1. Mr. McKay Athletic Training References: BY. GA EUL JUNG
SHOULDER INJURIES
Mr. McKay
Athletic Training
References: BY. GA EUL JUNG

2. Shoulder Joint

3. Bones of the Shoulder Ball & Socket joint consisting of: Scapula
Humerus
Clavicle
Sternum

4. Joints of the Shoulder Glenohumeral Joint (GH)
Acromioclavicular Joint (AC)
Sternoclavicular Joint (SC)
P.157 definitions

5. Common Mechanisms of Shoulder Injuries
Overuse
Impact
Improper form
Prolonged injury

6. Muscle of the Shoulder/ Rotator Cuff
SITS

7. Shoulder Separation
Daniel Gibson
Rudi Johnson

8. ….. Prevents Physical Therapy Surgery Rehabilitations Put Ice
Causes
Falls directly on the shoulder
Ex) Contact from another player or tumble on the shoulder.
Symptoms
Limited movement
Swelling and bruising
Possible deformity
Prevents
Physical Therapy
Surgery
Rehabilitations
Put Ice
Take non-steroidal anti-inflammatory drugs
Physical Therapy after surgery

9. What does a separated shoulder look like?

10. Skeletal INJURIES

11. Fractured Clavicle
Is the most commonly fractured bone of the shoulder.
Mechanism:
Majority occur from direct blows to the bone
Result from falls on the arm/shoulder
Signs & Symptoms
Swelling/deformity of the clavicle
Possible broken bone projecting through the skin
Snapping or popping sound
Severe discoloration
Athlete holding the arm and unable to move it

12. Fractured Clavicle

13. Treatment for Fractured Clavicle
Treat for possible shock.
Carefully apply a sling and swath bandage.
Apply a sterile dressing to any open
wound.
Bring to hospital for x-ray.

14. Scapula Fracture A much less common injury.
Commonly occurs to football players:
Mechanism:
Direct blow to the scapula region
Signs & Symptoms:
Considerable pain
Loss of function
Treatment:
X-ray to determine fracture
Place in sling & bind for 6 weeks

15. Soft Tissue Injuries

16. Shoulder Dislocations
Shane Warne
Candace Parker

17. …… Causes Hit,Fall,or pull Symptoms Inability to move the arm
Prevent
Warm up proper any physical activity or practice or competition
Use special equipments to protect shoulders in athlete
Rehabilitation
Seek medical attention to a doctor
Surgery
Physiotherapy
Be performed by qualified personnel in a medical environment
Causes
Hit,Fall,or pull
Symptoms
Inability to move the arm
Bruising or swelling
Visibly displaced shoulder

19. Acromioclavicular Injuries
Damage to the ligaments that support the
acromioclaviclar joint.
Mechanism- Impact or direct blow
Signs & Symptoms:
First & Second Degree Sprains will result in mild swelling and tenderness, and discoloration around the joint.
Any movement will result in pain.
Athlete may report a snapping or popping sound.
With third degree sprains there will be significant
deformity.

20. Acromioclavicular Treatment
Immediately apply ice and compression
over the AC joint.
Use a sling and swathe method to hold
ice in place
Refer the athlete to a physician to be
looked at.

21. Glenohumeral Joint Injuries
Major ligaments include: capsular ligament
and the coracohumeral ligament.
The GH joint and the shoulder girdle allow nearly all the movements of the shoulder.
The most common joint to pop out or
dislocate. (HEAD OF HUMERUS out of
place)
Mechanism:
Having the arm forcefully abducted or
externally rotated.

22. GH Joint Injury

23. GH Joint Injuries Signs & Symptoms
Deformity of the shoulder joint, shoulder is lost
or sloping downwards.
The arm of the affected side will appear longer.
Athlete will be supporting the injured arm with the uninjured arm.
Extremely painful for any type of movement.

24. Treatment Apply Ice and compression, on the front & back of shoulder.
Place a towel underneath the axilla
(underarm)
Apply sling and swathe.
Immediately refer athlete to physician.
Treat for shock if necessary.

25. Sternoclavicular (SC) Joint Injuries
Formed by the proximal end of the clavicle and the manubrium of the sternum.
Ligaments include:
Joint Capsule
Anterior/Posterior SC ligaments
Interclavicular ligament
Costoclavicular
Mechanism
External Blow to the shoulder region, which results in a dislocation in the proximal end of the clavicle.

27. SC Joint Injuries Signs & Symptoms:
In most cases (2nd & 3rd degree) will result in deformity.
Swelling
Limited movement of the shoulder girdle
Snapping/Popping/Tearing sound at the SC
Arm may be held closely to the body, with the head/neck tilted to the injured shoulder

28. SC Joint Treatment
Apply ice and compress, using the sling & swathe method.
Treat the athlete for shock if necessary.
Bring athlete to be checked out by physician.

29. Strains/tendon Injuries

30. Biceps Tendinitis
Jered Weaver

31. Continuing … Causes Overuse Symptoms
Pain when the arm is bent and straightening
Pain over the front of the shoulder
Elbow painful
Prevents
Rest your body
Increase the frequency and intensity of exercise gradually
Apply ICE
Rehabilitations
Rest
ICE
Medication
Stretching
Strengthening

32. Rotator Cuff Tears

33. Muscles of the Rotator Cuff
SITS

34. Rotator Cuff Mechanism
Repetitive overhead motions or overhead throwing
Symptoms
Pain when lifting the arm
Weakness when rotating the arm or lifting
Cracking sensation
Pain in follow through
Stiffness 12 to 24 hrs later
Tenderness around the humeral head

35. Rotator Cuff Prevention Warming up properly
Do proper strength and conditioning
Specific exercise that strengthens the muscles around the shoulder blade.
Rehabilitation
Rest and limited overhead activity
Surgery
Strengthening exercise and physical therapy
Anti-inflammatory medication

36. GH Joint Related Impingement Syndrome
Impinge means “upon or against
Something”
Syndrome means “a number of symptoms occurring together and characterizing a
specific disease”
GH is the most common type of
impingement syndrome, occurs when a soft
tissue like a bursa or tendon is being squeezed by
moving joint structures.

37. Impingement Syndrome Commonly occurs to athletes who
perform more over head motions, such as
volleyball, basketball, tennis, squash, track &
field events, etc.
Signs & Symptoms
Pain when the GH joint is abducted
Loss of strength
Nocturnal pain
Pain felt deep within the shoulder

38. Impingement Syndrome Treatment
Rest
Ice
Anti-Inflammatory Medication
Physical Therapy
In worst case scenario, surgery may be required to help reduce the stress and
pressure beneath the arm.

39. Contusions of the Shoulder
Commonly occur in sports, especially to the AC joint.
GH joint is more protected by muscles,
where as the AC joint is much more
exposed.
Mechanism:
Blows to the shoulder region
When an athlete sustains a hit like this, it
is commonly referred to as a shoulder
pointer.

40. Shoulder Pointer Signs & Symptoms:
History of a recent blow to the shoulder
Muscle spasms
Discoloration and swelling, especially over the
regions of the AC joint

41. Treatment of Shoulder Pointer
Immediately apply ice and compression over
the injured areas.
In severe cases apply a sling
If there is still a significant amount of swelling
72 hours later, refer athlete to a physician.

42. Bibliography Biceps Tendinitis
Shoulder separation
Shoulder Dislocation
02.asp
Rotator Cuff Tears
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