Shoulder dislocation involves displacement of the humeral head from the glenoid, most commonly anteriorly. Pre-reduction assessment includes checking axillary artery pulses and performing a full neurological exam of radial, ulnar, median, and axillary nerves. Posterior dislocations are reduced via gentle traction with the arm abducted and externally rotated. Post-reduction care includes X-ray, neurocheck, sling immobilization, and follow-up for stability or surgical needs. Complications include recurrent dislocation, fractures, Hill-Sachs and Bankart lesions, and neurovascular injuries like axillary nerve palsy. Referral is required for associated fractures, irreducible dislocations, or neurovascular compromise such as brachial plexus injury.

错误:搜索内容不能为空,请输入英文关键词
错误:关键词超出字数限制,请精简
高级检索

Shoulder Dislocation and Subluxation

  • Kaveenesh Robert,
  • Yogarabindranath Swarna Nantha

摘要

Shoulder dislocation involves displacement of the humeral head from the glenoid, most commonly anteriorly. Pre-reduction assessment includes checking axillary artery pulses and performing a full neurological exam of radial, ulnar, median, and axillary nerves. Posterior dislocations are reduced via gentle traction with the arm abducted and externally rotated. Post-reduction care includes X-ray, neurocheck, sling immobilization, and follow-up for stability or surgical needs. Complications include recurrent dislocation, fractures, Hill-Sachs and Bankart lesions, and neurovascular injuries like axillary nerve palsy. Referral is required for associated fractures, irreducible dislocations, or neurovascular compromise such as brachial plexus injury.