Claimed:"Shoulder Dislocation"

[Phil 5,129]

"Shoulder Dislocation"

 

 

Months ago, the VHL Medical Association in co-operation with the brilliance that is Mr Knight's writing style, published an article on Skater's Knee. This article warns players, trainers, and coaches about the potential harm that poor movement patterns can cause to ones knees - specifically if you have a dynamic or status valgus knee (or a higher Q-angle than the normal 10-12% range). It was made accessible to the entire VHL community and you can find the article here.

 

The most recent article published by the Medical Association was looking at shoulder injuries in VHL players.  Below is an excerpt from it:

 

This article has two sets of audiences - the medical and the general populations. Due to this, the way in which the article is written is not completely one of a professional style but the information is presented in more 'lay' terms. It can be beneficial for the general populace to comprehend the material and use the knowledge in sports settings to help prevent injury or improper first response.

The first thing we must dispel is the myth of the  'shoulder joint'  The shoulder is not a joint! It is a region of the body. It is compromised of three joints: the sterno-clavicular, the acromio-clavicular, and the glenero-humeral joints. It has 3 bones: The clavicle (collar bone), the scapula (shoulder blade), and the humerus (upper arm bone). This is as basic as we can state due to word limits.

Since sports injuries, especially contact ones such as ice hockey, generally involve more acute trauma injuries, these are the ones we shall be focusing on.

 

"Dislocated Shoulder"

 

 

Once again, we must remind you that the shoulder is but a region of your body and therefore this injury is a slang term. The correct term is Gleno-Humeral Dislocation (GHD). This requires a failure of at least one of the joint's stabilizers. Our research team performed a study on Victory Hockey League players with shoulder injuries to determine which stabilizers fail more often. The results are below.

 

Odin Tordahl, Niklas Valiq, Zack Sound, Jamie Shelter, Matt Bentley, and Teemu Lehtinen's GHD were caused by a Bankart lesion, or a glenoid labrum failure. Kameron Taylor, Robin Gow, and Ethan Osbourne's  were caused by a torn IGHL (Inferior Gleno-Humeral Ligament), and Wesley Kellinger and Tom Slaughter's were caused by a muscle tear of one of the rotator cuffs, the subscapularis.

 

In summary, this means that~66% of GHD is caused by the glenoid labrum, ~25% by a torn IGHL, and ~15% by a tore subscapularis. But how can coaches and trainers identify it?

 

The most obvious sign is that of a "squared off" shoulder. One shoulder looks as if it is drooping and there is no roundness to the shape. This is such a commonality in hockey because of the high forces being applied while checking (giving or receiving ). If the player demonstrates pain and an inability to move along with this, suspect an AGHD. So what can trainers and coach do immediately?

The first thing you do is assess the neurovascular status of the player. If the Axillary nerves are damage (they demonstrate numbness in the deltoids and/or the skin) it is an immediate 911 call. Once nerves die - they will most likely never recover. You may also attempt Stimson's position to pop it back in place. If you or the player is not comfortable with this, then they may keep it in a comfortable position until they see an MD

 

Tordahl in Stimson's Position

 

The last thing to be said about this is that once the player has 'dislocated their shoulder' it is more likely that they will do it again. The Gleno-humeral joint is the most unstable joint in the body and has no bony stabilizers at all. It relies on the rotator cuffs predominantly to provide stability. Therefore it is imperative that VHL hockey players strengthen these muscles to try to prevent this injury.

 

https://www.youtube.com/watch?v=dZQCilq4j0s

 

The article goes on to explain Separated Shoulders, Rotator Cuff injuries, and fractures but we do not have space to show you here. This snippet has given VHL trainers some fantastic insights into how they should be designing their training programs to prevent shoulder injuries. Based on the fact that 11 VHL players recently all have the same injury, it would be wise to use this information to their advantage.

Edited April 18, 2014 by ssdd911

[Fire Tortorella 2,653]

Content: 3/3 - I had way too many flashbacks to both health class and my cousin's girlfriend lecturing us on the human body and different types of injuries. This was an interesting read though.

 

Grammar: 2/2 - Only a few.

 

Mr Knight's = Mr. Knight's

ones knees = one's knees

 

Appearance: 1/1 - Yup.

 

Overall: 6/6

[Smarch 3,194]

Claimed