Acute Injuries of the Shoulder. Separated Shoulder Def: A sprain of the acromioclavicular ligament...
-
Upload
martha-hoover -
Category
Documents
-
view
221 -
download
0
Transcript of Acute Injuries of the Shoulder. Separated Shoulder Def: A sprain of the acromioclavicular ligament...
![Page 1: Acute Injuries of the Shoulder. Separated Shoulder Def: A sprain of the acromioclavicular ligament MOI: A fall on the outstretched arm or a blow the.](https://reader035.fdocuments.in/reader035/viewer/2022062407/56649dc55503460f94ab8462/html5/thumbnails/1.jpg)
Acute Injuries of the Shoulder
![Page 2: Acute Injuries of the Shoulder. Separated Shoulder Def: A sprain of the acromioclavicular ligament MOI: A fall on the outstretched arm or a blow the.](https://reader035.fdocuments.in/reader035/viewer/2022062407/56649dc55503460f94ab8462/html5/thumbnails/2.jpg)
![Page 3: Acute Injuries of the Shoulder. Separated Shoulder Def: A sprain of the acromioclavicular ligament MOI: A fall on the outstretched arm or a blow the.](https://reader035.fdocuments.in/reader035/viewer/2022062407/56649dc55503460f94ab8462/html5/thumbnails/3.jpg)
Separated Shoulder
• Def: A sprain of the acromioclavicular
ligament
• MOI: A fall on the outstretched arm or a blow the the tip of the shoulder
![Page 4: Acute Injuries of the Shoulder. Separated Shoulder Def: A sprain of the acromioclavicular ligament MOI: A fall on the outstretched arm or a blow the.](https://reader035.fdocuments.in/reader035/viewer/2022062407/56649dc55503460f94ab8462/html5/thumbnails/4.jpg)
Anterior View
Posterior View
![Page 5: Acute Injuries of the Shoulder. Separated Shoulder Def: A sprain of the acromioclavicular ligament MOI: A fall on the outstretched arm or a blow the.](https://reader035.fdocuments.in/reader035/viewer/2022062407/56649dc55503460f94ab8462/html5/thumbnails/5.jpg)
• S/Sx: Point tenderness over AC joint- inability or pain with abduction- in some cases, gross deformity
• Tx: Immobilization with a sling- ice- NSAIDS- if grade II or above, refer to a doctor- if grade I protective padding
![Page 6: Acute Injuries of the Shoulder. Separated Shoulder Def: A sprain of the acromioclavicular ligament MOI: A fall on the outstretched arm or a blow the.](https://reader035.fdocuments.in/reader035/viewer/2022062407/56649dc55503460f94ab8462/html5/thumbnails/6.jpg)
Clavicular Fracture
• Def: fracture of the clavicle- break is usually in the middle 1/3 - most commonly broken bone in the body
• MOI: fall on the outstretched arm- direct blow to the clavicle
![Page 7: Acute Injuries of the Shoulder. Separated Shoulder Def: A sprain of the acromioclavicular ligament MOI: A fall on the outstretched arm or a blow the.](https://reader035.fdocuments.in/reader035/viewer/2022062407/56649dc55503460f94ab8462/html5/thumbnails/7.jpg)
Superior View
Anterior View
![Page 8: Acute Injuries of the Shoulder. Separated Shoulder Def: A sprain of the acromioclavicular ligament MOI: A fall on the outstretched arm or a blow the.](https://reader035.fdocuments.in/reader035/viewer/2022062407/56649dc55503460f94ab8462/html5/thumbnails/8.jpg)
• S/Sx: -palpable deformity- positive percussion test- point tenderness over fracture site- decreased range of motion
• Tx: - ice- immobilization with sling or figure-8 brace- send to doctor
![Page 9: Acute Injuries of the Shoulder. Separated Shoulder Def: A sprain of the acromioclavicular ligament MOI: A fall on the outstretched arm or a blow the.](https://reader035.fdocuments.in/reader035/viewer/2022062407/56649dc55503460f94ab8462/html5/thumbnails/9.jpg)
