Shoulder dislocation: Difference between revisions

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<gallery mode="packed">
<gallery mode="packed">
File:AnterDisAPMark.png|[[Anterior dislocation]]
File:AnterDisAPMark.png|[[Anterior shoulder dislocation]]
File:AnterDisMark.png|[[Anterior dislocation]] of the right shoulder on Y-view X ray.
File:AnterDisMark.png|[[Anterior shoulder dislocation]] of the right shoulder on Y-view X ray.
File:Luxation epaule.png|[[Anterior dislocation]] with fracture
File:Luxation epaule.png|[[Anterior shoulder dislocation]] with fracture
File:Inferiourdislocation.jpg|[[Inferior dislocation]]
File:Inferiourdislocation.jpg|[[Inferior shoulder dislocation]]
File:Lightbulb sign - posterior shoulder dislocation - Roe vor und nach Reposition 001.jpg|[[Posterior dislocation]]
File:Lightbulb sign - posterior shoulder dislocation - Roe vor und nach Reposition 001.jpg|[[Posterior shoulder dislocation]]
</gallery>
</gallery>



Revision as of 21:41, 28 April 2017

Background

  • Humerus separates from the scapula at the glenohumeral joint
  • Partial dislocation of the shoulder is referred to as subluxation

Types

Differential Diagnosis

Shoulder and Upper Arm Diagnoses

Traumatic/Acute:

Nontraumatic/Chronic:

Refered pain & non-orthopedic causes:

Evaluation

Management

  • Reduction
    • See individual types for specific techniques
  • Cochrane review notes lower complications, equal pain control, and shorter ED stay with intra-articular lidocaine vs. procedural sedation
    • 20 mL of 1% lidocaine intra-articular injection[1]

Disposition

  • Uncomplicated dislocation can be discharged after reduction
  • Recurrence rate around 27% if older than 30 years and 72% is younger than 23 years[2]

See Also

External Links

Video

{{#widget:YouTube|id=WPAEBZUOW6c}}

References

  1. Intra-articular lignocaine versus intravenous analgesia with or without sedation for manual reduction of acute anterior shoulder dislocation in adults (Review) Cochrane Database Syst Rev. 2011 Apr 13;(4):CD004919 full text
  2. Watson S, Allen B, Grant JA. A Clinical Review of Return-to-Play Considerations After Anterior Shoulder Dislocation. Sports Health. 2016; 8(4):336-341.