EXSS 288 Final Questions With Complete Solutions(RATED A+)

Common mechanism for shoulder dislocation - ANSWERSabduction & external rotation; flexed at 90˙ & rotated backward (handing something to someone behind you) Common in football, rugby & lax What should you always check for in dislocations? - ANSWERSinnervation & circulation What is a hill-sahs lesion? - ANSWERSarticulating surface at top of the humerus is chipped or torn during dislocation How to handle a glenohumeral dislocation? - ANSWERSNot a medical emergency unless circulation is compromised. Use a sling & swathe, take individual to ER What joint is associated with shoulder separation? - ANSWERSacromioclavicular joint (AC) Mechanism: FOOSH *When you push down on bone, it pops back up (dislocation) ~ Typically non-surgical *One clavicle sits higher than the other Care: Sling & Ice Why is posterior sternoclavicular dislocations worrisome? - ANSWERSCan be life-threatening because of obstruction of airway and neurovascular structures (veins & nerves) ~ Call EMS Mechanism: FOOSH *Posterior dislocations & strains are rare Anterior dislocations: sling, swathe & take to ER True/False: Shoulder pointer contusion has the same signs & symptoms as 1˙ AC separation? - ANSWERSTrue: Happens b/c of fall on or blow to top of shoulder What are four overuse injuries? - ANSWERS1. Rotator cuff strain 2. Biceps brachii tendinitis 3. Impingement syndrome 4. Thoracic outlet syndrome What is biceps brachii tendonitis? - ANSWERSoccurs in Bicipital groove where the tendon is located Eccentric contractions May involve subluxation of tendon (Popping out: partial dislocation) because the ligament that is holding in the bicep tendon is torn What types of athletes face impingment syndrome? - ANSWERSFound in overhead athletes Swimmers, throwers, volleyball, etc. * Pathologies can vary from Subacromial bursitis to Supraspinatus tendinitis to Bicipital tendinitis (long head) to Labral tears *shape of acromion process also affects athlete Cause of bone spurs - ANSWERSSpur is because of running and friction that results in extra calcium buildup What is thoracic outlet syndrome (TOS) & how can you check it? - ANSWERSDefinition: Compression of subclavian artery and brachial plexus; not life-threatening; more of a condition than overuse injury Caused by repetitive overhead motions Causes circulatory and neurological deficits in arm To test: Check pulse with arm out to side, then have them take deep breath and turn head out to the side, check pulse again, if it diminished then they have thoracic outlet syndrome Mechanism of injury & Car