1 / 21

Chapter 13 – The Shoulder and Upper Arm

Chapter 13 – The Shoulder and Upper Arm. Pages 484 - 488. Question #1 . What are the most important pathologies to rule out? Why?. On-Field Evaluation of Shoulder Injuries. Most important to rule out Fractures Dislocations Distal Pulse Evaluation of cervical and/or thoracic spine.

yeriel
Télécharger la présentation

Chapter 13 – The Shoulder and Upper Arm

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Chapter 13 – The Shoulder and Upper Arm Pages 484 - 488

  2. Question #1 • What are the most important pathologies to rule out? • Why?

  3. On-Field Evaluation of Shoulder Injuries • Most important to rule out • Fractures • Dislocations • Distal Pulse • Evaluation of cervical and/or thoracic spine

  4. Question #2 • Describe equipment considerations when evaluating a shoulder on the field.

  5. Equipment Considerations • Familiarize yourself! • Palpation Under the Shoulder Pads • Figure 13-36 , page 485 • Removal of the Shoulder Pads • Figure 13-37,page 486

  6. On-Field History • Location of Pain • Shoulder vs. brachial plexus pathology • Mechanism of Injury

  7. Question #3 • Describe an on-field inspection of the shoulder.

  8. On-Field Inspection • Arm Posture • Arm splinted against the torso • Clavicular fracture, AC joint pathology • Arm hanging limply • Brachial plexus pathology • Arm “locked” • GH dislocation • Gross Deformity

  9. Question #4 • Describe on-field palpation of the shoulder.

  10. On-Field Palpation • Position of humeral head • AC joint alignment • Piano key sign • Clavicle • SC joint • Humerus

  11. Question #5 • Describe on-field functional tests for the shoulder.

  12. On-Field Functional Tests • Rule out dislocation or fracture • Apley’s Scratch test

  13. Initial Management of On-Field Shoulder Injuries • Figure 13-38, page 487

  14. Question #6 • Describe scapular fractures.

  15. Scapular Fractures • Body of scapula, glenoid fossa, glenoid neck, coracoid process • Secondary to GH dislocation • S/S similar to rotator cuff pathology • Immobilization/transportation

  16. Clavicular Injuries • Clavicular Fractures • Immobilization, referral to physician • SC Joint Injuries • Potential compromise to underlying structures from posterior dislocation • Immobilization, transportation (supine)

  17. Clavicular Injuries • AC Joint Injuries • Figure 13-39, page 488 • Nonsurgical treatment • Protection during activity

  18. Question #7 • Describe GH dislocations.

  19. GH Dislocations • Monitor distal pulses, circulation, sensation • Immobilization • Keep wrist and hand exposed • Immediate transportation • Reductions performed by physician

  20. Question #8 • Describe humeral fractures.

  21. Humeral Fractures • Extreme pain, dysfunction, obvious deformity • May be secondary to GH dislocation • Immobilization • Keep wrist and hand exposed • Immediate referral to physician

More Related