Shoulder/Humeral Flashcards
what is the clinical significance of a humeral fracture
radial nerve damage
what is the common cause of humeral fracture
- FOOSH
- Fall lat. onto an adducted limb
what should be examined in any type of fracture
- soft tissue injury
- open/close fracture
- neovascular (CRT, sensation, ROM pulses)
X-ray views for humeral fracture
AP/Lat.
Humeral fracture Mx
- conservative: Reduce, Restrict, Rehab
healing timeframe for uncomplicated humeral fracture
8-12 weeks
Define shoulder dislocation
head of the humerus comes entirely out of the socket (glenoid cavity of the scapula)
what is a partial shoulder dislocation called
subluxation
what is the most common type of shoulder dislocation
anterior dislocation
clinical significance of a shoulder dislocation
Axillary nerve damage
what are the signs of axillary nerve damage
- loss of sensation (regimental badge)
axillary nerve roots
C5/C6
shoulder dislocation clinical presentations
- painful shoulder
- acutely reduced mobility
- instability
shoulder dislocation signs
- asymmetry with other shoulder
- flattened deltoid
- anterior bulge
shoulder dislocation Mx
- analgesia / entonox
- 3Rs: Reduction, Restriction, Rehab
shoulder dislocation Ix
X-rays AP/Y-scapular, and/or axial views
to exclude fracture
radial nerve damage sign
wrist drop
