Brief review of Shoulder instability in young athletes.
This ppt includes definition,causes,types of instability, bankart & hill sac's lesion, diagnosis, treatment (both reduction ), and rehabilitation protocol..
This is a short presentation on shoulder instability, biomechanics, pathology, diagnostic modalities, clinical picture and treatment methods available.
Brief review of Shoulder instability in young athletes.
This ppt includes definition,causes,types of instability, bankart & hill sac's lesion, diagnosis, treatment (both reduction ), and rehabilitation protocol..
This is a short presentation on shoulder instability, biomechanics, pathology, diagnostic modalities, clinical picture and treatment methods available.
5. C
*เป็นโรคหลอดเลือดหัวใจตีบ เคยผ่าตัดทา BALLOON ไป 6 ปีก่อน
(มียาละลายลิ่มเลือดกินอยู่)
*ไม่มีประวัติแพ้ยาแพ้อาหาร
*ไม่เคยได้รับเลือด
*ไม่เคยไหล่หลุดมาก่อน
*ไม่ดื่มสุรา ไม่สูบบุหรี่
PAST HISTORY
6. C
PHYSICAL EXAMINATION
A can talk , c-spine not tender
B equal breath sound , no use accessory muscle , CCT
-ve
C alert ,BP 128/75 mmHg PR 98/min full , PCT -ve
D E4V5M6 , pupil 3 mm RTLBE
7. C
PHYSICAL EXAMINATION
Mild tender , no swelling
Limit ROM
No loss of sensation
Deltoid can contract
Elbow and wrist can move
not tender at another area
Duga’s test +
Ruler’s test +
Palpable head of humerous
16. “Glenohumeral joint”
SHOULDER
-Bone : Humerus , scapula , clavicle
-Ball & socket joint
-labrum is piece of cartilage (between head of
humerus and glenoid)
17. SHOULDER
-Rotator cuff muscle :
supraspinatus muscle
infraspinatus muscle
subscapularis muscle
teres minor muscle
-Ligaments that help :
coracohumeral ligament
glenohumeral ligament
18. SHOULDER
-Rotator cuff muscle :
supraspinatus muscle
infraspinatus muscle
subscapularis muscle
teres minor muscle
-Ligaments that help :
coracohumeral ligament
glenohumeral ligament
19. ANTERIOR SHOULDER DISLOCATION
• Mechanism :
- direct blow from posterior aspect of shoulder
- abduction + external rotation + extension injury
- tear ligament around shoulder
- Axillary nerve injury
20. Clinical feature
-Pain
-arm position : abduction & external rotation
-adduction is restricted
-lost of normal shoulder contour
Duga’s test +
Ruler’s test +
Palpable head of humerous
25. Treatment
>> most CLOSE REDUCTION (under GA)
-Hippocrates method
-Zero position
-Traction - countertraction
26. Treatment
>> most CLOSE REDUCTION (under GA)
-Hippocrates method
-Zero position
-Traction – countertraction
*after reduction
-on interlocking sling 3 weeks
-if age > 45 years .. On interlocking sling 1 week and early
ROM exercise
