KINE 318 Lecture 3: **(3-5) INJURIES TO THE SHOULDER GIRDLE

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Moi: anteriorly directed force/direct blow; falling on outstretched arm: displacement usually upward& anterior. S/s: grade i: pain; point tenderness; pain w abduction& bringing arm across chest. Grade ii: visible deformity; pain; point tenderness; pain w abduction& bringing arm across the chest (horizontal adduction) Grade iii: gross deformity; pain; point tenderness; swelling; disability. Tx: relatively rare injury w the displacement usually being upward& anterior. If you have a posterior displacement, there are concerns w vascular/respiratory impairment. Grade iii: rupture both ac& cc ligaments; gross deformity. Moi: direct blow to tip of shoulder; falling on an outstretched arm causing upward force along long axis of humerus. S/s: grade i: mild stretch of ac ligament; pain; point tenderness; swelling; discomfort during movement; no joint deformity. Grade ii: rupture of superior/inferior ac ligaments& stretch of cc ligaments; pain; point tenderness; swelling; some deformity; pain w abduction& horizontal w prominence of outer clavicular head; pain; point tenderness; loss of movement; instability.

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