INJURIES TO THE SHOULDER

• INJURIES TO THE SHOULDER ARE COMMON IN MANY SPORTS AND IN SOME CASES ARE HIGHLY SPORT SPECIFIC

• WE WILL TOUCH ON THREE MAIN INJURIES TO THE SHOULDER

• FRACTURED CLAVICLE• SHOULDER DISLOCATION• TORN ROTATOR CUFF

FRACTURED CLAVICLE

• THE MOST COMMON FRACTURE OF THE SHOULDER REGION IS THE FRACTURED CLAVICLE

• RESULT FROM DIRECT BLOWS OR FALLS THAT TRANSMIT THE FORCE TO THE CLAVICLE THROUGH THE ARM OR SHOULDER

• MOST FRACTURES OCCUR MID SHAFT

FRACTURED CLAVICLE

• SIGNS AND SYMPTOMS:• Swelling and deformity of the clavicle• Discoloration at the site of injury• Possible broken end projecting through the skin• Athlete heard a “snap” or “pop”• Athlete holds arm on affected side to relieve

pressure on the shoulder girdle

TREATMENT FORFRACTURED CLAVICLE

• Treat for possible shock• Call 911• Carefully apply a sling-and-swathe bandage.• Apply sterile dressing to any related wounds• Get to medical facility as soon as possible

SHOULDER DISLOCATION

• SIGNS AND SYMPTOMS:• Deformity of the shoulder joint. The normal

contour of the shoulder is lost and it appears to SLOPE DOWNWARD

• The arm of the affected side appears to be longer• The athlete will support arm of affected side with

opposite arm• The athlete will resist all efforts to move shoulder• Extreme pain

SHOULDER DISLOCATIONTREATMENT

• Immediately apply PRICE• If extreme call 911• Put a rolled towel under arm, Place a bag of

crushed ice ion front and back of shoulder joint and secure with an elastic wrap tied in a figure 8.

• Immediately refer athlete to medical facility• Treat for shock• Sling-and-swathe

ROTATOR CUFF

• The muscles of that make up the ROTATOR CUFF serve a variety of purposes.

• STABILIZATION OF THE HEAD OF THE HUMERUS

• ABDUCT THE SHOULDER JOINT• INTERNALLY AND EXTERNALLY ROTATE

SHOULDER JOINT• Ex: Throwing involves cocking, acceleration

release, follow-through and deceleration.

ROTATOR CUFF• SIGNS AND SYMPTOMS:• Pain within the shoulder, especially during follow-

through phase of throw or swing• Difficulty bringing arm up and back during

throwing or swinging• Pain and stiffness in shoulder region within 12-24

hours after competition• Point tender around region of the humeral head• Rotator cuff injuries can mimic tendinitis and

bursitis

ROTATOR CUFFTREATMENT

• Overuse injuries are difficult to treat effectively without a thorough medical evaluation. When symptoms occur, PRICE.

• The injury will often occur and reoccur over the course of many weeks and months. In this case, the athlete should be more closely evaluated.

FRACTURED HUMERUS• In most cases, a fractured humerus results from

contact sport situations or high speed falls such as cycling or speed-skating

• Also sports that involve collisions.

• ROLLER DERBY!

FRACTURED HUMERUS• SIGNS AND SYMPTOMS:• Severe pain in upper arm with history of trauma• Deformity may be present and visible• Loss of function or unwillingness to move arm• Muscle spasm• Athlete may have heard a “snap” or “pop”• If radial nerve is involved, there may be loss of

sensation in forearm• If stress fracture, pain may not be associated with a

traumatic event

FRACTURED HUMERUSTREATMENT

• Immediately apply PRICE• Splint the upper arm • Treat for shock• Seek medical attention immediately• Apply sling and swathe

FRACTURED RADIUSAND ULNA

• SIGNS AND SYMPTOMS:• The athlete will have heard a snap or pop• Pain is generally severe• Loss of sensation may be noted in either the

hand or fingers

TREATMENT FOR FRACTURED RADIUS

AND ULNA• PRICE and Splint• Call 911• Make sure the fingertips are exposed to monitor

blood flow• Treat athlete for shock• Seek immediate medical attention

FRACTURED WRIST

• SIGNS AND SYMPTOMS:• A recent history of trauma, SNAP or POP• Pain in the wrist aggravated by movement• Simply test by pressing lightly the region at the

base of the thumb. If pain here it’s a good chance it’s a fractured wrist.

• Athlete may state that wrist feels locked in a certain position. Displaced fracture

FRACTURED WRIST TREATMENT

• PRICE AND SPLINT• SLING AND SWATHE• LEAVE FINGERTIPS EXPOSED TO MONITOR

BLOOD FLOW