WHAT IT IS ?

A dislocated shoulder occurs when the humerus separates from the scapula at the glenohumeral joint. The shoulder joint has the greatest range of motion of any joint in the body and as a result is particularly susceptible to subluxation and dislocation.[1] Approximately half of major joint dislocations seen in emergency departments involve the shoulder. Partial dislocation of the shoulder is referred to as subluxation.

CAUSE OF RECURRENT DISLOCATION

Once dislocated , shoulder joint is prone for repeated , recurrent dislocations . basic pathology in shoulder dislocation is tearing of labrum (protective soft tissue ) from glenoid (shoulder cup) OR bony defect ( hill sach’s lesion) in head of humerus . with each dislocation chances of subsequent dislocation increase .

SIGNS AND SYMPTOMS

Significant pain, sometimes felt along the arm past the shoulder.

INVESTIGATIONS REQUIRED

Usually a MRI is enough to confirm the labral tear for recurrent dislocations . but in case of multiple dislocaiotns a CT scan might be required to look for and quantify the bony defect

TREATMENT POSSIBLE

No amount of physiotherapy or medicine can correct a recurrent shoulder dislocation . but it is totally curable with surgery

REHABILITATION AND RECOVERY

Significant pain, sometimes felt along the arm past the shoulder.

  • Inability to move the arm from its current position, particularly in positions with the arm reaching away from the body and with the top of the arm twisted toward the back.
  • Numbness of the arm.
  • Visibly displaced shoulder. Some dislocations result in the shoulder appearing unusually square.
  • No palpable bone on the side of the shoulder.

REHABILITATION AND RECOVERY

  • Arthrosocopic surgery : patient is allowed to move and lift shoulder by himself the very next day of surgery . there is minimal pain after surgery and most patient don’t require any analgesics(pain killers ) after 2-3 days . by 1.5- 2 months patient is able to do all functions
  • LATARJET PROCEDURE :patient is instructed to keep arm in pouch arm sling till the defect is covered by bone. Usually the patient is able to do full movements by end of 2 months

REHABILITATION AND RECOVERY

  • Arthrosocopic surgery : patient is allowed to move and lift shoulder by himself the very next day of surgery . there is minimal pain after surgery and most patient don’t require any analgesics(pain killers ) after 2-3 days . by 1.5- 2 months patient is able to do all functions
  • LATARJET PROCEDURE :patient is instructed to keep arm in pouch arm sling till the defect is covered by bone. Usually the patient is able to do full movements by end of 2 months

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