Flashcards
Acromioclavicular sprains & dislocations
Cards in this deck (6)
- 1MOIContact sport
Fall on arm adducted to side of the body
Fall on outstretched hand - upward force through humerus
Direct impact to shoulder tip - 2Grades 1-31: Mild stretching of AC & CC ligaments, no AC joint disruption & no displacement, movement discomfort/pain & point tenderness, mild swelling
2: Tearing/rupture of AC ligaments, distal clavicle unstable & prominent, reduced ROM (abduction/adduction), mod→severe pain & point tenderness
3: Rupture of AC & CC ligaments, clavicle displaced & unstable, arm carried elevated, adducted & supported, severe pain, tenderness - 3Grades 4-64: Disruption of AC ligament & posterior seperation, displaced clavicle, greater pain
5: Rupture of AC & CC ligaments, tearing of deltoid & traps, scapula displacement, gross deformity, loss of movement & severe pain
6: clavicle behind coracobrachialis tendon, when arm forced in extreme hyperabduction & ER and scap in retraction - 4AssessmentShrug test
and
stand/sit with arm hanging, more pain than expected = test for coronoid fracture - 5InterventionsImmediate first aid
Strengthen & mobilize shoulder complex
Possible surgery: grade 3-6 - 6Red flagsCan cause similar symptoms to posterior SC joint dislocations
Can affect underlying vasculature & brachial plexus
→ neural S&S: parasthesia, dysphagia, dyspnea, weakened pulse
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- Flashcards on Acromioclavicular sprains & dislocations, created by Chantelle Esterhuizen on 24/10/2018.
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- Chantelle Esterhuizen
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