1 / 215

Shoulders, Knees, and Ankles – for clinicians who have other priorities.

Shoulders, Knees, and Ankles – for clinicians who have other priorities. Ron Olson, MD Duke Student Health. Shoulder. Green. Just want to be safe. Nothing fancy What needs prompt attention. Shoulder. No diagnosis, no definitive management but recognize what may need urgent care Based on

lalo
Download Presentation

Shoulders, Knees, and Ankles – for clinicians who have other priorities.

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Shoulders, Knees, and Ankles –for clinicians who have other priorities. Ron Olson, MD Duke Student Health

  2. Shoulder

  3. Green • Just want to be safe. • Nothing fancy • What needs prompt attention

  4. Shoulder • No diagnosis, no definitive management but recognize what may need urgent care • Based on • Anatomy • What the patient says

  5. Shoulder --Anatomy • head of humerus • scapula • acromion • glenoid • spine • glenohumeral joint • clavicle (collar bone) • acromio-clavicular joint

  6. 1. Head of humerus

  7. 1. Head of humerus Palpate acromion and humeral head

  8. 1. Head of humerus

  9. 2. Scapula -- acromion

  10. 2. Scapula -- spine

  11. 2. Scapula -- glenoid

  12. 2. Scapula -- glenoid • part of the scapula

  13. 3. Glenohumeral Joint

  14. 4. Clavicle

  15. 5. AcromioclavicularJt

  16. 5. AcromioclavicularJt

  17. Shoulder--Assessment • Check neuromuscular status • Check basic movement internal/ext rotation, abduction • Palpate acromioclavicular jt • Palpate acromion and humeral head

  18. Shoulder--assessment 1. Check neuromuscular status • fingers move • light touch fingers

  19. Shoulder--assessment 1. Check neurovascular status • fingers move • light touch fingers • pulse/color

  20. Shoulder--assessment 1. Checkneurovascular status • fingers move • light touch fingers • light touch deltoid

  21. Shoulder--assessment 1. Checkneurovascular status 2. Check basic movement internal/ext rotation, abduction

  22. Shoulder--assessment • Check neuromuscular status • Check basic movement • Palpate acromioclavicularjt

  23. Shoulder--assessment 3. Palpate acromioclavicular jt

  24. Shoulder--assessment • Check neuromuscular status • Check basic movement 3. Palpate acromioclavicularjt 4. Palpate acromion and head of humerus

  25. Anterior Dislocation

  26. acromion clavicular jt acromion humeral head ? Anterior Dislocation

  27. Anterior Dislocation

  28. Shoulder--Management • Check neuromuscular status • Check basic movement internal/ext rotation • Palpate acromioclavicular joint • Palpate acromion and humeral head • If assessment is • fairly normal, If not, • can wait until urgent care • tomorrow needed

  29. Shoulder--management Immobilizer for comfort

  30. Blue • Confident in recognizing urgencies • Recognize a common condition

  31. Rotator Cuff Tendonopathy

  32. Shoulder -- Anatomy • Rotator cuff • Subacromial arch • Impingement

  33. Shoulder -- anatomy • Rotator cuff • Subacromial arch • Impingement

  34. Subacromial Arch

  35. Subacromial Space

  36. Acromion Greater Tuberosity

More Related