1. Shoulder Injuries II Sports Medicine I

2. Chronic Instabilities Can occur after acute subluxation/dislocation Can occur after acute subluxation/dislocation Anterior instability accounts for 95% Anterior instability accounts for 95% Strengthen exercises or surgery may be required Strengthen exercises or surgery may be required Can be Can be –Anterior –Posterior –Inferior –Multidirectional

3. Shoulder Impingement Compression of supraspinatus tendon, subacromial bursa, and the long head of the biceps under the coracoacromial arch Compression of supraspinatus tendon, subacromial bursa, and the long head of the biceps under the coracoacromial arch Due to decreased space Due to decreased space Overhead activities increase pain Overhead activities increase pain Restore normal biomechanics Restore normal biomechanics PRICES (strengthen) PRICES (strengthen) Surgery may be required for advanced stages Surgery may be required for advanced stages

5. Thoracic Outlet Syndrome Involve compression of the brachial plexus, subclavian artery, subclavian vein Involve compression of the brachial plexus, subclavian artery, subclavian vein Variety of Symptoms Variety of Symptoms –Paresthesia –Pain –Cold –Impaired circulation –Muscle weakness –Atrophy –Nerve palsy Results from: Results from: –Compression between 1 st rib and clavicle –Compression between anterior and middle scalenes –Compression by pectoralis minor beneath the coracoid process or between 1 st clavicle and 1 st rib –Presence of a cervical rib (abnormal rib)

7. Biceps Rupture Occurs at origin at bicipital groove Occurs at origin at bicipital groove Hears a resounding snap and feels intense pain Hears a resounding snap and feels intense pain Protruding bulge is present Protruding bulge is present Displays definite weakness Displays definite weakness ICE, sling, and refer to MD ICE, sling, and refer to MD