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Shoulder Injury Diagnosis and Treatment

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Shoulder Injury Diagnosis and Treatment

Population:

Vincent is a 23 year old male in his first year of grad school for DPT. He started wrestling in the first grade and continued into college. Up until his junior year of college he wrestled for the University . From all the stresses and pressure constantly on his shoulder, at some point a shoulder injury was bound to happen. He is very flexible, but from being placed in unwanted positions with limbs being stretched at rates they should not be, injury was done. His ligaments were stretched, which increased his risk of injury.

Gender: Dislocation occurs in 70% of males (VMC).

Age: Shoulder dislocation is a common consequence of athletic activity in the younger population, occurring in up to 7% of the population. Rotator cuff tears are more common in patients 35 years or older (VMC).

Mechanism: 95% of anterior shoulder dislocations are due to traumatic injury, most commonly resulting from a fall. Those who play certain sports, or who undertake activities with high physical demands are at increased risk. It is seen in athletes who use their upper body for much of the sport. For example, weightlifters, wrestlers, baseball players, swimmers, volleyball players, and tennis players are all susceptible. It is especially common in tennis and volleyball players because of the forces on their shoulder during the cocking and acceleration phases of a serve. The area of the labrum where the SLAP tear occurs is susceptible to injury because it is an area of relatively poor vascularity compared to the other parts (VMC).

Location: 47.7% of dislocations occur at home, while 34.5% occur at sites of sports or recreation (VMC).

Anatomy and Function: It is likely that factors such as shal...

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... less pain and more motion than he did previous to surgery.

References:

Trantalis, Dr John . "Shoulder Dislocation and Instability ." . myVMC, 21 Mar. 2011. Web. 29 Apr. 2014. .

"Arthroscopic Rotator Cuff Repair Protocol." . The Brigham and Women's Hospital, Inc. Department of Rehabilitation Services, 1 Jan. 2009. Web. 29 Apr. 2014. .

Sherry, Marc. "Rehabilitation Guidelines for Shoulder Arthroscopy." . UW Health Sports Medicine Center, 1 Jan. 2011. Web. 29 Apr. 2014. .
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