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| June 2nd Breakfast Seminar Outline... | ||||
| Speakers : Dr. Dean Wampler & Dr. Charles Burt | ||||
| Topics Discussed: Shoulder Issues-Surgical and Non-Surgical Options | ||||
| Types of Shoulder Injuries Commonly Seen: | ||||
| A. Sudden Injury | ||||
| a. Risks | ||||
| 1. Falls | ||||
| 2. Catching Falling Objects | ||||
| 3. Lifting/Pushing Above Chest Height | ||||
| B. Cumulative Trauma | ||||
| a. Risks | ||||
| 1. Repetitive push/pull/lift/rotation with abduction | ||||
| 2. Frequent reach or lift at arm’s length | ||||
| 3. Work outside the “safe zone” | ||||
| Early Treatment for Shoulder Injuries: | ||||
| A. Maintain activity in the “safe zone” | ||||
| a. No repetitive shoulder rotation/flexion | ||||
| b. Weight restriction | ||||
| c. Keep some motion to avoid frozen shoulder | ||||
| B. Interrupt pain/spasm cycle | ||||
| a. Ice/Heat | ||||
| b. Anti-inflammatory medicine | ||||
| C. Re-examine when pain improved | ||||
| a. Possible rotator cuff | ||||
| b. Improving pain and function | ||||
| c. Stalled Recovery | ||||
| Possible Outcomes: | ||||
| A. Normal Function | ||||
| B. Weakness or restricted motion | ||||
| C. Permanent Impairment | ||||
| D. Poor Outcomes | ||||
| Shoulder Disorders: | ||||
| A. Rotator Cuff disease/injury | ||||
| a. X-rays | ||||
| b. MRI-diagnostic test of choice | ||||
| c. Conservative treatment | ||||
| 1. Physical Therapy | ||||
| 2. Corticosteroid Injection | ||||
| d. Operative Treatments | ||||
| 1. Arthroscopy | ||||
| 2. 6-8 weeks healing time | ||||
| 3. Typically 3-6 months MMI | ||||
| B. Shoulder Instability | ||||
| a. Recurrence leads to Operative intervention | ||||
| 1. Arthroscopic Stabilization | ||||
| 2. Rehab 3-4 months | ||||
| C. Labral Tears | ||||
| a. SLAP tears-4 types | ||||
| 1. Type 2 and 4 need repair | ||||
| 2. Type 1 and 2 most common | ||||
| b. Mechanism of injury | ||||
| 1. Fall on out stretched arm | ||||
| 2. Axial load of shoulder (football lineman) | ||||
| 3. Sudden, heavy pull | ||||
| 4. Repetitive Use (primarily overhead) | ||||
| c. Symptoms | ||||
| 1. Popping, catching | ||||
| 2. Weakness | ||||
| 3. Sense of “looseness” | ||||
| 4. Pain with use | ||||
| 5. Occasional night pain | ||||
| d. Physical signs | ||||
| 1. May be subtle | ||||
| 2. Palpable popping or catching | ||||
| 3. Weakness of RTC | ||||
| 4. Increased Laxity | ||||
| 5. Positive tests-Apprehension, Crank, O’Brien’s, Neer, Hawkins | ||||
| e. Treatment | ||||
| 1. Surgery | ||||
| 2. Recovery 2-4 months avoid heavy lifting during this phase | ||||
| 3. High Success Rate | ||||
| 4. Least painful of all shoulder surgeries | ||||
| CompChoice is committed to providing solutions to our customers relative to prevention and treatment of work related injuries. | ||||