immobilization

Epidemiology

Most common form of shoulder instability

- young males 

- M:F = 2:1

Aetiology

Indirect ER and abduction moment on arm

- disruption of anterior stabilisers

History

Initial injury

- severe pain in shoulder

Cervical spine Fractures

Incidence

Rare

- < 1% children's fractures

< 7

- upper cervical

- craniocervical junction

> 7

- lower C spine predominate

Immobilisation

Very big heads

- will flex neck on spinal board

- need bump under T spine or

- cut out for head

Clinical