Athletic Training

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Author:
wssokol
ID:
144562
Filename:
Athletic Training
Updated:
2012-03-29 03:28:57
Tags:
Shoulder
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Description:
Exam 3
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  1. Bones of shoulder
    • clavicle
    • scapula
    • humerous
  2. Joints of shoulder
    • sternoclavicular
    • acromioclavicular
    • glenohumeral
    • scapulothoracic
  3. Rotator cuff muscles (SITS)
    • Subscapularis
    • Infraspinatus
    • Teres minor
    • Supraspinatus
  4. Shoulder bursa
    • subacromial is most important
    • easily traumatized when humerous is in overhead position compressing bursa
  5. Clavicular fracture
    • fall on outstretched arm, fall on tip of shoulder, direct impact
    • athlete supports arm & tilts head toward that side, chin turned opposite side
    • swelling, point tenderness, mild deformity
    • sling, treat for shock, immobilize 6-8 weeks
  6. Acromioclavicular sprain
    • direct impact to top of shoulder, push acromion process downward or by upward force
    • point tenderness, discomfort
    • cold, pressure, stabilize with sling, protective padding
  7. Glenohumeral joint sprain
    • arm forced into abduction (tackling in football), external rotation of arm, direct blow
    • pain during movement, decrease ROM, pain during palpation
    • ice pack, compression,
  8. Anterior/Inferior Glenohumeral dislocation
    • direct impact to the posterior or posterlateral aspect of shoulder
    • flattened deltoid contour, unable to touch opposite shoulder, moderate pain and disability
  9. Posterior glenohumeral dislocation
    • forced adduction & internal rotation of shoulder or fall on extended arm
    • severe pain & disability, arm held in adduction and internal rotation, limited external rotation and elevation
    • immediate immobilization, physician, x-ray, cold packs
  10. Shoulder Impingement Syndrome
    • involves mechanical compression of supraspinatus tendon, subacromial bursa
    • caused by decrease in space under coracoacromial arch, repetitive trauma & compression
    • diffuse pain around acromion, palpation increases pain, overhead activities increase pain, 4 stages based on age
    • normal biomechanics, ice, RICE, electrical stimulation
  11. Shoulder bursitis
    • trauma or from overuse, direct impact, fall on top of shoulder
    • most affected is subacromial bursa
    • pain when movement, tenderness when palpation
    • cold, ultrasound, NSAIDS
  12. Contusion of upper arm
    • frequent in contact sport, most common on lateral aspect
    • pain can be disabling cause radial nerve irritation produces transitory paralysis
    • RICE
  13. Biceps Brachii Ruptures
    • performing powerful concentric or eccentric contraction of muscle
    • athlete hears snap & sudden intense pain, bulge, weakness in flexion and supination
    • coldpack, sling, physician for surgery
  14. Thoracic Outlet Compression Syndrome
    • compression of brachial plexus, subclavian artery, subclavian vein in neck & shoulder
    • abnormal pressure on subclavian artery, produces numbness & pain, sensation of cold, weakness, atrophy
    • conservative approach, rest correct anatomical condition responsible for condition
  15. Throwing dynamics
    • throwing is unilateral action that subjects arm to repetitive stresses of great intensity
    • power muscle groups first then progress to least powerful

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