Shoulder Injuries

Supporting of arm, head tilted towards injured side with chin turned away, claviclemayappear lower

closed reduction: sling and swathe, figure 8 brace, 6-8 weeks. May require surgery

Direct impact or force, transmitted up through humerus

Pain with movement, swelling, Point tenderness

sling immediately, x-ray, sling for 3 weeks

Direct blow of FOOSH

Pain, swelling. Point tenderness, decrease ROM

Immediately splint, treat for shock and refer. No activity for 3-4 months.

Direct blow, dislocation, FOOSH

Pain, swelling, point tenderness, decrease ROM

Immediately splint, treat for shock and refer. Incapacitation 2-6 months

Direct or indirect blow along long axis of humerus

Pain, swelling, point tenderness, decrease ROM

Immediately splint, treat for shock and refer. Quick healing-3 weeks

Indirect force. Blunt trauma: may cause displacement

1: pain, slight disability. 2: pain, subluxation w/ deformity. 3: gross deformity, life threatening if dislocates posteriorly

Reduction if necessary, immobilize for 3-5 weeks, RICE

Result of direct blow: any direction, upward force from humerus. Graded from 1-6 depending on severity

Forced abduction and/or external rotation, direct blow

pain with movement, especially when re-creating MOI, decreased ROM and pain with palpation, sulcus sign

sling. Passive and active exercise to regain full ROM. Full ROM w/out pain, resistance exercises. aware of chronic conditions

anterior: forced abduction, external rotation. Posterior: adduction, internal rotation. falling on extended and internally rotated shoulder

reduction by physician, immobilize 3 weeks, isometrics in sling, resistance exercise, protective bracing

traumatic, atraumatic, microtraumatic, congenital, neuromuscular, increase laxity.

clicking or pain, dead arm during cocking phase, pain posteriorly, possible impingement, apprehension test

possible impingement, loss of internal rotation, crepitation, increase laxity, pain anteriorly and posteriorly

Inferior lazity, sulcus sign, pain and clicking with arm at side, possible SS of anterior and posterior instability

strengthening: rotator cuff and scapula stabilizers. Avoid joint mobilizations and flexibility exercises. limit motion. surgery

over head, repetitive activities, exacerbating factors, laxity, inflammation. Postural: kyphotic posture, rounded shoulders

Diffuse pain, pain on palpation: subacromial. impingement test, empty can test, increased external rotation, decreased internal rotation

Electric stim, ultrasound, modify activity, restore biomechanics, strengthen: rotator cuff, scapula and trunk. joint mobilizations

repetitive use, overhead athletes, increase rick of injury

Scapular malposition, Inferior medial scapular winging, Coracoid tenderness, Kinesis abnormalities of the scapula