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Traumatic berm joint dislocation follows severe pain . Almost all patients come traumatic shoulder joint breakdown visit parking brake room . A traumatic shoulder joint joint disruption is often seen in elderly patients suffering with severe arthritis and pain is meek to moderate . Pain is often tolerable and elderly patient may opine pain is lowly to arthritis . Investigations and treatment in such cases are postponed . Shoulder joint pain should be investigated in aged patient to harness out dislocation .
Symptoms And Signs Of Shoulder Joint Dislocation
Severe Pain-
Inability to Move Arm-
Abnormal Arm Position-
Posterior Dislocation
Inferior Dislocation
Tenderness Over The Shoulder Joint
Abnormal Swelling Around Shoulder Joint
Soft Swelling- induce by hematoma ( rakehell clot ) .
Firm To Hard Swelling-
Bruising
Purple discoloration is observed over the shoulder joint because of skin laceration or hypodermic bleeding .
Shoulder Joint Deformity
Shoulder Joint Stiffness
Frozen Shoulder-
frosty shoulder joint is avert by immediate chastening of breakdown and lay down strong-arm therapy or exercises for early joint mobility .
Non-Specific Symptoms
Investigations And Diagnostic Tests for Shoulder Joint Dislocation
X-RAY of Shoulder Joint
X - Ray is performed in emergency brake room immediately after admission to find out shoulder joint disruption . X - ray will show following joint breakdown with or without fracture-
MRI
Shoulder joint MRI scanning shows point of soft tissue and bones of the shoulder joint .
CAT Scan
Ultrasound
Electrical Study: Electromyogram (EMG)
EMG is performed to evaluate following injuries-
Arthroscopy Of Shoulder Joint
Arthroscopy is perform to predominate out following injuries consort with shoulder joint disruption .
Treatment Of Shoulder Joint Dislocation
1. Emergency Room Treatment Of Shoulder Joint Dislocation-
Patient follow shoulder joint breakdown are often brought to pinch room . Shoulder joint dislocation is either repetition or first prison term disruption . Emergency elbow room treatment is as pursue .
indication For Muscle Relaxants-
Indications For finis Reduction-
Hennepin Maneuver – Closed Reduction By External Rotation
Rockwood Technique –
Stimson ’s Technique –
2. Elective Treatment Of Shoulder Joint Dislocation
Immobilization of shoulder joint joint is done by using Figure of 8 slings .
indication For Immobilization-
3. Elective Physical Therapy (PT) For Shoulder Joint
Physical therapy ( PT ) is advised follow close or open diminution of the shoulder juncture .
Indications for muscle relaxant are as follows-
5. Interventional Therapy For Shoulder Joint Dislocation
Indications for shoulder joint corticoid is as follows-
Indication for shoulder joint block is as follows-
6. Surgery For Shoulder Joint Dislocation
Arthroscopy is a function performed under general or local anaesthesia . Arthroscope is a thin tube-shaped official document with photographic camera at one end and ocular at other remnant . tv camera remainder of the arthroscope is inserted into shoulder joint stick following diminutive tegument dent . The camera image is digitized , enlarge and transferred to television screen .
Arthroscopy is performed follow reduction of dislocation to diagnose colligate injury .
give Reduction-
Shoulder joint replacement- build glenoid cavity and put back head of humerus .
Also register :
target=”_blank”>Causes and Types of Shoulder Joint Dislocation .
extension
1 . Labral injury : accuracy of detection with unenhanced MR tomography of the shoulder joint .
Gusmer PB , Potter HG , Scatz JA , Wickiewica TL , Altchek DW , O’Brien SJ , et al . Radiology . 1996;200:519–24 .
2 . The pathology and treatment of perennial dislocation of the shoulder join .
Bankart ASB . Br J Surg . 1938;26:23–9 .
3 . Arthroscopic findings after shoulder breakdown .
Hintermann B , Gachter A. J Sports Med . 1995;23:545–51 .
4 . Position of immobilization after dislocation of glenohumeral articulation . A written report using magnetized resonance imaging .
Itoi E , Sashi R , Minagawa H , Shimizu T , Wakabayashi I , Sato K. J Bone Joint Surg Am . 2001;83:661–7 .
5 . Treating the initial anterior shoulder dislocation an grounds based medicine approach .
Kuhn JE . Sports Med Arthrosc . 2006;14:192–8 . [ PubMed ]
