Shoulder C+P
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
