Shoulder.docVIP

AH 323 Shoulder Injuries Laboratory History Primary complaint Previous injuries Mechanism Treatments Surgeries Procedures Rehabilitations Mechanism of injury Direct blow Contusion, Fracture Clavicle Acromion Scapula Humerus Sprain, Subluxation, Dislocation Glenohumeral joint Acromioclavicular joint Sternoclavicular joint Bursitis Subacromial (subdeltoid bursa) Neural Damage Axillary Nerve - blow to anterior shoulder, anterior G-H dislocation Spinal Accessory Nerve - anterior blow to trapezius Musculocutaneous Nerve - anterior medial blow to arm, anterior G-H dislocation Suprascapular Nerve - blow to base of neck Overstretch Shoulder flexion with elbow extension Anterior, inferior capsular ligament sprain Pectoralis major, teres major, latissimus dorsi strain Shoulder flexion with elbow flexion Triceps long head strain Shoulder extension with elbow extension Biceps tendon, anterior deltoid, coracobrachialis strain Anterior capsular coracohumeral ligament sprain Shoulder abduction Pectoralis major, teres major, latissimus dorsi strain Inferior G-H sprain, possible dislocation Shoulder horizontal adduction Posterior deltoid, infraspinatus, teres minor strain Posterior capsule sprain Shoulder horizontal abduction Pectoralis major, anterior deltoid strain Anterior capsular glenohumeral ligament sprain Scapular depression or adduction with cervical lateral flexion to contralateral side Neuropraxia - momentary to a few hours Axonotmesis - 3 to 4 weeks Neurotmesis - several months to possibly permanent Shoulder internal rotation Posterior deltoid, infraspinatus, teres minor strain Posterior capsule sprain Shoulder external rotation Pectoralis major, subscapularis, teres major, latissimus dorsi strain Anterior capsular anterior to inferior glenohumeral ligament sprain Shoulder abduction and external rotation Anterior capsular anterior to inferior glenohumeral ligament sprain Anterior or anteroinferior G-H subluxation/dislocation Glenoid labral avulsion or detachment Exc