Institute for Sports Medicine Frankfurt Main

1. Risk kinds of sport:

Combat sport, alpine sport, handball, gymnastics, snowboarding

2. Anatomy:

The shoulder joint is a ball joint (relatively small pan with large upper arm head). It is a muscle-led joint

3. Function:

Large mobility three-dimensional in all directions combines diffraction/aspect ratio, a spreading, interior/external rotation, circulation

4. Injury mechanism:

no direct injury mechanism!
- after primarily traumatic luxation with avulsion of the pan lip and insufficient immobilizing
- innately: - not sufficient trained joint socket
- innate muscle or capsule band weakness
- the habitual shoulder luxation can take place already during normal stress, e.g. with spreading and outward rotating of the arm

5. Symptoms:

- Pain
- Movement restriction
- Shoulder outline interrupted occasionally succeeds the automatic Reposition by the patient

6. First measures:

- Immobilizing
- Ice
- if no independent Reposition is possible, immediately in the hospital/to the physician to the Reposition

7. Diagnostics:

- Investigation by the physician
- Roentgen

8. Therapy:

a) Conservative therapy
- Antiphlogistika (anti-inflammatory, decongestant)
- Immobilizing/bandage at the beginning
- Physiotherapy
b) Operational therapy:
- operational treatment (Arthroskopie or openly) usually necessarily

9. Physiotherapie/rehablitation:

- Cryotherapy
- Electrical therapy
- Lymphdrainage
- Patient gymnastic, training therapy, ISO kinetics

10. Prevention:

- Strengthening the shoulder belt musculature, particularly into the front range (Innenrotatoren); favorably: closed chain (supporting training)
- Strengthening and Stabilization of the entire shoulder belt range in combination with stabilization of the torso

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