Shoulder Injuries and Conditions
Glenoid Labrum Tear

Same as above

Repetition of shoulder motionAcute trauma
Anterior subluxation of the glenohumeral joint
Anterior instability during acceleration or deceleration phase of throwing due to the biceps tendon pulling on the anterior labrum

Pain changes the smooth motion of the shoulder
The athlete feels or hears a pop or snap on forced external rotation
The athlete has pan on external rotation at 90º of abduction

Loss of smooth shoulder motion
Possible positive clunk testForced abduction
Pain on forced horizontal adduction of the shoulder
Weakness of the rotator cuff

Clunk test
Resistive range of motion test
Apprehension test

Refer to an orthopedic surgeon if symptoms/signs persist
MRI and arthrogram

Not applicable
Medical Term

Common Term

Mechanisms




Symptoms



Signs




Special Tests



Referral/Diagnostic Procedure


Classification of Injury

Management

Comment
Medical Term

Common Term


Mechanisms

Symptoms






Signs




Special Tests




Referral/Diagnostic Procedure


Classification of Injury

Management

Comment
Rotator Cuff Impingement

Swimmer’s shoulder, thrower’s shoulder
Also occurs in baseball and gymnastics

Chronic microtrauma

Vascular impairment
Partial tear in the rotator cuff muscles
Increase in pain from internal to external rotation
Pain on superolateral aspect of the shoulder
Snapping sensation that may be felt with use
Loss of function

Pain on active abduction between 70º and 130º
Pain on extreme forward flexion with the forearm supinated
Pain on internal rotation with the arm abducted at 90º and the forearm pronated

Impingement test
Forward flexion test
Empty can test
Resistive range of motion test

Refer to an orthopedic surgeon if symptoms/signs persist
X-ray

First-, second-, third-degree
Medical Term

Common Term

Mechanisms

Symptoms



Signs



Special Tests

Referral/Diagnostic Procedure

Classification of Injury

Management

Comment
Long Head of the Biceps Rupture

Shoulder strain or biceps tear

Violent contraction against firm resistance

Sudden pain
Loss of function of the biceps
The athlete hears/feels a sensation of something rolling up the arm

Protruding bulge in the biceps
Definite loss of strength in the biceps on elbow flexion
Tenderness along the long head of the biceps

Ludington’s test

Refer to an orthopedic surgeon

Third-degree strain