AC,CC, CLAVICLE Flashcards
Direct trauma to the shoulder summit
AC jt sprain
Signs of ac jt. Sprain
Step up
Step off
Step deformity
Rockwood classification I
Ac lig sprained + CC lig intact
Rockwood classification ll
ac lig torn + cc lig sprained
Rockwood classification lll
Ac lig torn + cc lig torn
cc space ⬆️ 20% - 100% from normal
Rockwood classification lV
Ac lig torn + cc lig torn
cc space ⬆️ 20% - 100% from normal
+ post. Displacement
Rockwood classification V
Ac lig torn + cc lig torn
cc space ⬆️ more than 100% + torn deltoid trapezial fascia
Rockwood classification VI
Ac lig torn + cc lig torn
cc space ⬆️ more than 100% + inferior displacement of clavicle (can impinge internal structures)
Rare type of dislocation(1 %)
SC jt dislocation
Indirect injury resulting from a posterior blow at the shoulder
Ant SC dislocation
Most common site of clavicular fx
Middle 1/3
Junction point
Weak point
Moi of clavicular fxs
Foosh Fos(higherchance of having clavicular Fx.)
Sprengels deformity other name
Eulenberg dse
Undescended scapula or elevated scapula
Eulenberg dse or sprengels deformity
Most common disorder of the scapula
Eulenberg dse or sprengels deformity
Lateral winging Aka Affected ms CN affected Surgical procedure causes
Sliding door paralysis
Trapezius
CN11
Radical neck dissection
How to elicit lateral winging
Slight shoulder abd(<90)
Medial winging Aka Affected ms CN affected Surgical procedure causes Other causes
Open book deformity Serratus anterior LTN Radical mastectomy Rucksack palsy(traction injury)
How to elicit medial winging
P ush ups
P rotraction c resistance
P unch out
Sick scapula
S capular mal position (protracted / rot. Forward)
I nferomedial border prominence
C oracoid pain
K dysKinesia(abnormal movement)
Caused by ms imbalance
Snapping scapula
3 types of snapping scapula
- Gentle friction sound
- physiological/N
- (-)pain, non persistent
- Louder grapping sound
- bursitis
- anomalous ms insertion
- fibrosis
- Loud snapping sound
- osteophyte formation
- osteochondritis
- mal union of rib fx
