MTST-281 Lecture Notes - Lecture 6: Scapula, Coracoid Process, Humerus
15 Jul 2018
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Document Summary
Types of shoulder dislocations - not much supporting inferiorly. Mechanism of injury: fall on an outstretched arm. Head of humerus moves anterior and inferior to coracoid process. Reduction is when it gets put back into place. (open and closed) Humerus moves under clavicle (ant and med) Below glenoid cavity, along axillary border of scapula. Pulling up on the arm- holding kids hands. Head of the femur dislocation- car accident- knees hit the dashboard. Acute- inflammation, pain, on medication, brusing, shoulder will be immobile. No jarring movement or pressure on that shoulder can treat sitting or lying in supine. Lymphatic drainage on the affected shoulder is an option. No releasing of muscles that are supporting the joint. Chronic- exercises to build up the strength in the shoulder. Muscles and ligaments have been stretched and may not be supportive anymore. Help return range of motion, dealing with adhesions and scar tissue that has formed.
