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MOI, S&S, AND TREATMENT INJURIES TO THE SHOULDER.

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Presentation on theme: "MOI, S&S, AND TREATMENT INJURIES TO THE SHOULDER."— Presentation transcript:

1 MOI, S&S, AND TREATMENT INJURIES TO THE SHOULDER

2 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

3 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.

4 ACROMIOCLAVICULAR JOINT SPRAIN/DISLOCATION MOI: FOTOSA, fall on tip of shoulder, direct blow to acromion process Tear of acromioclavicular ligament and coracoclavicular ligament

5 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

6 IMAGE OF FOTOSA Humeral head is forced superiorly into glenoid humeral joint

7 HUMERAL DISLOCATION MOI: blow to shoulder when humerus is abducted and externally rotated Anterior/inferior dislocation is most common; posterior is rare!

8 HUMERAL DISLOCATION S&S: visual deformity, drop off from deltoid Tingling down the arm

9 SHOULDER DISLOCATION The athlete many times will want the shoulder to “hang” in order to release the pain and numbing sensation.

10 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!

11 POTENTIAL NERVE IMPINGEMENT Median nerve can be trapped under the humeral head upon reduction

12 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

13 STERNOCLAVICULAR DISLOCATION Tear of sternoclavicular ligament Treatment: immobilization with sling

14 STERNOCLAVICULAR JOINT DISLOCATION MOI: direct blow or compression to the shoulder joint – humeral head S&S: visual deformity, instability

15 BICIPITAL TENDONITIS Swimmers shoulder MOI: overuse injury caused by repetitive movement, lifting or overload Rest, ice, massage, stretching Pain flexion and supination

16 IMPINGEMENT SYNDROME MOI: overuse injury to the rotator cuff. supraspinatus tendon becomes impinged under the acromion process

17 IMPINGEMENT RANGE OF MOTION Pain upon degree abduction

18 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.

19 SLAP LESION S=superior L=labral A=anterior L=lesion Tear of the labrum, cartilage that deepens the socket

20 SLAP LESION A SLAP lesion is a tear that occurs where the biceps tendon meets the labrum

21 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

22 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

23 SLAP LESION Frayed labrum

24 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.

25 FORMER STUDENT INJURIES


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