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Shoulder dislocation signs, symptoms, causes, treatment and physiotherapy

 


In shoulder dislocation, the upper arm bone gets out of the cup-shaped socket which is the part of the shoulder blade. The dislocation occurs if an arm is pulled or turned with huge force. The humerus gets out of the socket due to this high force. Some shoulder dislocation signs are pain and difficulty in moving the arm. 

What are shoulder dislocation signs and symptoms?

Following are the shoulder dislocation signs and symptoms:

  • Shoulder deformity
  • The shoulder joint will be unable to move.
  • The person will face difficulty in moving the arm. 
  • The patient will have pain in the arm and shoulder. 
  • The pain becomes worsened while moving the arm. 
  • The patient will also suffer from swelling, bruising, numbness, and weakness. 
  • The muscle may become spasm. 
What are the types of shoulder dislocation?

Anterior Shoulder Dislocation: The humeral head move in front of the shoulder joint in anterior shoulder dislocation. 

Posterior Shoulder Dislocation: The humeral head go back toward the shoulder blade. 

Inferior Shoulder Dislocation: Also called luxation erecta in which the humeral head moves below the shoulder joint. 

Intrathoracic: The humeral head stuck in the middle of ribs. 


What are the causes of shoulder dislocation?

The shoulder can dislocate in forward, backward, or downward directions. The humerus is removed from the socket in the glenoid fossa due to a huge amount of force. The ratio of anterior dislocation is more. The other cause of shoulder dislocation are:

Trauma: An immediate or unexpected gust is a common cause of dislocation. 

Sports: Sports that include falling off a person .i.e. downhill skiing, volleyball, gymnastics, hockey, and football can make injured and dislocation in the shoulder joint. 

Falling: The chances of dislocation are high if a person falls from a long height. 

Who is at risk of a shoulder dislocation?
These people have a high risk of shoulder dislocation:

1. People who are involved in sports: The sports which have a high risk of falling have high cases of dislocation. 

2. Aging: Collagen fibers, cartilage, and labrum break as age increases. The strength also decreases with aging. So if any minor trauma or falling occurs in elder people, would cause dislocation. 

How to prevent from occurring shoulder dislocation?

1. Avoid Falling: Taking care and avoid falling from a height will protect the shoulder joint. 

2. Taking Protective Measures: Wearing protective gear while playing sports will protect the shoulder joint. 

3. Doing Exercise: Exercise will improve the strength and flexibility of joints and muscles. 

How to treat shoulder dislocation: 

Closed Reduction:  Reduction is the technique to bring back the bone in the same position done by a doctor. The patient will get muscle relaxant, sedative, or general anesthesia before getting this treatment.

Immobilization: Immobilization means not move or be at rest. The doctor will prescribe a special splint to restrict shoulder movement. Immobilization will heal the joint. 

Medicines: Certain NSAIDs or aspirin are given to relieve the pain. 

Surgery: If above mention treatments do not work and nerves or blood vessels damage, then surgery is recommended. 

Rehabilitation: Rehabilitation starts when the shoulder is restored to its normal position. With the rehabilitation program, the patient gets back the normal range of motion, and strength as well as stability of shoulder joint increases. 

Conclusion: 
This article covers the short and basic detail of shoulder dislocation. The shoulder bone slips out of the ball and socket joint due to high force. The patient will suffer from pain and will have difficulty moving the arm. The most common cause of shoulder dislocation is trauma or falling from a height. We can prevent from occurring this condition by doing exercises and wearing protective measures while playing sports. The treatment includes certain medicines, immobilization, physiotherapy, and surgery. If you have any questions or want to add more details about the topic, you can mention them in the comment box. 

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