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Comprehensive Case Study: Upper End Humeral Fracture, Acromion Fracture & AC Joint Separation

This case study examines a 16-year-old male varsity football quarterback with a complex combination of injuries, including an upper end humeral fracture, acromion fracture, and AC joint separation. The athlete suffered these injuries after falling directly onto his left elbow during a game, leading to immediate shoulder pain and swelling. Diagnosis was confirmed via X-rays, revealing two closed fractures. Treatment involved immobilization, pain management, and rest, with a focus on avoiding further growth plate complications due to the athlete's age.

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Comprehensive Case Study: Upper End Humeral Fracture, Acromion Fracture & AC Joint Separation

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Presentation Transcript

  1. By: Alayna Morris Case Study: Upper end Humeral Fx, Acromion Fx, & AC Joint Separation

  2. I’m Awesome! Background • 16 year-old male • Varsity Football • Quarterback • Previous injury of growth plate separation in medial epicondyle of right elbow

  3. Mechanism • Athlete fell directly onto L elbow • Reported hearing a “crack” in L shoulder • Immediate pain in ant. and post. shoulder CRACK!

  4. Observation • Walked off field with arm in cradled position • Reported numbness and tingling in digits • Reported radiating pain in arm/digits

  5. Observation con’t • Swelling was apparent below clavicle (lateral aspect) • Tenderness of the • AC Joint, • Acromion process • Deep glenohumeral joint

  6. Special Tests • Bump test to elbow • producing an upward shear was (+) for pain • All other special tests contraindicative because of pain

  7. Differential Diagnosis • Labral tear • AC Joint Sprain • Rotator cuff impingement

  8. Treatment • Ice • Placed in sling • Sent for X-rays

  9. The Results • The x-rays revealed 2 closed fractures • Upper end of humerus • Acromion • AC Joint separation (closed) WOW

  10. X-rays

  11. Treatment post-hospital • Prescribed Vicodin and Acetaminophen • Instructed to ice and rest Goodnight….

  12. Uniqueness • Mechanism created combination of injuries. • Risk for a growth plate fracture seeing as he is still young. • History of growth plate separation in his right elbow • The present fracture in the humerus is extremely close to the growth plate but does not go through it, fortunately

  13. Conclusion • Continue treatments of medication, ice, and rest until the injury is fully healed. • Then begin progressive rehabilitation.

  14. Thank You

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