All You Need To Know About Shoulder Dislocations

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All You Need To Know About Shoulder Dislocations

• By Michael LaBella

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Objectives

• Definition
• Types of dislocations
• Anatomy
• Recognition of injury
• Treatment
• Rehabilitation
• Prevention

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What exactly is a shoulder dislocation?

• A shoulder dislocation is when the top part of
  the arm bone, known as the humeral head, slips
  out of its socket which is called the glenoid.
• A partial dislocation is known as a subluxation.
• When the bones of a joint are totally displaced,
  it is called a luxation.

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Anatomy of the Shoulder Joint

• The shoulder joint consists of
• Humerus
• Clavicle
• Scapula

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Shoulder Joint
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X Ray of Dislocated Shoulder
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Are all dislocations the same?
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How do shoulder dislocations occur?

• Shoulder dislocation is an acute injury, which
  means they are a result of a traumatic event.
• Shoulder injuries are most commonly associated
  with football and wrestling.

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What are some symptoms of shoulder dislocations?

• Shoulder pain
• Arm held at side usually slightly away from body
  with forearm facing out
• Loss of normal rounded contour of the deltoid
  muscle
• Often times athlete mentions feeling a pop

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Rehabilitating Shoulder Dislocations

• Immobilization for several weeks
• Plenty of rest
• Ice sore area 3 to 4 times daily
• After pain and swelling subside
• Dr. will prescribe exercise to
• Restore range of motion
• Strengthen muscles
• Gentle toning exercises first
• Weight training can be added later

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When is it safe for an athlete return to
competition?

• An athlete should not be able to return to
  competition until they can demonstrate regained
  range of motion and an shoulder strength.
• Athletes who dislocate their shoulders are over
  50 more likely to dislocate them again.
• Surgery is an option if injury continues to
  happen.

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Prevention

• Maintain excellent strength and stability of the
  shoulder and upper back muscles.
• Try not to fall
• Shoulder braces and shock absorbers may help.

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Bibliography

• Cluett, Jonathan M.D. (2006). Shoulder
  Dislocation. Retrieved February 22, 2008, from
  orthopedics.about.com/cs/shouldersurgery/a/disloca
  tion.htm
• Dugas, Jeffrey R. M.D. (2008). Traumatic Shoulder
  Dislocation. Retrieved February 22, 2008 from
  www.sportsmedicine.org
• The American Academy of Orthopedic Surgeons.
  (2007). Dislocated Shoulder. Retrieved February
  22,2008 from http//orthoinfo.aaos.org/topic.cfm?t
  opicA00035