1. Shoulder Injuries Part I
Sports Medicine I

2. Fractures Occur due to direct blow
Indirect blow-falling on outstretched hand
Clavicle
Humerus
Scapula
Sternum
Force distributed to all four shoulder joints
Clavicle commonly fx at middle third
Stabilize and refer to MD for x-ray

7. Dislocations Most injuries result in anterior dislocation
Damage to vessels and nerves can be a problem
Common MOI is abduction and external rotation
Supporting ligaments and muscles can be torn
Must be reduced by MD
Muscles must be strengthened after injury to prevent re-occurance

9. Separation (Sprain) An injury to a non-moveable joint Grades First SCAC CC
Grades
First
Second
Third

11. AC Sprain AC sprain is most common
MOI: falling on outstretched hand or on top of the shoulder
First degree-no deformity
Second degree-clavicle displacement
Third degree- obvious displacement; surgery may be required

12. Muscular Strains Muscular strains are common due to the many movements
PRICES basic treatment
Common causes
Lack of strength
Repetitive overuse
Improper technique
Inadequate warm-up

13. Contusions of the Shoulder
Both muscles and bones are often bruised
Clavicle is especially susceptible
Rule out AC sprain
PRICES
Pad for protection

14. Brachial Plexus Injury
Often seen in football
Stretching or contusion of one or more of the brachial plexus nerves
Innervates neck and extremities
Burning sensation extends from point of injury into the arm
Results in temporary loss of function and numbness
Must be removed from competition
Medical clearance must be obtained before athletic participation