Different Types of Tears During Shoulder Dislocation Essay

A SLAP lesion tear is an injury to the shoulder. This can cause painful symptoms and difficulty with overhead activities whether they be athletic or those of daily living. In 1985, Andrews et al were the first to describe the superior labrum tear. In their experience, they identified tears of the labrum from throwing athletes located anterosuperor near the origin of the bicep tendon. The cause of the lesion to tear was the bicep tendon being pulled off the labrum from the force generated during the throwing motion. As time went on, the labral tears got categorized into four different types of classifications called SLAP lesions by Snyder in 1990. A SLAP lesion, as described by Snyder involves tears of the superior

Usually when this happens the labrum does not heal back in the right location. Symptoms of a labrum tear depend on where the tear is located. Whether the joint continues to be shaky is dependent upon many different key factors (A Patients Guide to Shoulder Instability). As for a labrum tear in the shoulder, symptoms mainly include an aching sensation in the shoulder joint, pain with specific activities, and catching of the shoulder with movement. Also, falling on an outstretched arm, a direct blow to the shoulder, or a sudden pull, such as when trying to lift a heavy object may also cause a labrum tear.

Dynamic scapular dyskinesis is detected by asking the patient to raise and/or abduct both arms repeatedly in a rhythmic motion, until fatigue of the scapular stabilizers results in failure to keep the scapula well positioned in relation to the thoracic wall. Active scapular retraction and elevation are checked. The next step is to look for muscle atrophy and remember active and passive range of motion should be examined and compared with the non-injured shoulder. It is easy to detect muscle atrophy of the infraspinatus viewing from the back of the patient, whereas the supraspinatus is covered by the trapezius. Atrophy of the shoulder muscles is a common finding in patients with rotator cuff tears.

On the other hand, scientists have found three main activities that can cause a rotator cuff tear. Repetitive stress is when you repeat a certain action or movement constantly and cause the muscles to tear. Sports like baseball and tennis can cause this. Another way of disruption is by a lack of blood supply in the rotator cuff. As people age blood supply to our tendons and muscles can deplete, causing an impairment in our body’s natural repair of tendons. The final way that can cause a tear in the rotator cuff is bone spurs. Bone spurs can develop on the underside of the acromion bone. When we lift our arms, the spurs rub on the rotator cuff tendons. This condition is called shoulder impingement, and over time will weaken the tendon and make it more likely to tear. The first sign of trouble with Bursitis is pain. Along with this pain will come swelling, redness, and tenderness of the affected area. In some cases, it will cause stiffness in the

The patient notes that the injury happen when he was lifting some metal trash trays into a trash bin when he felt a sharp pain in his shoulders. Treatment history notes that the treatment to date has consisted of medications. Of note, the MRI done showed a large full thickness tear with retraction of the tendon. Physical examination of the left shoulder revealed that the range of motion has forward flexion of 0-175 degrees, external rotation of 0-40 degrees, and internal rotation to T12. There is positive Hawkins’ and Neer’s sign for impingement. There is weakness with abduction testing. Treatment plan notes recommendation, surgical intervention in the form of a left shoulder, subacromial decompression, rotator cuff repair surgery as necessary. A follow up of 2 to 3 weeks if surgery is authorized. As per medical summary and work status dated 6/14/16, it was noted that the patient has not improved significantly and would be needing surgery. The patient’s return to work date is 6/14/16 with no lifting over 10 pounds and no overhead reach. Follow up to clinic date is on

A partial or total tear can occur and the serious of the injury depends on the location of the tear.

Grade one strains/tears being the mildest and grade three strains/tears being the most extreme. The ligament has experienced trivial damage in a grade one sprain by that of a minor strain, but is still able to offer substantial stability to the knee joint. A grade two sprain, also known as a partial tear of the ligament, overstretches the ligament to the point where it loses its tautness. Grade three sprains, most commonly referred to as a “complete tear” of the ligament, splits the ligament into two pieces, leaving the knee joint hardly stable. Partial tears of the ACL are infrequent; most ACL injuries are complete or near complete tears.

Acute tears of the anterior bundle of the UCL can be seen on high quality MR images. Edema, abnormal laxity, and discontinuity of the ligament are all signs of UCL disruption. Partial tears can be diagnosed with edema and focal areas of discontinuity with residual intact fibers. However, according to Awh (2010), “with complete tears, laxity is more apparent and edema and/or disorganized soft tissue extend across the width of the anterior bundle. With proper inspection, one can identify both the site and severity of UCL injury.”

Patient came into the hospital as an outpatient claiming that they were experiencing tenderness and stiffness in their left shoulder. Upon reading the requisition as well as asking the patient more questions I discovered that the patient had slipped and fell onto the ice 3 days previous. This patient explained that they were reluctant to go to the doctors as they already had stiffness in the left shoulder and they were convinced it was nothing serious. After taking the first image (the AP) it became clear that there was a comminuted fracture of the proximal humerus. A

A more recent surgical procedure, called a microfracture technique, has become more supported at the shoulder. 7 At the hip, McCarthy et al found 74% of patients with a labral pathology also had chondral lesions.18 The microfracture procedure is a technique that pierces subchondral bone to initiate the body’s natural response to injury. Through this, a pathway for cell migration to the chondral defect is formed where a clot will then become a stable scar of fibrocartilage and hyaline.19,8 This cartilaginous mixture can be seen as a disadvantage due to less mechanically stable fibrocartilage, making this scar mixture possibly more prone to future

The shoulder is a ball and socket joint which allows it a flexion and extension motion.

Many injuries result from the shoulder as it in an area that is used often. Since I am a physical therapist, a client came to me with the issues that they were having with their shoulder. This is a report of my interaction with the patient, as well as informing the patient as they showed an interest in my profession. Covering all the aspects of the education and certifications required to be a physical therapist, as well as an overview and a salary median, and then moving on to the injury by naming and explaining the anatomy and diagnosing the injury, and the treatment and recovery plan.

A SLAP tear caused by a trauma to the shoulder is a frequent cause of instability and pain, and a constant source of discomfort in performing day-to-day activities. The initial treatment of such an injury may include rest, anti-inflammatory medications, cortisone injections and physical therapy but, unfortunately, in some patients’ cases, conservative treatments don’t always succeed.

The purpose of this study was to discuss the disable throwing shoulder with a focus on the SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation. SICK stands for Scapular malposition, Inferior medial border prominence, coracoid pain and palposition, and dykinesis of scapular movement. Appearing on examination as if one shoulder is lower than the other, SICK is asymmetric malposition of the scapula in the dominant throwing shoulder. They are grouped into 3 clinically recognizable patterns of scapular dyskinesis. Type I which is inferior medial scapular border prominence and type II, medial scapular border prominence. While those are 2 most commonly associated with labral pathology, type III is towards impingement and rotator

Impingement syndrome have two types – external impingement and internal impingement (McKinnis, 2014). External impingement compresses the rotator cuff tendons in the supraspinatus outlet when the arm is elevated (McKinnis, 2014, p. 544). On the other hand, internal impingement is the compression of the posterior capsule and rotator cuff between the humeral head and glenoid when the arm is elevated and rotated (McKinnis, 2014, p. 544). The patient’s history and physical exam are diagnostic for impingement syndrome. To further define the corresponding soft tissue pathologies such as rotator cuff tears, labral tears, and tendinitis, a magnetic resonance imaging (MRI) is utilized (McKinnis, 2014). Hence, MRI is the best radiological