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Flashcards

Acromioclavicular sprains & dislocations

Chantelle Esterhuizen Inglês 6 flashcards

Flashcards do conjunto (6)

  1. 1MOIContact sport
    Fall on arm adducted to side of the body
    Fall on outstretched hand - upward force through humerus
    Direct impact to shoulder tip
  2. 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
  3. 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
  4. 4AssessmentShrug test
    and
    stand/sit with arm hanging, more pain than expected = test for coronoid fracture
  5. 5InterventionsImmediate first aid
    Strengthen & mobilize shoulder complex
    Possible surgery: grade 3-6
  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 sobre Acromioclavicular sprains & dislocations, criado por Chantelle Esterhuizen em 24-10-2018.
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