The Shoulder

Shoulder Girdle

Sprain of the conoideum/ trapezoid ligaments

Symptoms:

Sprain of the ligaments is often due to 'smash' movements (forced elevation movements in lateral rotation) in racket sports, baseball and volley ball.The pain is felt in the mid-clavicular and pectoral area.

Findings

• The pain may be provoked at the end of active and passive movements of the shoulder girdle.
• The pain is also reproduced at the extremes of passive movements of the arm but resisted movements remain negative.
• The accessory movement for anterior instability (apprehension test) is also painful.
• During the interpretation of the latter test it is extremely important to differentiate between
  • a typical 'apprehension' feeling with considerable pain down the arm and
  • clavicular pain at the end of the forced movement together with a normal endfeel.
  The latter points in the direction of a lesion of the conoid / trapezoid ligament.

Treatment:

consists of one or two infiltrations with 10-20 mg triamcinolone at the clavicular insertion of the ligaments.

---

Main Menu / Preliminary Examination / Interpretation of the preliminary examination / Pathology

[Start]

[Main shoulder]

[Flowcharts shoulder]

[A System of Orthopaedic Medicine]

Copyright © 2021 DR. L. OMBREGT All Rights Reserved
The author can not be held responsible for any damage caused by the use of any information provided.