Shoulder Flashcards
Name the ligaments at the shoulder
Acromioclavicular ligament
Trapezoid ligament
Conoid ligament
Coracoacromial ligament
What is the most commonly fx bone in childhood
Clavicle
How do clavicular fractures happen?
FOOSH: Fall on outstretched hand
What is the clinical presentation of a fractured clavicle?
- Guarded shoulder motions
- Difficulty elevating arm beyond 60 deg
- Grinding sensation
- Deformity or bump over the break
- Tenderness to palpation or percussion
- Bruising, swellnig
What are potential complications of fractures
Pneumothorax
Brachial plexus injury
Subclavian vessel injury
What is a Type I Clavicular fracture
Lateral segment fx w/ Intact coraco-clavicular ligament complex holds the fragments in place so surgery is not required
What is a Type II Clavicular fracture
Requires surgery as the proximal clavicular section is displaced due to lack of ligamentous attachment
What are the outcomes for non-displaced clavicle fx
Good if on lateral end of clavicle as they have high rate of union and functional outcomes
What to do first 0-3 weeks PT for clavicular fx
- *GOOD IMMOBILIZATION
- 6 30 min session per day
- Elbow AROM and hand pumping (2-3 weeks)
- Desensitize skin around scar
What to do 3-6 weeks PT for clavicular fx
- AROM pain free range
- scapular STM and joint mobs
- Strengthening
- Fitness
- REST
What to do 6-8 weeks and beyond PT for clavicular fx
- OH exercise for ROM after evidence of fx union
- Resistance training progressing w/caution to comfort and tolerance of Pt
What are potential surgical complications of clavicular fracture
- Infection
- Numbness
- Malunion
- Non-union
- Implant failure
