Essentials Of Athletic Injury Management, Chapter 18

Front 1

List movements in the shoulder complex

Back 1

Flexion / Extension
Ab / Adduction
Internal / External rotation
Horizontal Flexion/ Extension

Front 2

List the major articulations associated with the shoulder complex

Back 2

sternoclavicular joint
acromioclavicular joint
glenohumeral joint
scapulothoracic joint

Front 3

Method for evaluating shoulder complex injuries

Back 3

HOPS

Front 4

glenohumeral ligaments

Back 4

superior
inferior
anterior
posterior

Front 5

What causes clavicular fractures?

Back 5

mode of injury is usually compressive, can be direct blow

Front 6

indentifying for a clavicular fracture

Back 6

look for "step-off" deformity most common in the middle 1/3 of clavicle

Front 7

describe a step-off deformity

Back 7

in the clavicle, usually medial end rides up due to SCM spasm, lateral end rides down due to weight of shoulder complex

Front 8

treatment of a clavicular fracture

Back 8

brace with a sling or strap
heal time is usually 6-8 weeks
watch for signs of radial nerve compression

Front 9

types of radial nerve compression

Back 9

immediate- at injury
delayed onset - compression from swelling
late onset - compression from new bone growth

Front 10

most common shoulder dislocation

Back 10

anterior dislocation

Front 11

method of injury for anterior shoulder displacement

Back 11

posterior blow, abduction w/ external rotation more common

Front 12

method of injury for posterior shoulder displacement

Back 12

internal rotation w/ adduction

Front 13

labrum avulsion

Back 13

enlarges glenoid fossa

Front 14

treatment for shoulder dislocation

Back 14

referral to MD for reduction and stabilization; began rehab as soon as possible

Front 15

rehab for shoulder dislocation

Back 15

include strength training for all muscles in & around shoulder

Front 16

observations in shoulder dislocation

Back 16

flattened deltoid, holding injured arm w/ good one

Front 17

palpation for shoulder dislocation

Back 17

feel for flattened deltoid

Front 18

shoulder impingement causes

Back 18

overuse injury, overhead motion

Front 19

tissues involved in shoulder impingement

Back 19

mechanical compression of supraspinatus tendon, subacromial bursa, long head of biceps tendon, under coracoacromial ligament

Front 20

mechanism of injury for rotator cuff strain

Back 20

high velocity rotation

Front 21

muscles of the rotator cuff

Back 21

supraspinatus infraspinatus teres minor subscapularis

Front 22

partial thickness tear

Back 22

less than 1 cm

Front 23

how does an athlete develop shoulder bursitis

Back 23

direct blow, overhead overuse injury

Front 24

shoulder bursitis tissue

Back 24

subacromial bursae

Front 25

treatment for subacromial bursitis

Back 25

treat swelling, refer for aspiration to avoid calcific bursitis

Front 26

method of injury for SC ligament sprain

Back 26

direct blow

Front 27

observations in SC ligament sprain

Back 27

might see step off deformity, watch for posterior displacement which can be fatal

Front 28

more common SC ligament sprain

Back 28

anterior displacement

Front 29

treatment for SC ligament sprain

Back 29

immobilize w/ brace

Front 30

mechanism of injury for AC ligament sprain

Back 30

blow to tip of shoulder

Front 31

1st degree AC sprain

Back 31

only AC involved, not complete

Front 32

2nd degree AC sprain

Back 32

complete AC tear, some CC

Front 33

3rd degree AC sprain

Back 33

complete AC tear, complete CC tear

Front 34

4th, 5th, 6th degree AC sprain

Back 34

major displacement of clavicle, requires surgery

Front 35

development of biceps tendonitis/ tenosynovitis

Back 35

overuse injury, overhead motion

Front 36

palpation for biceps tenosynovitis

Back 36

will feel crepitus

Front 37

muscles involved in glenohumeral flexion

Back 37

pectoralis major, anterior deltoid, biceps

Front 38

muscles involved in glenohumeral extension

Back 38

latissimus dorsi, teres major, posterior deltoid

Front 39

muscles involved in glenohumeral abduction

Back 39

supraspinatus, middle deltoid

Front 40

muscles involved in glenohumeral adduction

Back 40

pectoralis major, latissimus dorsi, teres major

Front 41

muscles involved in glenohumeral medial rotation

Back 41

pectoralis major, subscapularis, latissimus dorsi, teres major

Front 42

muscles involved in glenohumeral lateral rotation

Back 42

infraspinatus, teres major

Front 43

muscles involved in scapular abduction & upward rotation

Back 43

serratus anterior

Front 44

muscles involved in scapular elevation

Back 44

trapezius, levator scapula

Front 45

muscles involved in scapular adduction

Back 45

middle trapezius & rhomboid major

Front 46

muscles involved in scapular depression & adduction

Back 46

lower trapezius

Front 47

muscles involved in scapular adduction & downward rotation

Back 47

rhomboid major, rhomboid minor

Front 48

muscles attaching axial skeleton to humerus

Back 48

latissimus dorsi, pectoralis major

Front 49

muscles attaching scapula to humerus

Back 49

deltoid, teres major, coracobrachialis, rotator cuff

Front 50

muscles attaching axial skeleton to scapula

Back 50

levator scapula, trapezius, rhomboids, serratus anterior & posterior

Front 51

movements of supraspinatus

Back 51

abducts humerus, stabilize in glenoid cavity

Front 52

movements of infraspinatus

Back 52

laterally rotate & adduct humerus, stabilize in glenoid cavity

Front 53

movements of teres minor

Back 53

laterally rotate & adduct humerus, stabilize in glenoid cavity

Front 54

movements of subscapularis

Back 54

medially rotate humerus, stabilize in glenoid cavity