Moving shoulder: Advanced proceedings in rugby

Why have a “handbook” on the shoulder injury in rugby, and not simply default references to shoulder injuries? The reasons are that some models of violations occur, specially designed for rugby in sport and players have specific requirements as far as rehabilitation, and most new on this high level of contact within a relatively quick period.

The basics of anatomy of the shoulder:

• The rotator cuff tendon, which is an important component of muscles and tendons to lift the arm and is deep into the deltoid muscle.
• The Sterno-clavicular (SC) in common, the intersection between the bones of the chest and neck bones of the front upper chest.
• The brachial plexus, the large number of nerves pass over the bone, which begins with the neck on the shoulder and arm. They are very superficial and can not palpated deeply into the skin on the collar bone.
• The shoulder joint (Gleno-humeral joint), which is the main point bullets and shoulder.
• The pectoralis major (Pec-Dur), a large muscle at the front of the chest, pulling his arm toward the body.

Structures most often violated
• The common AC: This crossroads half-collar bone and bone is one of the structures most often injured during the rugby games. In general, it follows a drop on the shoulder - usually a bit towards the back of the shoulder. This can result or a sprain or a real disruption of this county by a fraction of bands stability of the AC-joint.
• The municipality SC: The cross between the bones of the chest and collar bone (top of the chest) is injured, if the player falls directly on the shoulder. The municipality of May, with painful inflammation or disruption.
• SLAP lesions: ( “Superior Posterior labrum before”): These are tears of the upper cartilage of the glenoid (female) of the shoulder. You can decline to shoulder with a force up to shoulder

Mechanisms of injury most often seen in rugby
• shoulder disorder: The mechanism, if the arm outwards and pushed backward. This would occur during a “Straight arms against”, or if another player fell on the back of the shoulder forces the upper arm backwards
• brachial plexus injuries: this happens, as a general rule, if the head is forced away from the elbow and shoulder down - the result is a range of heavy tissue between the shoulder and neck. This will occur if a player falls into before and after contact with the arm and head at the same time. This leads to a wide range of nerves pass over the bone (brachial plexus).
• Col bone: a bone fracture that occurs during a fall directly on the shoulder, but it is less common in rugby and, above all seen players younger students.
After a violation of the shoulder, one for medical care or other participants in the shoulder following article in this evaluation is a decision on the immediate management of others.

Guidelines to suppress if the player in the shoulder and then A:

Deeper • Rotator cuff injuries and the labrum: These are not visible from the surface and a simple test would be to ask the player to lift his arm. When do easily, then there is no urgent need to provide for the elimination of the zone and he could play if it allows the pain. If, however, it is unable to lift the arms should the possibility of the area.
• Collar Bone: If severe pain and deformity is evident on the collar bone, it may be a fraction, and should be removed for medical treatment.
• Biceps tendon injury / rupture: Although other damage to continue to play it is unlikely that much damage, pain after the injury is normally to allow to continue intensively.

For more specific management of injuries after the rugby match:

• Soft Tissue accident: the Conservatives could be treated by physiotherapists.

• AC joint injury: This rarely, if ever, and immediate surgery may normally conservative managed by physiotherapists and the physician. Surgery is rarely, if ever, required the acute phase and a few require May in the longer run. Surgery results in a very positive outcome for patients with chronic pain and AC symptoms rotator cuff.

• Pec major break these violations require the advice of specialists, because most of them may require surgical repair in order to return to a level of function for rugby to play.

The proper management of shoulder injuries in rugby players, most players in a position for the sport and do not suffer any long-term consequences for the well-being of this important joint shoulder.