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Acute Injuries of the Shoulder
Separated Shoulder
• Def: A sprain of the
acromioclavicular ligament
• MOI: A fall on the outstretched arm
or a blow the the tip of the
shoulder
Anterior View
Posterior View
• S/Sx: Point tenderness over AC joint
- inability or pain with abduction
- in some cases, gross deformity
• Tx: Immobilization with a sling
- ice
- NSAIDS
- if grade II or above, refer to a
doctor
- if grade I protective padding
Clavicular Fracture
• Def: fracture of the clavicle
- break is usually in the middle 1/3
- most commonly broken bone in
the body
• MOI: fall on the outstretched arm
- direct blow to the clavicle
Anterior View
Superior View
• S/Sx: -palpable deformity
- positive percussion test
- point tenderness over fracture site
- decreased range of motion
• Tx: - ice
- immobilization with sling or figure-8
brace
- send to doctor
Dislocated Shoulder
• Def: dislocation of the glenohumeral
joint
- most commonly occurs in the
anterior & inferior direction
• MOI: torque applied to arm while it is
abducted and externally rotated
Anterior/Lateral View
Anterior View
S/Sx: gross deformity
- athlete will complain that the
shoulder “feels out”
- decreased range of motion
Tx: check for distal pulse & sensation
- if absent or decreased call 911
- if strong, ice & send directly
to a doctor
Complications
• Dislocated shoulders should be
evaluated for fractures, glenoid labral
tears and axillary nerve damage
• Hill-Sachs lesion is an indentation on
the posterial humeral head that can
be observed on x-ray
• If the patient is under 20 the chance
of a recurrent dislocation is 80%-90%
Biceps Rupture
• Def: rupture of the long head of the
biceps
- commonly called “popeye arm”
• MOI: blow or force applied to the
contracted biceps
S/Sx: gross deformity
- decreased range of motion and
strength of biceps
- point tenderness
- complained of hearing a “pop”
Tx: ice and send directly to a doctor