Acute Traumatic Shoulder Injuries: Difference between revisions
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##-PE: pt holds arm close to body with unaffected hand
##-PE: pt holds arm close to body with unaffected hand
##Rx:  F/U ortho
##Rx:  F/U ortho
#Rotator Cuff
#[[Rotator Cuff Injury]]
##Injury: 90% chronic arms overhead
##Diag:
###result of extreme overuse in young adults (e.g. pitchers) or minor trauma in older adults
###sudden "pop" while lifting overhead
###lateral pain
###worse at night
###abduct arm pain after 20deg
###relief of pain w/ lido inject
###(pain free weakness = full tear)
##PE: -loss of active BUT NOT passive ROM (due to pain)
###-positive impingement signs
###-weakness with drop arm test
##Rx:  Acute --> sling, PT,  ortho f/u
###Chronic --> PT, ortho
###Next: MRI, surgery for younger pts with big tear, rehab
###PT:  arm dangle at side, circle 5-10wt
#[[Biceps Tendon Rupture]]
#[[Biceps Tendon Rupture]]


Revision as of 04:14, 27 October 2011

X-ray Positive

  1. Shoulder Dislocation
  2. Fracture
    1. Clavicle Fracture
    2. Humerus Shaft Fracture
    3. Scapular Fracture
  3. AC Injury

X-ray Negativie

  1. AC Injury, Type 1
  2. Glenohumeral Instability
    1. -subluxation (separation) or dislocation (now reduced)
    2. -PE: pt holds arm close to body with unaffected hand
    3. Rx: F/U ortho
  3. Rotator Cuff Injury
  4. Biceps Tendon Rupture

See Also

Source

8/07 DONALDSON (adapted from Miller, Mistry)

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