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<p>The annual incidence of shoulder joint dislocation is 8.2–23.9 per 100,000 persons. A&#xa0;detailed medical history often provides the decisive indications for a correct diagnosis. After gentle reduction and immobilization with an orthosis a&#xa0;magnetic resonance imaging (MRI) examination of the shoulder is performed. The treatment decision (surgical versus conservative) must always be made individually in consultation with the patient. The position and possible dislocation and the “quality” of the labrum or accompanying bony injuries are relevant for making decisions. Traumatic initial dislocation at an advanced age without concomitant injuries can be conservatively treated in many cases. Immobilization in an orthosis over a&#xa0;period of 3–4&#xa0;weeks can be performed in internal rotation, external rotation or abduction external rotation. The aim of physiotherapy is to restore a&#xa0;pain-free range of motion and to strengthen and improve coordination of the muscles stabilizing the shoulder. Conservative treatment is discontinued if dislocation recurs. Return to activity after conservative treatment is advisable after 6&#xa0;weeks at the earliest.</p>

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Akute Schulterluxation

  • 期刊论文

  • 发表日期：

    2025年1月22日

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  • Markus-Johannes Rueth,
  • Philipp Koehl,
  • Alexander Schuh

摘要

The annual incidence of shoulder joint dislocation is 8.2–23.9 per 100,000 persons. A detailed medical history often provides the decisive indications for a correct diagnosis. After gentle reduction and immobilization with an orthosis a magnetic resonance imaging (MRI) examination of the shoulder is performed. The treatment decision (surgical versus conservative) must always be made individually in consultation with the patient. The position and possible dislocation and the “quality” of the labrum or accompanying bony injuries are relevant for making decisions. Traumatic initial dislocation at an advanced age without concomitant injuries can be conservatively treated in many cases. Immobilization in an orthosis over a period of 3–4 weeks can be performed in internal rotation, external rotation or abduction external rotation. The aim of physiotherapy is to restore a pain-free range of motion and to strengthen and improve coordination of the muscles stabilizing the shoulder. Conservative treatment is discontinued if dislocation recurs. Return to activity after conservative treatment is advisable after 6 weeks at the earliest.