Tuesday, November 5, 2013

Aaron Rogers shoulder injury, what might it be?

As all football fans know, a great quarterback, Aaron Rogers of the Green Bay Packers sustained a shoulder injury on Monday Night Football. The video of the injury can be seen here.

While we have no 'insider' information on the nature of this injury, we note that he landed directly on the lateral aspect of his left (non-throwing) shoulder with the tackler on top of him. We call this a lateral impaction or 'pile driver' injury. In such injuries, a large compressive force is applied to the shoulder which is transmitted by the acromion to the clavicle and from the clavicle to the sternum. Thus the structures at risk for injury include the acromion, the AC (acromio-clavicular) joint, the clavicle, or the SC (sternoclavicular) joint.

Here is a diagram showing these structures

A severe form of lateral impaction injury may include a fracture of the neck of the scapula and fractures of the ribs.

These injuries can usually be diagnoses by a physical examination and high quality x-rays. The treatment will depend on the nature of the injury.

We hope Mr Rogers has a relatively benign injury and is back on the field soon.

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