Pain anterior shoulder Pain overhead activities Decrease ROM Increase subluxation/dislocat ion
FOUR TYPES OF SLAP LESIONS TYPE I – frayed labrum TYPE II – biceps tendon and labrum detached from glenoid fossa TYPE III – flap of the labrum hangs down into the joint, locking TYPE IV – labrum has a tear that extends into bicep tendon
SLAP LESION Frayed labrum
TREATMENT OF SLAP LESION REST, NSAIDS, PT Surgery to clean out debris or remove / stitch torn labrum MRI with dye to determine site and length of tear.