Page 18 - 2021 IDMT Digital

SHOULDER DISLOCATION AND INSTABILITY
Introduction:
• $ GLVORFDWLRQ LV D FRPSOHWH VHSDUDWLRQ RI WKH ERQH HQGV WKDW QRUPDOO\ DUWLFXODWH WR IRUP D
MRLQW
• RI DOO JOHQRKXPHUDO VKRXOGHU GLVORFDWLRQV DUH DQWHULRU
• 6KRXOGHU GLVORFDWLRQ RFFXUV EHFDXVH RI WUDXPD RU ORQJ WHUP RYHUXVH DQG DEXVH RI WKH
URWDWRU FXII PXVFOHV WKURZLQJ UDFTXHW DWKOHWHV
Subjective:
• 6LJQV DQG 6\PSWRPV
o 3DLQ
o :HDNQHVV
o 1XPEQHVV RU WLQJOLQJ LQ DIIHFWHG H[WUHPLW\ PD\ VXJJHVW QHUYH LQMXU\
• )RFXVHG +LVWRU\
o +DQG GRPLQDQFH
o +LVWRU\ RI LQMXU\
o +LVWRU\ RI WKURZLQJ RU UDFNHW VSRUWV
o 2FFXSDWLRQ
o 1XPEQHVV WLQJOLQJ ZHDNQHVV LQ DIIHFWHG H[WUHPLW\
Objective:
• 3K\VLFDO ([DP
o 7HQGHUQHVV WR SDOSDWLRQ RI DIIHFWHG DUHD
o 2EYLRXV GHIRUPLW\ ZLWK KXPHUDO KHDG DQWHULRU
o $UP KHOG LQ H[WHUQDOO\ URWDWHG SRVLWLRQ
ƒ ,I DUP LV EHLQJ KHOG LQWHUQDOO\ URWDWHG FRQVLGHU SRVWHULRU GLVORFDWLRQ
o 5HGXFHG 520 RU XQDEOH WR SHUIRUP 520
o 3RVLWLYH DSSUHKHQVLRQ 2¶%ULHQ WHVWV
• 7RROV
o ,I DYDLODEOH ; UD\V WR HYDOXDWH IRU SRVVLEOH IUDFWXUH
Assessment:
• 'LIIHUHQWLDO
o 6KRXOGHU VXEOX[DWLRQ VKRXOGHU ZLOO KDYH UHGXFHG VSRQWDQHRXVO\ DQG QR REYLRXV
VLJQV PD\ UHPDLQ
o 6KRXOGHU LPSLQJHPHQW QR GHIRUPLW\ ZLOO EH SUHVHQW
o $& VHSDUDWLRQ WUDXPD 520 RI VKRXOGHU UHGXFHG WHQGHUQHVV WR SDOSDWLRQ RYHU
WKH $& MRLQW EXW QRW VKRXOGHU
o 5RWDWRU FXII SDWKRORJ\ WKHUH ZLOO OLNHO\ EH URWDWRU FXII GDPDJH ZLWK D IUDQN
GLVORFDWLRQ

[ 17 ]