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EPHE 344 Athletic and Care Prevention > Shoulder > Flashcards

Shoulder Flashcards

1
Q

shoulder dislocations account for ___% of dislocations

A

50%

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2
Q

subacromial bursa

A
  • lies in space under acromion
  • cushions rotator cuff mm from acromion
  • compressed during overhead arm action
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3
Q

common acute shoulder injuries

A
  • fractures (clavicular, humeral)
  • sprains (SC, AC, GH)
  • strains (deltoid, biceps, triceps)
  • ruptures (biceps)
  • GH dislocations/subluxations
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4
Q

chronic common shoulder injuries

A
  • rotator cuff impingement syndrome
  • subacromial bursitis
  • bicipital tendonitis
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5
Q

etiology - clavicular fracture

A
  • FOOSH
  • fall on tip of shoulder or direct impact
  • occur primarily in mid-third
  • greenstick #
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6
Q

S&S clavicular #

A
  • generally presents with supporting of arm, head tilted towards injured side w/ chin turned away
  • may appear lower
  • palpation may reveal SHARP &/or deformity
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7
Q

fractures - clavicular - management

A
  • treat for shock
  • sling and swath
  • transport to hospital
  • will likely be braced 6-8 weeks
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8
Q

humeral fracture

  • etiology
  • S&S
  • management
A

etiology: direct blow or FOOSH; proximal # may also be associated with dislocation

S&S: SHARP; neurovascular changes; may be mistaken for a contusion or dislocation

management: treat for shock, splint & sling prior to transport

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9
Q

acromioclavicuar sprain

  • etiology
  • S&S
  • management
A

etiology: FOOSH, direct impact/falling on point of shoulder
- graded 1-6 depending on severity

S&S
- mild to severe pain, swelling, altered ROM, adduction/abduction; step deformity

management

  • ice, stablization, and referral
  • aggressive rehab is required with all grades
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10
Q

GH sprain

  • etiology
  • S&S
  • management
A

etiology: forced abduction and/or external rotation or a direct blow

S&S; pain during movement, especially when recreating MOI, decreased ROM and pain w/ palpation

management 
RICE for 24-48 hours
- sling 
- important to regain full ROM -> STR 
- must be aware of potential development of chronic conditions; (contractures, adhesions)
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11
Q

acute subluxation & dislocation etiology

A
  • anterior dislocation associated with anterior force; forced abduction and ER
  • additional structural damage
  • may dislocate posteriorly or inferiorly (posterior accounts for 1-4%, inferior very rare)
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12
Q

S&S acute subluxation & dislocation

A

anteroinferior - flattened deltoid, head in axilla; arm carried in slight abduction and ER; moderate pain and disability
- posterior - severe pain and arm held in adduction and IR

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13
Q

management of acute subluxation and dislocation

A
  • RICE
  • reduction by a physician; immobilization sling and swathe
  • perform isometrics while in sling
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14
Q

sprain - glenohumeral etiology

A
  • forced abduction and/or external rotation or a direct blow
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15
Q

S&S GH sprain

A
  • pain during movement; especially when recreating MOI

- decreased ROM and pain w/ palpation

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16
Q

GH sprain - management

A
  • RICE 24-48 hours
  • sling
  • important to regain full ROM -> STR
  • must be aware of potential development of chronic conditions (eg., contractures, adhesions)
17
Q

shoulder impingement/subacromial bursitis

  • etiology
  • S&S
  • management
A

etiology: mechanical compression; bursal or tendinous inflammation; contributing factors include joint laxity, postural malalignments, and repetitive overhead motions

S&S
diffuse pain around acromion; pain with OH activities; progresses in stages over time

management
active rest; correct biomechanics

18
Q

bicipital tenosynovitis or tendinopathy - etiology

A
  • repetitive overhead, ballistic activity that irritate the tendon & sheath; improper mechanics; impingement
19
Q

S&S bicipital tenosynovitis or tendinopathy

A
  • tenderness over bicipital groove, swelling, crepitus d/t inflammation
  • pain when performing overhead activities
20
Q

management - bicipital tenosynovitis or tendinopathy

A
  • control inflammation followed by gradual program of strengthening and stretching
21
Q

biceps brachii rupture

  • etiology
  • S&S
  • management
A

etiology; results of powerful contraction; typically near mm origin

S&S
- pt hears a resounding snap; sudden and intense pain; deformity; weakness w/ elbow flexion and supination

management
- ice, sling, refer to physician

EPHE 344 Athletic and Care Prevention (17 decks)

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