Atlas Sports Medicine Shoulder

Shoulder Injuries (copyright 2008 worldortho)

Shoulder dislocations: Fx surgical neck post reduction; patient with PRIOR hemi-plegia, radial nerve palsy

Typical presentation of shoulder; ANTERIOR shoulder dislocation

Typical posture of POSTERIOR (left) arm locked in internal rotation

(partial)Brachial plexus palsy Patient voluntarily dislocation shoulder Post reduction ( posteriorly (Beware: these patients do poorly Excessive traction) with surgery)

Winging of the scapula below) Following shl dislocation (damage to long. th. N)

Rotator cuff tear

SLAP lesion(see Fig.

®Acromio-clavicular dislocation, Dislocation, (may require surgery)

Avulsion pectoralis operate) Major muscle. With large haematoma

Key to A/C injuries

® Anterior sterno-clavicular rarely operate

Rupture long head biceps (rarely

Only operate on Types 5 & 6 (“ ear-ticklers”)

Pitching action

Checking for anterior or posterior translation of shoulder in instability.

Posterior

Hippocratic way to reduce shoulder scapula

Y-appearance of lateral

+ve impingement sign for rotator cuff pain

Yergason’s test: resisted supination with flexed elbow=bicipital tendinitis.

Resect wedge-shaped acromial fragment in acromioplasty (better to rasp from lateral aspect)

Lift-off test for subscapularis pathology( pain/rupture)