The Shoulder Complex Flashcards

1
Q

Prevention of Shoulder Injuries

A
  • strengthening
  • warm-up
  • protective equipment
  • learn how to fall
  • mechanic
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2
Q

Clavicle Fracture

A
  • FOOSH
  • occurs in the middle third of the bone
  • supporting of the arm
  • clavicle might appear lower than other side
  • pain, swelling, deformity
  • closed reduction
  • surgical
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3
Q

Clavicle Fracture

A
  • FOOSH
  • occurs in the middle third of the bone
  • supporting of the arm
  • clavicle might appear lower than other side
  • pain, swelling, deformity
  • closed reduction
  • surgical
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4
Q

Scapular Fractures

A
  • direct impact or force
  • pain during shoulder movement, swelling, pt. tenderness
  • sling immediately and send for x-ray
  • sling for 3 weeks
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5
Q

Fractures of the Humerus

A
  • humeral shaft: direct blow, FOOSH
  • Proximal: direct blow, dislocation, FOOSH
  • Epiphyseal: more common in young athletes
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6
Q

Management of Humeral fracture

A
  • splint, treat for shock, refer
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7
Q

Sternoclavicular Sprain

A
  • blunt trauma
  • Grade 1, 2, 3
  • life threatening if dislocates posteriorly
  • RICE
  • immobilize for 3-5 weeks
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8
Q

Sternoclavicular Sprain

A
  • blunt trauma
  • Grade 1, 2, 3
  • life threatening if dislocates posteriorly
  • RICE
  • immobilize for 3-5 weeks
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9
Q

AC Sprain

A
  • direct blow, upward force of humerus
  • graded from 1-6
  • grade 6 has loss of AC and CC ligaments, tearing of deltoid, trapezius
  • RICE
  • grades 4-6 will require surgery
  • rehab
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10
Q

AC Sprain

A
  • direct blow, upward force of humerus
  • graded from 1-6
  • grade 6 has loss of AC and CC ligaments, tearing of deltoid, trapezius
  • RICE
  • grades 4-6 will require surgery
  • rehab
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11
Q

Acute Subluxations and Dislocations

A
  • excessive translation of humeral head without complete separation form joint
  • anterior and posterior dislocations
  • in the armpit
  • RICE
  • immobilize for 3 weeks
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12
Q

Complications from Shoulder Dislocation

A
  • bankart lesion
  • hill sachs lesion
  • SLAP lesion
    etc
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13
Q

Complications from Shoulder Dislocation

A
  • bankart lesion
  • hill sachs lesion
  • SLAP lesion
    etc
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14
Q

Biceps Brachii rupture

A
  • powerful contraction
  • loud snap
  • protruding bulge near middle of biceps
  • ice, refer
  • surgery if younger
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15
Q

Chronic Recurrent Instabilities

A
  • traumatic, congenital

- anterior, posterior, multidirectional

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16
Q

Chronic recurrent instabilities of the shoulder

A
  • conservative treatment involves extensive strengthening
  • avoid joint mobes
  • harnesses
17
Q

Shoulder Impingement

A
  • compression of supraspinatus tendon, subacromial bursa and long head of biceps tendon
  • diffuse pain
  • throwing motion
18
Q

Rotator Cuff Tear

A
  • occurs near insertion on greater tuberosity
  • NSAIDS
  • surgery
19
Q

Rotator Cuff Tear

A
  • occurs near insertion on greater tuberosity
  • NSAIDS
  • surgery
20
Q

Scapular Dyskinesis

A
  • abnormal movement of the scapula
  • repetitive use
  • affected shoulder is held lower than other shoulder
  • strengthening
  • avoid throwing until it improves
21
Q

Shoulder Bursitis

A
  • chronic inflammatory condition due to trauma or overuse- subarcomial bursa
  • fibrosis
  • cryotherapy and NSAIDs
  • pain with motion
22
Q

Thoracic Outlet Compression

A
  • compression of the brachial plexus
23
Q

Contusion of Upper Arm

A
  • direct blow
  • transitory paralysis
  • RICE for at least 24 hours
  • maintain ROM
24
Q
  • Baseball throw
A
  • windup
  • cocking
  • acceleration
  • deceleration phase
  • follow through