In shoulder dislocation, head of the humerus is out of the joint.
Types of dislocation – 4 types
1.Anterior (most common)
2.Posterior (seen in individuals after electric shock, seizures)
Symptoms of Shoulder Dislocation –
- Inability to move the arm
Causes of Shoulder Dislocation –
- It occurs when patient falls on outstretched hand or lifts arm over the head and rotates externally. It is also seen in individuals after electric shock and following seizures
Reduction of Shoulder Dislocation –
- Closed Reduction – The procedure is done in Emergency department under intra articular anaesthetic drug, and under sedation. If it fails then closed / open reduction can be done in Operation theater under anaesthesia. In this procedure, a gentle manoeuvre will help in moving the shoulder bones back to the position.
- Surgery – Surgery might help in patients with weak shoulder joints or ligaments who have susceptibility to repeated shoulder dislocations despite strengthening and rehabilitation.
- Immobilization – After the closed reduction procedure, patients are advised to wear a special sling for 3 weeks, to keep the shoulder from moving to facilitate complete healing.
Complication of Shoulder dislocation –
- Bankart lesion
- Bony Bankart lesion
- Proximal Humerus fracture
- Hill sachs lesion
- Axillary nerve injury
- Recurrent Shoulder dislocation
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