Sports Shoulder Injury
For any of these shoulder injuries, contact us for an assessment
- Had a hard fall or impact onto the shoulder or put your arm out to stop you falling
- Pain at the top of shoulder on the bone (where the clavicle meets the acromion process)
- Pain when you move the shoulder joint particularly with your arms above your head
This injury consists in the complete or incomplete rupture of ligaments that keep the opposite ends of acromion and clavicle joined. The consequence is an upwards dislocation, associated with pain and impossibility to move the shoulder.
Injuries to this joint usually are direct (a fall onto the shoulder, cycling, football, traumatic contact) with a load going downwards.
The symptoms are characterised by local pain and deformity of the acromioclavicular joint.
Treatment is usually conservative and consists of the immobilisation of the joint for almost 20 days. This resolution allows the injured structures to heal in the best position, at the removal of bandage a period of rehabilitation to restore movement and recover strength is necessary.
It is usually understood as the anatomic condition of a lesion of the anteriorsuperior part of the glenoid labrum associated with the detachment of the tendon of the long head of biceps. This is an injury that can appear after a violent movement in throw sports or fall on the limb. The arising of symptoms is rarely due to a definite trauma. More commonly the clinic history refers to various traumatic episodes during the “overhead” activity. Very often you can also be able to reproduce the dislocation voluntarily and it usually occurs in a throwing position.
In less severe cases, surgery can be avoided through the avoidance of the sports or working “overhead” movement that tend to distress the lesion. Rehabilitation has to emphasise the reinforcement of the rotator cuff muscles, recovering in the shortest time possible the complete range of movement without forcing the extra-rotation. Stretching of the capsule and posterior cuff can mitigate symptoms.
When talking about unstable shoulder, different diagnosess are to be taken into consideration, such as dislocations, subdislocations . Various classifications have been proposed, but we will refer to that instability that involves patients with signs of congenital generalised laxity, associated with bilateral and multidirectional (anterior, posterior and inferior) instability of the shoulder. The instability can also affect sportspeople such as gymnasts, volleyball players, weightlifters and swimmers. The traumatic mechanism is to be found in the repetition of overhead movements that, due to the joint laxity, provoke a mechanic stimulus on the nervous structures and periarticular soft tissues (repeated microtraumas) that lead to pain. If you entered this section, it means that you probably are starting feeling pain in your shoulder or that you are suffering from disturbances such as “dead arm” or paresthesia of the superior limb when performing daily or sportive activities. You might also have faced different times a dislocation or subdislocation without a meaningful trauma. The physichian will prescribe for you further examinations to detect which are the conditions of capsular, tendinous, and muscular structures. The conservative treatment represents the first approach to the management of this complex clinic situation. The work is mainly finalised to improving the joint biomechanics though exercises for those muscles that stabilise the articulation. In particular, in the overhead sports it is necessary to reinforce all the cuff’s muscles, since they are involved in the control of the humeral translation. The recovery of the neuromuscular control is essential, as the deficit in co-ordination for these patients is typical. Co-ordination exercises can find a proper space in rehabilitation where the patient will undergo dynamic and more specific exercises. After the failure of at least 6 month of conservative therapy, a surgical intervention will be necessary and an appropriate rehabilitative treatment will follow.
• Pain when you bend the arm and rotate it outwards against resistance
• Pain on the outside of the shoulder possibly radiating down into the arm
• Pain in the shoulder which is worse at night
• Stiffness in the shoulder jointRupture of the supraspinatus tendon
• Had a sharp pain in the shoulder at the time of injury
• Fallen onto an outstretched arm or thrown something too heavy
• Pain in a 60 degree arc as shown hereRupture of the long tendon of the biceps muscle
• Sudden pain over the front of the shoulder and upper arm
• Swelling over the front of the upper arm
• Pain on resisted shoulder flexion
Inflammation of the long tendon of the biceps
• Tenderness when you press in over the front of the upper arm and shoulder when the arm is bent
• Pain if you bend the elbow to 90 degrees and try and turn the forearm outwards against resistance
• Possible pain on resisted shoulder flexion
Winged Scapula / Long Thoracic Nerve Damage
• A ‘winged’ or sticking out scapula or shoulder blade
• A scapula that sticks out when pressing against a wall
• Difficulty lifting weights
• A feeling of pressure on the shoulder blade when sitting
Dislocation of the Clavicle and Sternum Joint
• Had a hard impact to the shoulder
• Pain when you push in at the point where your collar bone meets your breast bone
• Pain radiating into the shoulder