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Anatomy of the arm
Anatomy of the axilla
Anatomy of the brachial plexus
Anatomy of the elbow joint
Anatomy of the glenohumeral joint
Anatomy of the pectoral and scapular regions
Anatomy of the radioulnar joints
Anatomy of the sternoclavicular and acromioclavicular joints
Bones of the upper limb
Fascia, vessels and nerves of the upper limb
Joints of the wrist and hand
Muscles of the forearm
Muscles of the hand
Vessels and nerves of the forearm
Vessels and nerves of the hand
Anatomy clinical correlates: Arm, elbow and forearm
Anatomy clinical correlates: Axilla
Anatomy clinical correlates: Clavicle and shoulder
Anatomy clinical correlates: Median, ulnar and radial nerves
Anatomy clinical correlates: Wrist and hand
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Anterior Shoulder Dislocation
Our upper limbs are complex structures. They’ve got bones, muscles, fascia, nerves and blood vessels, and everything in between. Our upper limbs are prone to injury however, and oftentimes, even a small injury can have a huge functional deficit as we are so reliant on our upper limbs in everyday life. One of these commonly injured areas is the shoulder region.
Ok, so let’s start by taking a look at the injuries of the clavicle. Because of its subcutaneous position, the clavicle is prone to fractures, which are usually the result of direct or indirect trauma. An example of direct trauma is falling directly on the shoulder. Indirect trauma, however, may occur when falling on an outstretched hand, and the force of impact is transmitted through the bones of the forearm and the arm to the shoulder, which can result in a clavicle fracture. Most of these fractures occur in the middle third of the clavicle, particularly where the middle third meets the lateral third, which is the weakest point of the clavicle.
So with clavicular fractures, the medial fragment is usually pulled up by the sternocleidomastoid muscles, which can be apparent to the naked eye and palpable. At the same time, the trapezius muscle is having trouble holding the lateral fragment up, because of the weight of the limb, so the shoulder drops. And since the two fragments may glide under each other, the clavicle is also shortened. Additional features may signal complications of a clavicle fracture. For example, if the skin above the fracture seems to be tenting, meaning it looks like a tent, that suggests the fracture may become an open fracture in the future, and warrants surgical stabilization.
Alright, now, another thing that can happen in this region is an acromioclavicular dislocation, also called a “shoulder separation”. Just like the name says, the clavicle and acromion process separate, usually because of a direct blow to the shoulder, or a fall landing directly on the shoulder joint. And this may be seen in contact sports, like football, soccer or hockey.
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