Shoulder Complex Injuries

Question 1

Sternoclavicular Joint Dislocation

Answer 1

SC JOINT DISLOCATION (STERNUM & CLAVICLE)
Anterior=indirect trauma , Posterior=direct trauma
Sign:
1=pain, tender
2=sublux, deformity, swelling, pain
3=complete clavicle displacement

Question 2

Clavicle Fracture

Answer 2

BROKEN/FRACTURED COLLAR BONE
Sign: pain+, tender, selling, dropping outer fragment, loss of function
Care: pain relief, brace 4-6 weeks, move arm below 90deg

Question 3

Acromioclavicular Joint Separation

Answer 3

AC JOINT SEPARATION
Sign:
1= small AC tear, no instability, pain on palpation
2= complete AC tear, small CC tear
3= complete AC/CC tear
4-6= surgical

Question 4

Anterior Shoulder Dislocation

Answer 4

DISLOCATED TO FRONT

Sign: arm externally rotated/abducted, restricted ROM, altered contour, +apprehension test, swelling

Question 5

Inferior Shoulder Dislocation

Answer 5

DISLOCATED DOWN

Sign: arm in excessive abduction, soft tissue injury

Question 6

Posterior Shoulder Dislocation

Answer 6

DISLOCATED TO BACK

Sign: arm in flexion/adduction, possible humeral fractures

Question 7

Born Loose/Subluxing Shoulder

Answer 7

FREQUENT SHOULDER DISLOCATIONS

Sign: joint laxity, frequent subluxations, dead arm

Question 8

Rotator Cuff Strain/Tear (under 25)

Answer 8

SHOULDER MUSCLE/TENDON INJURY (decreased stabilization)

Sign: sudden onset after overhead load, twinge in shoulder, some limited function, +drop arm test

Question 9

Rotator Cuff Strain/Tear (over 40)

Answer 9

SHOULDER MUSCLE/TENDON INJURY

Sign: overhead pain, slow onset, uncomfortable sleep

Question 10

Shoulder Impingement

Answer 10

PINCHED SUPRASPINATUS TENDOn, REDUCED SUB-ACROMIAL SPACE/BURSA
Sign: overhead pain, diffused pain (acromion/deltoid), difficulty sleeping, relief -90deg, +hawkins-kennedy and +neer impingement test
Care: palliate pain, strength scapular stabilizers/RC