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Anterior shoulder dislocation while carrying a frail elder. A dislocated shoulder is a condition in which the head of the humerus is detached from the glenoid fossa. [2] Symptoms include shoulder pain and instability. [2] Complications may include a Bankart lesion, Hill-Sachs lesion, rotator cuff tear, or injury to the axillary nerve. [1]
While the Latarjet procedure can be used for surgical treatment of most cases of shoulder dislocations or subluxation, it is particularly indicated in cases with bone defects. [4] The failure rate following arthroscopic Bankart repair has been shown to dramatically increase from 4% to 67% in patients with significant bone loss. [5]
Dislocations can occur in any major joint (shoulder, knees, hips) or minor joint (toes, fingers). The most common joint dislocation is a shoulder dislocation. [1] The treatment for joint dislocation is usually by closed reduction, that is, skilled manipulation to return the bones to their normal position. Only trained medical professionals ...
Shoulder reduction is the process of returning the shoulder to its normal position following a shoulder dislocation.Normally, closed reduction, in which the relationship of bone and joint is manipulated externally without surgical intervention, is used.
Physical therapy is always recommended after surgery, and most patients get flexibility back, although possibly somewhat limited. After one does have surgery, a sling should be worn to support and protect the shoulder for a few days. For the first couple physical therapy visits, the treatment will focus on controlling the pain and swelling.
After treatment and recovery, a previously dislocated shoulder may remain more susceptible to reinjury, especially in young, active individuals. Ligaments are stretched and may tear due to dislocation. Torn ligaments and other problems resulting from dislocation can increase the chance of repeated dislocation.
A Bankart lesion is a type of shoulder injury that occurs following a dislocated shoulder. [3] It is an injury of the anterior (inferior) glenoid labrum of the shoulder. [4] When this happens, a pocket at the front of the glenoid forms that allows the humeral head to dislocate into it.
Cunningham shoulder reduction was originally published in 2003 [1] and is an anatomically based method of shoulder reduction that utilizes positioning (analgesic position), voluntary scapular retraction, and bicipital massage. It is designed for true anterior/subcoracoid glenohumeral dislocations in patients who can fully adduct their humerus. [2]