110 likes | 424 Views
Anterior GH Dislocation in a Wide Reciever. Monica Brown. What is???. Glenohumeral Joint Commonly know a the shoulder joint a synovial ball and socket joint involves articulation between the glenoid fossa of the scapula and the head of the humerus. Anterior Dislocation
E N D
Anterior GH Dislocation in a Wide Reciever Monica Brown
What is??? • Glenohumeral Joint • Commonly know a the shoulder joint • a synovial ball and socket joint • involves articulation between the glenoid fossa of the scapula and the head of the humerus. • Anterior Dislocation • A dislocated shoulder occurs when the humerus separates from the scapula at the glenohumeral joint. • Over 95% of shoulder dislocation cases are anterior.
Signs and Symptoms • Intense Pain, which can sometimes be felt past the shoulder, along the arm. • Inability to move the arm from its current position. • Numbness of the arm. • Visibly displaced shoulder. • Some dislocations result in the shoulder appearing unusually square. • Bruising and swelling
MOI • Direct impact • Direct impact to the posterior aspect of the shoulder • Most Common: • Arm forced into Abd, Ext. Rotation, and Extension (forces head out of cavity) • A dislocated shoulder may be caused by: • Sports injuries • Trauma not related to sports • Falls
Phases • Phase 1 • Immobilized in sling for 3-4 weeks • Goal: Limit Inflammatory process, decrease pain, and stop muscle atrophy • Phase 2 • Begins when sling is removed • Goal: Return of full ROM • Phase 3 • Goal: Restore normal strength & neuromuscular control • Phase 4 • Goal: Functional progression & RTP • RTP in brace
Things to consider • Until shoulder is strong enough, do not put shoulder in: • Abduction > 90 degrees • Extension past normal ROM • Over the head External Rotation • Do not push the athlete beyond comfort point
Athlete • The athlete was a 19 year old male wide receiver, Collegiate Football Player. • MOI: Coming down after catching a ball in the game and landed on elbow pushing the humorous anteriorly. • S&S: Numbness down arm, intense pain, and obvious diformity • Put in sling for 3 weeks