Symptoms
Holds injured arm with opposite arm and tilts head towards injured side; injured side is lower than affected side; palpation- point tenderness, swelling, deformity
Clavicle Fracture
One of the most common injuries in sports, fracture
Clavicle fracture
FOOSH with elbow hyperextension or by a severe twist while elbow is flexed
Elbow Dislocation
Possible: steroid injection, PRP, surgery PRN
Medial and/or Lateral Epicondylitis/tendonopathy
5 Phases of Throwing
Wind-up, cocking, acceleration, deceleration, and follow-through
Pain around acromion with stiffness; palpation increases pain; repetitive overhead activities increase pain
Impingement Syndrome
SITS muscle tear, almost all occur near their insertion (MOI: dynamic rotation of the are at high velocity)
Rotator Cuff Tears
Decreased space under arch- repetitive compression leads to inflammation; overhead throwing, failure to hold the humeral head where it should be; forward head; round shoulder; kyphosis
Impingement Syndrome
This finger injury needs surgery 90% of the time, if it is not sx repaired the athlete will not be able to flex the DIP joint
Jersey Finger
Olecranon Bursitis
Unable to touch the opposite shoulder with the hand of the affected arm, flattened deltoid contour, pain, instability
Glenohumeral Dislocation
Separation from the acromion and clavicle
AC Joint Separation
Acute and/or chronic trauma and/or impingement; commonly the supraspinatus
Rotator Cuff Tears
If no fracture or avulsion then finger splint in extension 3-8weeks
Mallet Finger and Gameskeeper Thumb
S+S: occasional pain, lump at the site, pain increases with wrist extension, soft/rubbery cyst
Wrist Ganglion
Aching pain at the lateral epicondyle of elbow, weakness in hand and wrist, pain with resisted wrist extension and full extension of elbow
Lateral Epicondylitis (Tennis elbow)
Direct blow at tip of finger causes jam and possible avulsion of the extensor tendon from its insertion along with a piece of bone
Mallet Finger
Inflammation of the tendons and synovial sheaths within this space, ultimately leads to compression of the median nerve
Carpal Tunnel Syndrome
PRICE initially, then PT for strengthening, decrease over head/ throwing frequency
Possibly: PRP, stem cell therapy, sx
Rotator Cuff Tear
Tx: PRICE, release pressure at finger tip within 24-48hrs by drilling small hole at nail bed
Subungual Hematoma
Pain at the medial epicondyle of humerus, pain during forceful wrist flexion, pain with resisted flexion
Medial Epicondylitis (Golfer's or Little Leaguer's elbow)
The repeated stretching of the biceps in highly ballistic activities can cause an inflammation of BOTH the tendon and its synovial sheath.
Biceps Tenosynovitis/Tendonitis
Fall to hand/ FOOSH
Scaphoid Fracture
Initial and immediate immobilization with sling, immediade reduction by a physician, ice
Sling 1wk post reduction, PT for strengthening program, protective brace PRN
Possibly: Surgery
Glenohumeral Dislocation
Laberal Tear, Glenohumeral Dislocations