Dislocated Shoulder

Shoulder Dislocation 

From shoulder dislocation is when the shoulder joint is dislocated or dislocated. It has the swivel head, usually located in the socket, leaving his natural position and can cause different symptoms.

3 types of shoulder dislocation can be distinguished:

  • traumatic shoulder dislocation - a dislocation of the shoulder by external action
  • habitual dislocation - a dislocation of the shoulder without directly apparent external influence, probably due to the plant
  • recurrent dislocation - a dislocation of the shoulder, which is repeated

Can be distinguished as the most common forms still Depending on the direction of dislocation of the shoulder:

  • Dislocation of the shoulder forward (luxation subcoracoid)
  • Shoulder dislocation backwards (luxation infraspinata)
  • Dislocation of the shoulder down (infragledoidalis luxation / dislocation axillary)

Symptoms shoulder dislocation

Is the shoulder dislocated and dislocated, it can result in severe pain that can occur in both movements, but also at rest or when lying on the shoulder. Due to the pain and the shoulder dislocated to also restricted movement of the shoulder are connected. Depending on the type of shoulder dislocated the arm can also protrude or be rotated. Press the structures of the shoulder joint on blood vessels or nerves may circulatory disorders and sensory disturbances are caused.

Symptoms of shoulder dislocation include:

  • Pain on movement, at rest or when lying on the shoulder
  • Movement restrictions
  • Stick out an arm or rotation of the arm
  • Circulatory disorders and sensory disturbances

Cause shoulder dislocation

The traumatic shoulder dislocation is caused by an external influence. Here, the joint head is levered out of the socket. Most commonly, the shoulder is dislocated or dislocated when the arm is stretched and in this position, force is acted on it from the outside. Something you may also observe in playing handball again, the throw attempt a handball player. In the final position of the arm is extended here. Tried a opponent now to thwart the throw attempt by exerting force against the throwing arm or move it in a different direction, the shoulder can be dislocated. Of course, shoulder dislocated occur not only in sports but also in everyday work.

The cause of habitual shoulder dislocation is not fully understood. One assumes, however, that it occurs due to the plant. Are tendons, joint capsules and ligaments of the shoulder soft or injury-prone or have the shoulder joint including humeral head and glenoid cavity a different anatomy or degeneration, it can easily lead to a shoulder dislocated

Whether traumatic or habitual shoulder dislocated - the risk of getting re-dislocate the shoulder is increased. Consequently, the shoulder dislocated can repeat. In this case one speaks of recurrent shoulder dislocations .

Diagnostics shoulder dislocation

The diagnosis of shoulder dislocation can be found as a rule only after a comprehensive orthopedic examination often in combination with imaging examination procedures such as  MRI  and possibly  X-ray .The best define can be different shoulder injuries by  MRI . Here in different structures such. B. muscles, ligaments, tendons, cartilage and bone can be investigated. In this case, if necessary, a well-tolerated contrast agent is injected to make certain structures more visible.

In some cases it may be necessary, a  shoulder arthroscopy  carried out through small incisions in which an endoscope is introduced, may examine increased by one the structures of the shoulder.

Therapy shoulder dislocation

In a dislocated shoulder trying usually first, set right shoulder again. This process is called repositioning.This train is applied to the affected arm and brought the shoulder joint back into position. Depending on the severity of the dislocation and patient perception of the repositioning can be with or without anesthesiaoccur. Following is by imaging studies such as x-ray  , the correct position of the shoulder controls.