Shoulder Upper Arm Injuries Mechanism Signs Symptom and

Shoulder & Upper Arm Injuries Mechanism, Signs & Symptom and Treatment of Sprains, Strains, & Bursitis

Shoulder & Upper Arm Injuries Sprains & Strains p Introduction Think back to the lessons on muscle, ligament & joint injuries. n What is a strain? n What is a sprain? n

Shoulder & Upper Arm Injuries Sprains & Strains p Objectives Students will be able to: n Identify the mechanism, signs & symptoms and appropriate treatment of injuries to the shoulder & upper arm. n

Shoulder & Upper Arm Injuries Sprains & Strains - Terminology p Anti-inflammatory n Medications that reduce inflammation

Shoulder & Upper Arm Injuries Sprains & Strains Sternoclavicular Sprain n SC Sprain p Mechanism: Mechanism n When excessive force is applied to the clavicle p Motor vehicle crash (most) n Fall on outstretched arm or lateral shoulder p

Shoulder & Upper Arm Injuries Sprains & Strains SC sprain p S & S: p 1 st degree: slight pain, some point tenderness p 2 nd degree: subluxation, slight deformity, pain, swelling, pt, limited ROM p 3 rd degree: dislocation, pain, swelling, deformity, limited ROM p

Shoulder & Upper Arm Injuries Sprains & Strains SC sprain p S & S: p A posterior dislocation can be life-threatening n May cause compression of the trachea &/or major blood vessels of the neck p

Shoulder & Upper Arm Injuries Sprains & Strains SC sprain p Treatment (TX): n Ice (RICE) n Anti-inflammatory meds n Immobilize with figure 8 brace/sling n Orthopedic referral p 2 nd/3 rd degree sprains p Dislocations p

Shoulder & Upper Arm Injuries Sprains & Strains Acromioclavicular Sprain n AC Sprain p Mechanism: Mechanism n Fall on top of shoulder n Fall on outstretched arm p

Shoulder & Upper Arm Injuries Sprains & Strains AC sprain p S & S: n Pain at AC joint n pt on AC joint n Pain on active movement n Deformity with 2 nd & 3 rd degree n Drooping shoulder n + Spring test n + Traction test p

Shoulder & Upper Arm Injuries Sprains & Strains AC sprain p Treatment (TX): n Ice (RICE) n Antiinflammatory meds n Sling n Orthopedic referral p 2 nd/3 rd degree sprains p Dislocations p §Protective padding -football

Shoulder & Upper Arm Injuries Sprains & Strains Rotator Cuff Strain n RC Strain p Mechanism: Mechanism n Excessive motion beyond normal range n Overuse p

Shoulder & Upper Arm Injuries Sprains & Strains RC strain p S & S: n Pain on motion n Pain on abduction n Weakness especially on abduction n ROM n May develop popping n Unable to abduct may indicate 3 rd degree strain p

Shoulder & Upper Arm Injuries Sprains & Strains p RC p p Gentle strengthening & flexibility exercise strain Treatment (TX): n Ice (RICE) p 1 st + 2 nd degree n Anti-inflammatory meds n Sling n Orthopedic referral p 3 rd degree strains

Shoulder & Upper Arm Injuries Sprains & Strains p Shoulder n p bursitis Typically subacromial bursa Mechanism n Trauma from overuse or bone structure n May be acute caused by a direct blow to the top of the shoulder

p Shoulder n p bursitis Typically subacromial bursa S&S n Pain with active movement n Most painful at end range, especially PROM n Mild swelling n TTP at acromion process

p Shoulder n p bursitis Typically subacromial bursa Treatment n RICE n Anti-inflammatory meds/treatments n Maintain as much ROM as possible p DO NOT IMMOBILIZE!!!

Shoulder & Upper Arm Injuries Sprains & Strains What’s My Injury? p With a partner, choose an injury from today’s lesson & write a creative scenario including mechanism, signs & symptoms & treatment. Be prepared to share with the class.