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Shoulder Injury : Strains and Sprains
A review of shoulder injury: (general), in the INJURY FILE is recommended before reviewing this section. Strains refer to a tearing injury to the muscles. A sprain refers to a similar injury to the ligaments, which are tough fibrous bands that serve to stabilize joints and prohibit shoulder dislocation. Both of these injuries occur commonly as a result of straining, lifting, or stressing the joint. This injury may occur after throwing a football incorrectly or lifting a heavy object (common in weight lifters). These injuries do not cause bone fractures, but still cause substantial pain, due to muscle and ligament damage. Common symptoms are pain when a particular motion of the shoulder joint is attempted or forced resistance is applied against certain muscle groups. Tenderness to palpation is also common. Evaluation will include an examination for point tenderness, deformity, swelling, or the inability to move the joint. An examination for nerve and vascular integrity is routine. Additional studies will include bone x-rays to exclude the possibility of a shoulder fracture or a dislocation.Treatment of uncomplicated strains and sprains involves ice compresses, rest, elevation of the extremity, and, perhaps, a sling for comfort. Patients in a sling should be advised of the importance of early range of motion exercises (within 24 to 48 hours) to avoid the complication of "frozen shoulder." Any developments of increased pain, numbness, muscle weakness, or discoloration of the hand warrants IMMEDIATE re-evaluation. Anti-inflammatory agents (ibuprofen) or acetaminophen can be used for pain control. The Orthopaedic Surgeon is recommended for the patient with a more serious shoulder injury orpersistent symptoms.
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 Hip Dislocation
Hip Fracture
Insect Stings and Spider Bites
Human and Animal Bites
Shoulder Injury Fracture
Toxic Inhalations and Carbon Monoxide Poisoning
Facial Injury Jaw Fracture and Dislocation
Kidney Injury
Knee Injury General Considerations
Knee Injury Contusion
Knee Injury Fracture
Knee Injury Sprain
Stab Wounds
Leg Injury Fractures and Contusions
Leg Injury Shin Splints
Lightning Injury
Oral and Tongue Injuries
Nasal Fracture or Contusion
Neck Injury General Considerations
Neck Injury Fracture
Neck Injury Spinal Cord Injury
Pelvic Bone Fracture
Puncture Wounds
Chest Injury Rib Fracture
Back Injury Sacrococcygeal Injury
Scorpion Bites
Abrasion Injuries
Shoulder Injury Clavicle Fracture
Shoulder Injury Strains and Sprains
Snakebite
Neck Injury Spinal Cord Injury
Abdominal Injury Ruptured Spleen
Foot Injury Toe Fracture and Sprain
Vaginal or Vulvar Injury
Drowning and Near Drowning |
