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SPORTS MEDICINE

N. P. SPORTS MEDICINE. N. P. SPORTS MEDICINE. INJURIES TO THE SHOULDER. INJURIES TO THE SHOULDER ARE COMMON IN MANY SPORTS AND IN SOME CASES ARE HIGHLY SPORT SPECIFIC WE WILL TOUCH ON THREE MAIN INJURIES TO THE SHOULDER FRACTURED CLAVICLE SHOULDER DISLOCATION TORN ROTATOR CUFF.

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SPORTS MEDICINE

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  1. N P SPORTS MEDICINE

  2. N P SPORTS MEDICINE INJURIES TO THE SHOULDER • INJURIES TO THE SHOULDER ARE COMMON IN MANY SPORTS AND IN SOME CASES ARE HIGHLY SPORT SPECIFIC • WE WILL TOUCH ON THREE MAIN INJURIES TO THE SHOULDER • FRACTURED CLAVICLE • SHOULDER DISLOCATION • TORN ROTATOR CUFF INJURIES TO THE SHOULDER

  3. N P SPORTS MEDICINE FRACTURED CLAVICLE • THE MOST COMMON FRACTURE OF THE SHOULDER REGION IS THE FRACTURED CLAVICLE • RESULT FROM DIRECT BLOWS OR FALLS THAT TRANSMIT THE FORCE TO THE CLAVICLE THROUGH THE ARM OR SHOULDER • MOST FRACTURES OCCUR MID SHAFT FRACTURED CLAVICLE

  4. N P SPORTS MEDICINE FRACTURED CLAVICLE • SIGNS AND SYMPTOMS: • Swelling and deformity of the clavicle • Discoloration at the site of injury • Possible broken end projecting through the skin • Athlete heard a “snap” or “pop” • Athlete holds arm on affected side to relieve pressure on the shoulder girdle FRACTURED CLAVICLE

  5. N P SPORTS MEDICINE TREATMENT FORFRACTURED CLAVICLE • Treat for possible shock • Call 911 • Carefully apply a sling-and-swathe bandage. • Apply sterile dressing to any related wounds • Get to medical facility as soon as possible TREATMENT FOR FRACTURED CLAVICLE

  6. N P SPORTS MEDICINE SHOULDER DISLOCATION • SIGNS AND SYMPTOMS: • Deformity of the shoulder joint. The normal contour of the shoulder is lost and it appears to SLOPE DOWNWARD • The arm of the affected side appears to be longer • The athlete will support arm of affected side with opposite arm • The athlete will resist all efforts to move shoulder • Extreme pain SHOULDER DISLOCATION

  7. N P SPORTS MEDICINE SHOULDER DISLOCATIONTREATMENT • Immediately apply PRICE • If extreme call 911 • Put a rolled towel under arm, Place a bag of crushed ice ion front and back of shoulder joint and secure with an elastic wrap tied in a figure 8. • Immediately refer athlete to medical facility • Treat for shock • Sling-and-swathe SHOULDER DISLOCATION TREATMENT

  8. N P SPORTS MEDICINE ROTATOR CUFF • The muscles of that make up the ROTATOR CUFF serve a variety of purposes. • STABILIZATION OF THE HEAD OF THE HUMERUS • ABDUCT THE SHOULDER JOINT • INTERNALLY AND EXTERNALLY ROTATE SHOULDER JOINT • Ex: Throwing involves cocking, acceleration release, follow-through and deceleration. TORN ROTATOR CUFF

  9. N P SPORTS MEDICINE ROTATOR CUFF • SIGNS AND SYMPTOMS: • Pain within the shoulder, especially during follow-through phase of throw or swing • Difficulty bringing arm up and back during throwing or swinging • Pain and stiffness in shoulder region within 12-24 hours after competition • Point tender around region of the humeral head • Rotator cuff injuries can mimic tendinitis and bursitis TORN ROTATOR CUFF

  10. N P SPORTS MEDICINE ROTATOR CUFFTREATMENT • Overuse injuries are difficult to treat effectively without a thorough medical evaluation. When symptoms occur, PRICE. • The injury will often occur and reoccur over the course of many weeks and months. In this case, the athlete should be more closely evaluated. ROTATOR CUFF TREATMENT

  11. N P SPORTS MEDICINE FRACTURED HUMERUS • In most cases, a fractured humerus results from contact sport situations or high speed falls such as cycling or speed-skating • Also sports that involve collisions. • ROLLER DERBY! FRACTURED HUMERUS

  12. N P SPORTS MEDICINE FRACTURED HUMERUS • SIGNS AND SYMPTOMS: • Severe pain in upper arm with history of trauma • Deformity may be present and visible • Loss of function or unwillingness to move arm • Muscle spasm • Athlete may have heard a “snap” or “pop” • If radial nerve is involved, there may be loss of sensation in forearm • If stress fracture, pain may not be associated with a traumatic event FRACTURED HUMERUS

  13. N P SPORTS MEDICINE FRACTURED HUMERUSTREATMENT • Immediately apply PRICE • Splint the upper arm • Treat for shock • Seek medical attention immediately • Apply sling and swathe FRACTURED HUMERUS TREATMENT

  14. N P SPORTS MEDICINE FRACTURED RADIUSAND ULNA • SIGNS AND SYMPTOMS: • The athlete will have heard a snap or pop • Pain is generally severe • Loss of sensation may be noted in either the hand or fingers FRACTURED RADIUS AND ULNA

  15. N P SPORTS MEDICINE TREATMENT FOR FRACTURED RADIUSAND ULNA • PRICE and Splint • Call 911 • Make sure the fingertips are exposed to monitor blood flow • Treat athlete for shock • Seek immediate medical attention FRACTURED RADIUS AND/OR ULNA TREATMENT

  16. N P SPORTS MEDICINE FRACTURED WRIST • SIGNS AND SYMPTOMS: • A recent history of trauma, SNAP or POP • Pain in the wrist aggravated by movement • Simply test by pressing lightly the region at the base of the thumb. If pain here it’s a good chance it’s a fractured wrist. • Athlete may state that wrist feels locked in a certain position. Displaced fracture FRACTURED WRIST

  17. N P SPORTS MEDICINE FRACTURED WRIST TREATMENT • PRICE AND SPLINT • SLING AND SWATHE • LEAVE FINGERTIPS EXPOSED TO MONITOR BLOOD FLOW FRACTURED WRIST TREATMENT

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