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...
... middle of paper ...
... less pain and more motion than he did previous to surgery.
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.
Need Writing Help?
Get feedback on grammar, clarity, concision and logic instantly.Check your paper »
- This is an appeal to a previously denied request of Psychotherapy 12 sessions on 12/31/15 This is a 63-year-old female with a 4/7/2012 date of injury, when she was severely assaulted by a mentally ill client. DIAGNOSIS: Chronic PTSD 309.81; Depressive disorder. 01/19/16 letter to the utilization review noted an appeal to a previously denied request of 12 additional psychotherapy sessions, which are medically necessary for the patient. Her PTSD began when she was attacked at work. She had intense fear of being killed, recurrent and intrusive recollections of the event, recurrent distressing dreams, and intense physiological reactivity on exposure to someone appearing in her presence unexpect... [tags: Anxiety, Psychology, Cognitive behavioral therapy]
789 words (2.3 pages)
- CHIEF COMPLAINT: A 45-year-old female with one month unilateral paroxysmal left sided headaches and sharp and shooting pain in back of head up to the top of skull referring into face, back of eyes and ears causing photophobia and nausea. Associated neck pain and discomfort with occasional muscle spasms and paraesthesia, dysaesthesia and reduced sensation of the scalp region . HISTORY OF PRESENT ILLNESS: Frequent migraine headaches but recently, the character of headache has changed from a pulsating throbbing pain to a burning, aching and shooting type .... [tags: Medical Diagnosis]
2392 words (6.8 pages)
- a patient that reported a recent fall injury. She stated a blunt injury to her left knee and hip and a burning sensation and throbbing pain at the affected site. The knee was swollen with limited range of motion. She had not taken medication for her pain. The preceptor and I performed the Apley test to assess for a torn anterior cruciate ligament. She tested negative for abnormalities. We also assessed for ligament tears, mobility, degree of injury and differential diagnoses. The assessment was unremarkable.... [tags: Anterior cruciate ligament, Knee, Patient]
1248 words (3.6 pages)
- Thesis Statement: Our veterans deserve for the procedures implicated in the treatment of all mild head injuries to have detailed diagnostic testing, in-depth evaluations, and follow up so there are not adverse future effects. I. The treatments of our veterans should be complete and timely. A. The procedures in treatment of mild head injuries need to be detailed. B. Rapid objective methods in diagnosing, evaluating, and follow up are imperative. II. Procedures may be implicated in the diagnosis of mild TBI.... [tags: veterans, injuries, treatment]
1560 words (4.5 pages)
- The treatment and diagnosis of Traumatic Brain Injuries has evolved over the years with advancement primarily due to the conflicts in which the United States has been involved. The United States military and the Veterans Administration have been leaders in the treatment of our soldiers who have returned with injuries including TBI. However, traumatic brain injury is one of the leading causes of death here in the United States. Domestically, over 30% of all injury deaths are attributed to TBI.... [tags: Traumatic brain injury, Brain, Dentistry]
926 words (2.6 pages)
- Define Differential Diagnoses: The patient, a white male, has been experiencing headaches for ten days. When asked to rate the pain on a pain scale, 1 being low pain & 10 being high amount of pain, the patient said that he feels that the headache is a 9 out of 10. Other symptoms beyond the headache include confusion, blurred vision, tinnitus, tiredness, nausea, dizziness, irritability, anterograde & retrograde amnesia, and tenderness over the right upper side of the head. After checking him out and talking with him about his past history we found out two items that may impact the diagnosis.... [tags: Traumatic brain injury, Concussion, Hippocampus]
702 words (2 pages)
- Acute TBI treatment Acute treatment of a Traumatic Brain Injury (TBI) initiates several metabolic processes that can aggravate the injury, therefore, management focuses on stabilizing and preventing a secondary injury. Ultimately, the goal is to assess and stabilize the airway and circulation, maintain adequate blood and oxygen supply to the brain, stop intracranial bleeding and prevent an increase in pressure within the skull. However, full neuro-monitoring including intracranial pressure measurement are rarely available prior to the patient’s arrival to the intensive care unit.... [tags: Traumatic brain injury, Brain]
1124 words (3.2 pages)
- The diagnostic process for personality disorders currently covers a broad scope of various tests and symptoms, causing a source of frustration for psychiatrists (Aldhous). The symptoms and side effects of several personality disorders can tend to blur together, making diagnosis challenging (Aldhous). Most psychiatric patients are diagnosed with several personality disorders at once, with twenty percent of people with personality disorders simply diagnosed with a “personality disorder not otherwise specified” (Aldhous).... [tags: diagnosis, behavioral therapy]
1191 words (3.4 pages)
- Schizophrenia: Treatment and Diagnosis In 1809, physician John Haslam published an account of what he considered “A form of insanity”. Haslam described many symptoms that are relevant to modern day schizophrenia including delusions of grandeur and hallucinations. During the latter part of the nineteenth century, a German psychiatrist named Emil Kraepelin expanded on Haslam’s views and gave a more accurate description of schizophrenia as we know it today. Kraeplin started off by combining terms including different types of insanity under one term: Catatonia, and delusions of grandeur and persecution: paranoia.... [tags: disorder, medical treatment, social interaction]
1181 words (3.4 pages)
- Personal Narrative- Shoulder Injury I felt it pop, and pain engulfed my shoulder like ants cover an anthill that has been stirred with a stick. It made me angry, but it didn't help things to get mad. There was nothing I could do but try to recover in time to start over. Giving up wasn't an option. My junior year in high school, I went out for basketball. I liked it for a while, but when games started I was on JV. It was okay, but I was only getting to play two minutes per game. This didn't make me very happy.... [tags: Personal Narrative Essays]
1029 words (2.9 pages)