CLINICAL CARE OF THE SHOULDER Flashcards
What causes an AC injury?
results from a fall onto the tip of the shoulder
How many classifications of AC injury are there?
6
What is Type I AC injury?
AC partially disrupted, CC intact
What is Type II AC injury?
AC torn, CC intact
What is Type III AC injury?
AC & CC completely disrupted, separation of clavicle from acromion
What is Type IV AC injury?
AC & CC are completely disrupted, posterior displacement
What is Type V AC injury?
AC & CC completely disrupted, CC interspace 2x as large
What is Type VI AC injury?
Wide displacement
DETERMINE the management of a patient with Acromioclavicular (AC) injury?
Type 1-3:
-Sling 24-48hrs
-Ice
-NSAIDs
-LLD
-exercises
Type 3-6:
-ortho consult/surgery
DETERMINE the management of a patient with fracture of the clavicle?
-ice
-analgesics
-orthopedic consult
-figure 8 strap for 6-8 weeks
DETERMINE the management of a patient with shoulder overuse to include: impingement
syndrome of the shoulder?
-NSAIDs
-ice
-light duty
-exercise
-physical therapy
-ortho consult if failed tx after 2-3 months
DETERMINE the management of a patient with shoulder overuse to include: rotator cuff
tear?
-NSAIDs
-ice
-light duty
-exercise/physical therapy
-ortho consult if failed tx after 3-6 months
DETERMINE the management of a patient with biceps tendon injury?
-NSAIDs
-ice
-LLD
-physical therapy
-if rupture is suspected then ortho consult
DETERMINE the management of a patient with shoulder dislocation and instability?
-reduce acute dislocations stimson technique/longitudal traction
-immobilize in a sling
-light duty 2-3 weeks
-physical therapy
-ortho consult
DETERMINE the management of a patient with a labrum tear and SLAP lesion?
-rest & rehab
-NSAIDs
-exercises
