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Populations Effected

  • Three common modes:
  • Sports injuries
  • Trauma
  • Falls
  • Most common population:
  • age, sex, mode of injury?

Types and severities

True/False: After suffering a glenohumeral dislocation, you should try and ease the humerus back into its socket

  • complete dislocation
  • humeral head entirely removed from glenoid gavity
  • subluxation
  • humeral his is displaced from the glenoid cavity

Common Treatments

  • Do NOT move the joint
  • Closed Reduction
  • Immobilization
  • Perscribed Rehabilitation Exercises

Signs and Symptoms

  • Visual deformity
  • "Square-like" apperance
  • Swelling & bruising
  • Inability to move joint from current position
  • Based on direction of dislocation
  • Nervous or vascular complications

Anterior Displacement

INTERESTING FACTS

Subclassifications

Mechanism:

  • Abduction
  • External Rotation
  • Extension

Which image is subcoracoid?

  • Most commonly dislocated joint in the body
  • Hippocrates oldest known reduction method still in use today
  • Mariah Carey
  • Egyptian murals as early as 3,000 BC

Posterior Displacement

Mechanisms of Injury

Mechanism:

  • Adducted
  • Flexed
  • Internally rotated

Force displaces the humeral head oustide the glenoid cavity:

  • Anterior (most common)
  • Posterior
  • Inferior

Inferior Displacement

Mechanism:

  • Hyper-abduction

Arm positioned overhead ("Luxatico Erecta")

What is the purpose of the glenoid labrum?

Effect on "Normal" Anatomy

  • Future instability
  • Associated Injuries
  • Bankart Lesion
  • Hill Sachs Lesion

Relevant Anatomy

Bones of the Shoulder Girdle:

  • Clavicle
  • Humerus
  • Scapula

Rotator Cuff Muscles:

  • Supraspinatus
  • Infraspinatus
  • Teres Minor
  • Subscapularis

Glenohumeral dislocations

Kolby Howerter, Mary Spitler, Joseph Tidwell, Andrew Waldrip

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