Presented by Dr Franck 1.1 and Dr Isaac 2.1
Supervised by Professor
SHOULDER DISLOCATION
OUT LINE
 Introduction
 Etiology
 Epidemiology
 Clinical presentation
 Complications
 Differantial Diagnosis
 Management and treatment
1. INTRODUCTION
 Dislocation of the shoulder means upper arm bone (humerus)
has come out of the shoulder joint.
It is also called glenohumeral joint dislocation, cause it
involves separation of the humerus from the glenoid of the scapula
at the glenoid joint
Types of shoulder dislocation
 The shoulder can dislocate in an anterior , posterior, inferior
direction and completely or partially
2.Etiology
Strong forces or externe rotation can cause the humeral head to
come out the labrum.
 The shoulder joint dislocates more frequently than any other
joint in the body.
 A dislocation can become worse by strained or torn fibrous
tissue which connects bones.
1. Contacts sports injuries are a common cause but trauma
from motor vehicle accidents and falls can also lead to
dislocation.
3.Epidemiology
 Shoulder dislocations can be inferior, anterior or posterior
but anteriors ones seem to be the most common and
rerepresent 95% of shoulder dislocation
Signs and symptoms
 Pain in your upper arm and shoulder, which is usually worse
when you move them
 Swelling
 Numbness and weakness
 Bruising
 Deformity of your shoulderA visibly deformed or out-of-
place shoulder
 Inability to move the joint
Risk factors and complications
 Anyone can dislocate a shoulder. However, dislocated
shoulders occur most often in people in their teens and 20s,
particularly athletes involved in contact sports.
Complications of a dislocated shoulder might include:
 Tearing of the muscles, ligaments and tendons that reinforce
the shoulder joint
 Nerve or blood vessel damage in or around the shoulder
joint
complications
 Becoming more prone to repeat dislocations, especially if the
injury is severe
 Stretched or torn ligaments or tendons in the shoulder or
damaged nerves or blood vessels around the shoulder might
require surgery for repair
Diagnosis
An X-ray of the shoulder joint can show the dislocation and
possibly reveal broken bones or other damage to the shoulder
joint
Shoulder dislocation x ray
RX
Shoulder dis. RX
Shoulder dislocation Xray
Diagnosis
Others exams includes:
 Electromyography (EMG)
 MRI
Differantial dignosis
 facture(clavicle,glenoid,humeral head)
 Rhulathoid arthritis
 Acromioclavicle joint dislocation
 Labral pathology
 Shoulder subluxation
 Axillary nerve, suprascapular nerve
Treatment and management
Dislocated shoulder treatment might involve:
 Closed reduction
 Surgery.
 Medications
 Immobilisation
 rehabilitation
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SHOULDER DISLOCATION.pptx twende tu , Mungu njo dawa

  • 1.
    Presented by DrFranck 1.1 and Dr Isaac 2.1 Supervised by Professor SHOULDER DISLOCATION
  • 3.
    OUT LINE  Introduction Etiology  Epidemiology  Clinical presentation  Complications  Differantial Diagnosis  Management and treatment
  • 4.
    1. INTRODUCTION  Dislocationof the shoulder means upper arm bone (humerus) has come out of the shoulder joint. It is also called glenohumeral joint dislocation, cause it involves separation of the humerus from the glenoid of the scapula at the glenoid joint
  • 6.
    Types of shoulderdislocation  The shoulder can dislocate in an anterior , posterior, inferior direction and completely or partially
  • 7.
    2.Etiology Strong forces orexterne rotation can cause the humeral head to come out the labrum.  The shoulder joint dislocates more frequently than any other joint in the body.  A dislocation can become worse by strained or torn fibrous tissue which connects bones. 1. Contacts sports injuries are a common cause but trauma from motor vehicle accidents and falls can also lead to dislocation.
  • 8.
    3.Epidemiology  Shoulder dislocationscan be inferior, anterior or posterior but anteriors ones seem to be the most common and rerepresent 95% of shoulder dislocation
  • 9.
    Signs and symptoms Pain in your upper arm and shoulder, which is usually worse when you move them  Swelling  Numbness and weakness  Bruising  Deformity of your shoulderA visibly deformed or out-of- place shoulder  Inability to move the joint
  • 10.
    Risk factors andcomplications  Anyone can dislocate a shoulder. However, dislocated shoulders occur most often in people in their teens and 20s, particularly athletes involved in contact sports. Complications of a dislocated shoulder might include:  Tearing of the muscles, ligaments and tendons that reinforce the shoulder joint  Nerve or blood vessel damage in or around the shoulder joint
  • 11.
    complications  Becoming moreprone to repeat dislocations, especially if the injury is severe  Stretched or torn ligaments or tendons in the shoulder or damaged nerves or blood vessels around the shoulder might require surgery for repair
  • 12.
    Diagnosis An X-ray ofthe shoulder joint can show the dislocation and possibly reveal broken bones or other damage to the shoulder joint
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
    Diagnosis Others exams includes: Electromyography (EMG)  MRI
  • 18.
    Differantial dignosis  facture(clavicle,glenoid,humeralhead)  Rhulathoid arthritis  Acromioclavicle joint dislocation  Labral pathology  Shoulder subluxation  Axillary nerve, suprascapular nerve
  • 19.
    Treatment and management Dislocatedshoulder treatment might involve:  Closed reduction  Surgery.  Medications  Immobilisation  rehabilitation
  • 20.