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Shoulder dislocation

Introduction

Overview

Overview

A shoulder dislocation usually occurs as a result of force to a joint. The bone is pushed out of the socket, which may cause damage to the surrounding ligaments, tendons, and nerves.

References

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jumana Nagarwala, M.D., Senior Staff Physician, Department of Emergency Medicine, Henry Ford Hospital; Cafer Zorkun, M.D., Ph.D. [2]

Historical Perspective

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References

Classification

Classification

Anterior dislocation is usually the result of direct or indirect trauma, with the arm forced into abduction and external rotation. It is the most frequent type of shoulder dislocation (represents more than 90% of injuries).

In posterior dislocation, the humeral head is forced posteriorly in internal rotation. Posterior dislocations account for 2%–4% of all shoulder dislocations. In adults, convulsive disorder is the most common cause. Electrocution is a classic but uncommon cause of posterior shoulder dislocation. Bilateral dislocations are not infrequent.

References

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jumana Nagarwala, M.D., Senior Staff Physician, Department of Emergency Medicine, Henry Ford Hospital; Cafer Zorkun, M.D., Ph.D. [2]

Pathophysiology

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Pathophysiology

Associated Conditions

  • Hill-Sach lesions (describes a characteristic defect of the posterolateral surface of the humeral head, and represents a compression fracture)
  • Labral lesions (i.e., Bankart lesion)
  • Bony glenoid lesions – Osseous anterior glenoid rim fractures (44%), bony Bankart lesions, fracture of the greater tuberosity
  • Intraarticular loose body
  • Rotator cuff lesions – Supraspinatus tears or subscapularis tears

References

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jumana Nagarwala, M.D., Senior Staff Physician, Department of Emergency Medicine, Henry Ford Hospital; Cafer Zorkun, M.D., Ph.D. [2]

Causes

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References

Differentiating Shoulder Dislocation from other Conditions

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References

Epidemiology and Demographics

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References

Risk Factors

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References

Natural History, Complications and Prognosis

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References

Diagnosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | X Ray | CT | MRI | Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case Studies

Case #1


Template:WikiDoc Sources

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jumana Nagarwala, M.D., Senior Staff Physician, Department of Emergency Medicine, Henry Ford Hospital; Cafer Zorkun, M.D., Ph.D. [2]