Shoulder C+P

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Biceps tendinitis can cause the tendon to have crepitus, which means

/ or crunching

Bursitis treatment

Anti-inflammatory drugs such as Ibprofen • Steroid injection if Really bad

1st degree

Pain with no loss of rom

Another name for acromioclavicular ligament sprain is

shoulder separation

glenohumeral joint

the ball and socket joint area It vulnerable from abductionAnd external rotation and can be dislocated and subluxated

acromioclavicular

the joint where the clavicle and the scapula articulate

It is possible to dislocated shoulder on purpose

• Double jointed • If a person dislocated their shoulder multiple time it can cause nerve, ligament, and tendon damage

The shoulder joint consists of these 3 bones

• Humerus • Clavicle • Scapula

Subluxations of Shoulder

• If an athlete experiences subluxation several times, it can cause permanent nerve damage and injury to blood vessels and cartilage.

•Shoulder girdle • Scapula

• Shoulder blade

•Muscles• Rotator cuff

• Supraspinatus• Infraspinatus • Teres minor • Subscapularis • Deltoid • Biceps • Triceps

What might a physician do for a 3rd degree tear of the AC joint?

• harness or surgery • If the bones of the AC joint are forced apart you will have ligament damage

A general sign of a 3rd degree AC sprain is

• large abnormal bump on shoulder

Impingement syndrome develops from

• repetitive overhead movements • Treatment- Stop aggravating overhead movements

Shoulder Anatomy

•Ball-and-socket joint •Much mobility but little stability •Humeral head in the glenoid fossaShoulder Anatomy

Biceps Tendonitis and Rupture

•Common with racket sports and repetitive motion •Tendon may feel like it has crepitus (or crunching) •Tendon may rupture with excessive force or contraction •If ruptured, athlete cannot flex the elbow and has bulge in arm where muscle retracts

Thoracic Outlet Syndrome

•First rib and clavicle area is narrowed •Neurovascular structures are compressed •Hand and arm numbness and discoloration •Refer to MD for complete work-up

Dislocation of Shoulder

•When the humeral head comes out of the socket

rotator cuff tear occur with

The tendons of the shoulder

Which statement is TRUE of shoulder stress when throwing a curveball?

a. It increases the risk of shoulder pain.

Which motion creates a vulnerable position for shoulder subluxations?

a. abduction b. external rotation

A shoulder separation refers to which of these injuries?

a. acromioclavicular sprain

The most common direction for a shoulder dislocation is

a. anterior, or forward

The glenoid labrum provides increased _____________ to the shoulder socket.

a. depth b. stability

Which injury typically requires a figure 8 harness brace?

a. fractured clavicle

Which bone of the shoulder houses the glenoid fossa?

a. humerus

Which is not a bursa in the shoulder?

a. substernal

Shoulder impingement occurs most frequently with

a. swimming

Which of these is common in athletes with rounded shoulders?

a. tight pectoral muscles b. weak posterior shoulder muscles

Which type of injury occurs when the ligaments around the shoulder are so stretched that the shoulder pops out and pops back in spontaneously?

b. subluxation

Which muscle of the rotator cuff is the internal rotator?

b. subscapularis

muscles that cause impingement syndrome

biceps and supraspinatus

Which of these statements is NOT true of humeral fractures?

c. They heal without treatment.

The most common mechanism for shoulder dislocations is

c. abduction and external rotation

Which bone of the shoulder connects to the sternum?

c. clavicle

The head of the humerus fits into the ________, which is part of the scapula.

c. glenoid fossa

Which part of the clavicle is weakest and thus is most commonly fractured?

c. medial half

What structures are compressed with impingement syndrome?

c. supraspinatus and biceps

Which of these is not a rotator cuff muscle?

c. teres major

Bursas:

cushions between muscles and bones

Which is NOT a prevention strategy for shoulder injuries?

d. Brace and wrap.

Which is the anterior muscle of the chest wall that helps with shoulder motion?

d. pectoralis minor

Which sport does NOT use shoulder padding?

d. soccer

Clavicular fractures:

distal 1/3 most vulnerable

palpates

examine by touch to determine pain level

3rd degree

pain and loss of rom,Will need surgery 3rd degree

2nd degree

pain with some loss of rom

•Shoulder girdle• Clavicle

Collarbone

Impingement Syndrome

Repetitive, overhead motion

Treatment for a complete tear in the rotator cuff

Surgery

Rotator Cuff Strain

Usually pain with abduction

Impingement syndrome is often caused by

b. repetitive overhead activity

Shoulder Pads

will reduce shoulder injuries in contact sports

ball and socket Joint

• Shoulder • Hip

Preventing Shoulder Injuries

•Muscle weakness •Postural problems •Nature of the sport

Sport Specific Issues

•Swimmers and throwers are vulnerable•

Tendonitis is:

An Inflamed tendon

The bicep muscle is connected

At the top of the Humerus

Bursitis

Inflammation of a lubrication sack call bursae. Located by Joints

Strains of the rotator cuff most often occur

from excessive motion beyond normal range

Humeral fractures

midshaft

deltoid

muscle lies over the entire shoulder area

Ligaments

• Acromioclavicular • Acromion on scapula • Distal clavicle

most common place for a clavicle fracture is

• At the distal end • May have to use a harness

•Shoulder girdle• Humerus

• Bicipital groove at top

Symptoms of a dislocation of the shoulder

• pain • deformity of deltoid muscle • flat shoulder

Shoulder injuries are often caused by

• posture problems •overuse muscle • weakness

When do you use the PRICE / RICE

•strains •sprains •muscle tears

When a a bicep tendon ruptures

•the athlete may not be able to flex elbow • the tendon looks like golf ball under skin •it may need to be surgically repaired

Subluxation

When the shoulder joint moves out of socket, then back in


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