Class Notes (806,741)
Canada (492,424)
PEDS240 (37)
Brad Kern (36)

March 20 - shoulder.doc

9 Pages
Unlock Document

University of Alberta
Physical Education and Sport
Brad Kern

Know major muscles and the origins, actions and insertions If you palpate this structure, and theres tenderness, what happened? A varus foot will lead to a valgus knee. March 25 – Ch18 Shoulder Apprehension test is used to test for shoulder dislocation and we are assessing the integrity of the anterior joint capsule in the shoulder. There will be a feeling of the joint slipping. Test for Shoulder Impingement • In neers test, we internally rotate the arm then full shoulder flexion. It will test for biceps and supraspinatus impingement • Hawkins-Kennedy test is a passive test and can help us tell supraspinatus muscle injury. Test for Supraspinatus Weakness Empty Can Test • 90 degrees of shoulder flexion, internal rotation and 30 degrees of horizontal adduction • Downward pressure is applied • Weakness and pain are bilaterally assessed Test for SC Stability • Grab the clavicle and move it around anteriorly, posteriorly, superiorly and inferiorly Recognition and Management of Specific Injuries Clavicular Fractures Cause of Clavicular Fractures • Fall on outstretched arm, fall on tip of shoulder or direct impact • Clavicle is one of the most frequently fractured bones in the body • Occur primarily in middle third (greenstick fracture often occurs in young athletes) Signs of a Clavicular Fracture • Presents with supporting of arm, head tilted towards injured side with chin turned away • Clavicle may appear lower • Palpation reveals pain, swelling, deformity and point tenderness • We may see tentpole deformity or step deformity. Caring for a Clavicular Fracture • Closed reduction – sling and swathe, immobilize with figure 8 brace for 6-8 weeks • Removal of brace should be followed with joint mobes, isometrics and use of a sling for 3-4 weeks • Occasionally requires operative management Fractures of the Humerus Causes of a Fractured Humerus • Shaft fractures occur as a result of a direct blow, or fall on outstretched arm • Proximal fractures occur due to direct blow, discoloration, fall on outstretched arm Signs of a Fractured Humerus • Pain, swelling, point tenderness, decreased ROM • X-ray is positive for fracture Caring for a Fractured Humerus • Immediate application of splint, treat for shock and refer • Athlete will be out of competition for 2-6 months depending on location and severity of injury Sternoclavicular Sprain Cause of a Sternoclavicular Sprain • Indirect force, blunt trauma Signs of a Sternoclavicular Sprain • Grade 1 – pain and slight disability • Grade 2 – pain, sublaxation with deformity, swelling and point tenderness and decreased ROM • Grade 3 – gross deformity (dislocation), pain, swelling, decreased ROM (possibly life-threatening if dislocates posteriorly) this is called retrosternal displacement Caring for a Sternclavicular Sprain • PRICE, immobilization • Immobilize for 3-5 weeks followed by graded reconditioning Acromioclavicular Sprain Cause of acromioclavicular sprains • Result of direct blow (from any direction), upward force from humerus, fall on outstretched arm Signs of an Acromioclavicular Sprain • Grade 1 – point tenderness and pain with movement; no disruption of AC joint • Grade 2 – tear or rupture of AC ligament, partial displacement of lateral end of clavicle; pain, point tenderness and decreased ROM (abduction/adduction) • Grade 3 – rupture of AC and CC ligaments with dislocation of clavicle; gross deformity, pain, loss of function and instability Caring for a Acromioclavicular Sprain • Ice, stabilization, referral to physician • Grade 1-3 (non operative) will require 3-4 days (grade 1 ) and 2 weeks of immobilization (grade 3) respectively • Aggressive rehab is required with all grades • Joint mobilizations, flexibility exercises, and strengthening should occur immediately • Progress as athletes is able to tolerate without pain and swelling • Padding and protection may be required until pain-free ROM Glenohumeral Dislocations Cause of a Glenohumeral Dislocation • Head of humerus is forced out of the joint • The most common dislocation, which is an Anterior dislocation is the result of an anterior force on the shoulder, forced abduction, extension and external rotation. It will dislocate anteriorly and inferiorly to the cor
More Less

Related notes for PEDS240

Log In


Don't have an account?

Join OneClass

Access over 10 million pages of study
documents for 1.3 million courses.

Sign up

Join to view


By registering, I agree to the Terms and Privacy Policies
Already have an account?
Just a few more details

So we can recommend you notes for your school.

Reset Password

Please enter below the email address you registered with and we will send you a link to reset your password.

Add your courses

Get notes from the top students in your class.