Shoulder Injuries

Question 1

Humeral Fracture

Answer 1

• unable to move arm
• pain
• felt or heard a pop

Question 2

Treatment for Humeral Fracture

Answer 2

• splint

- check distal pulse

Question 3

AC Sprain/ Separation & Mechanism

Answer 3

• impact to the top of shoulder/ lateral tip of shoulder
• falling on oustretched arm
• Bone pop upward/ superiorly

Question 4

Rotator Cuff Strain/ Mechanism

Answer 4

• excessive motion beyond the normal range
• repetitive overhead movements
• unable to abduct or externally rotate

Question 5

GH dislocation (glenohumeral jt.) Mechanism

Answer 5

• excessive arm abduction with external rotation w/ anterior and inferior displacement

Question 6

GH dislocation ( glenohumeral jt.)

Answer 6

• flattened deltoid with severe pain/ disablilty

- complete disruption of joint

Question 7

SC Sprain/ Separation (Sternoclavicular) / Mechanism

Answer 7

• falling on lateral side of shoulder
• hit in the sternum with violent force
• can be life-threatening if bone dislocates posteriorly

Question 8

Avulsion Fracture/ Mechanism

Answer 8

• Tearing of a piece of bone off w/ ligament
• Most common at the head of humerus
• Immpossible to detect w/out x-ray

Question 9

Labral Tear/ Mechanism

Answer 9

• can occur from glenohumeral dislocation
• repetitive movements where arm is pushed posteriorly
• pain deep in the shoulder
• popping/ clicking

Question 10

Brachial Plexus Stretch/ Mechanism

Answer 10

• sudden movement where head of humerus is forced into a laterally bent position/ shoulder is pushed into opposite direction
• pain, numbness, tingling, burning sensation

Question 11

Clavicle Fracture/ Mechanism/ Treatment

Answer 11

• direct blow to tip of shoulder
• fall on an outstretched arm
• hold arm and tilt head toward affected side/ chin turned to opposite side
• visible or palpable piano key/ step off
• treatment may be surgical or not

Question 12

GH Sublaxation/ Mechanism (glenohumeral jt.)

Answer 12

• excessive arm abduction with external rotation w/ anterior and inferior displacement.
• flattened deltoid w/ severe pain and disability
• partial disruption of joint

Question 13

Biceps Rupture/ Mechanism/ treatment

Answer 13

• direct blow or severe contractive forces
• unable to flex arm
• lump under skin ( looks like golf ball)
• treatment includes immobilization and surgical repair

Question 14

Impingement/ Mechanism

Answer 14

• repetitive overhead movements
• space beneath acromion decreases because of swelling
• tendons and nerves under acromion become irritated
• numbness/ tingling fingers

Question 15

Epiphysis Fracture

Answer 15

• Break to the growth plate ( young athlete)

- May cause permanent growth impairment

Question 16

Bicipital Tendonitis/ Mechanism/ Treatment

Answer 16

• Repetitive movement
• Irritation of tendon in groove
• Treatment: no activity/ rehab to decrease inflammation and strengthem tissue