Dislocated Shoulder
• Def: dislocation of the glenohumeral joint- most commonly occurs in the anterior & inferior direction
• MOI: torque applied to arm while it is abducted and externally rotated
![Page 10: Acute Injuries of the Shoulder. Separated Shoulder Def: A sprain of the acromioclavicular ligament MOI: A fall on the outstretched arm or a blow the.](https://reader035.fdocuments.in/reader035/viewer/2022062407/56649dc55503460f94ab8462/html5/thumbnails/10.jpg)
![Page 11: Acute Injuries of the Shoulder. Separated Shoulder Def: A sprain of the acromioclavicular ligament MOI: A fall on the outstretched arm or a blow the.](https://reader035.fdocuments.in/reader035/viewer/2022062407/56649dc55503460f94ab8462/html5/thumbnails/11.jpg)
![Page 12: Acute Injuries of the Shoulder. Separated Shoulder Def: A sprain of the acromioclavicular ligament MOI: A fall on the outstretched arm or a blow the.](https://reader035.fdocuments.in/reader035/viewer/2022062407/56649dc55503460f94ab8462/html5/thumbnails/12.jpg)
Anterior/Lateral View
![Page 13: Acute Injuries of the Shoulder. Separated Shoulder Def: A sprain of the acromioclavicular ligament MOI: A fall on the outstretched arm or a blow the.](https://reader035.fdocuments.in/reader035/viewer/2022062407/56649dc55503460f94ab8462/html5/thumbnails/13.jpg)
Anterior View
![Page 14: Acute Injuries of the Shoulder. Separated Shoulder Def: A sprain of the acromioclavicular ligament MOI: A fall on the outstretched arm or a blow the.](https://reader035.fdocuments.in/reader035/viewer/2022062407/56649dc55503460f94ab8462/html5/thumbnails/14.jpg)
S/Sx: gross deformity- athlete will complain that the shoulder “feels out”- decreased range of motion
Tx: check for distal pulse & sensation- if absent or decreased call 911- if strong, ice & send directly to a doctor
![Page 15: Acute Injuries of the Shoulder. Separated Shoulder Def: A sprain of the acromioclavicular ligament MOI: A fall on the outstretched arm or a blow the.](https://reader035.fdocuments.in/reader035/viewer/2022062407/56649dc55503460f94ab8462/html5/thumbnails/15.jpg)
Complications• Dislocated shoulders should be
evaluated for fractures, glenoid labral tears and axillary nerve damage
• Hill-Sachs lesion is an indentation on the posterial humeral head that can be observed on x-ray
• If the patient is under 20 the chance of a recurrent dislocation is 80%-90%
![Page 16: Acute Injuries of the Shoulder. Separated Shoulder Def: A sprain of the acromioclavicular ligament MOI: A fall on the outstretched arm or a blow the.](https://reader035.fdocuments.in/reader035/viewer/2022062407/56649dc55503460f94ab8462/html5/thumbnails/16.jpg)
Biceps Rupture
• Def: rupture of the long head of thebiceps - commonly called “popeye arm”
• MOI: blow or force applied to the contracted biceps
![Page 17: Acute Injuries of the Shoulder. Separated Shoulder Def: A sprain of the acromioclavicular ligament MOI: A fall on the outstretched arm or a blow the.](https://reader035.fdocuments.in/reader035/viewer/2022062407/56649dc55503460f94ab8462/html5/thumbnails/17.jpg)
![Page 18: Acute Injuries of the Shoulder. Separated Shoulder Def: A sprain of the acromioclavicular ligament MOI: A fall on the outstretched arm or a blow the.](https://reader035.fdocuments.in/reader035/viewer/2022062407/56649dc55503460f94ab8462/html5/thumbnails/18.jpg)
S/Sx: gross deformity- decreased range of motion and strength of biceps- point tenderness- complained of hearing a “pop”
Tx: ice and send directly to a doctor