What are Shoulder Dislocations?
Shoulder dislocation occurs when the upper arm bone (humerus) pops out of the socket of the shoulder blade (scapula). It is a common injury that often happens due to a forceful impact or an extreme range of motion in the shoulder joint. Shoulder dislocations can be classified into two types:
- Anterior dislocation: This is the most common type of shoulder dislocation, where the humerus is displaced forward and out of the shoulder joint.
- Posterior dislocation: In this type, the humerus is displaced backward and out of the shoulder joint. Posterior dislocations are less common and often associated with specific situations, such as seizures or electric shocks.
Causes of Shoulder Dislocations
Common causes of shoulder dislocations include falls onto an outstretched hand, direct blows to the shoulder, sports injuries (especially contact sports like football or rugby), and accidents.
The signs and symptoms of a shoulder dislocation may include:
- Intense shoulder pain: The pain is typically sudden and severe, often making it difficult to move the arm.
- Swelling and bruising: The shoulder area may become swollen, and bruising may develop around the joint.
- Visible deformity: The shoulder may appear misshapen, and the humeral head may be felt or seen out of place.
- Limited range of motion: The affected arm may be immobile or have limited movement due to the dislocation.
If you suspect a shoulder dislocation, it is crucial to seek immediate medical attention. It is not recommended to try to pop the shoulder back into place on your own, as it can cause further injury or damage.
A healthcare professional, typically an orthopedic specialist, will perform a physical examination and order imaging tests, such as X-rays or sometimes an MRI, to confirm the diagnosis and assess any associated injuries, such as fractures or ligament tears.
Treatment for Shoulder Dislocations
- Closed reduction: This is a procedure where the healthcare professional maneuvers the humerus back into the shoulder socket. It is often performed under anesthesia or with pain medication to minimize discomfort.
- Immobilization: After the reduction, the shoulder may be immobilized with a sling or other supportive device to allow the surrounding structures to heal.
- Rehabilitation: Once the initial healing phase has occurred, a structured rehabilitation program involving exercises and physical therapy is essential. This helps regain shoulder strength, stability, and range of motion.
In some cases, particularly if there is recurrent shoulder instability or associated injuries, surgical intervention may be necessary to repair damaged structures or tighten loose ligaments.
What is the Recovery Time for a Shoulder Dislocation?
Recovery time can vary depending on the severity of the dislocation and any associated injuries. It is important to follow the healthcare professional's recommendations regarding immobilization, rehabilitation exercises, and activity restrictions to promote proper healing and reduce the risk of future dislocations.
If you suspect a shoulder dislocation or have any concerns about your shoulder health, it is best to consult with a qualified healthcare provider for an accurate diagnosis and appropriate treatment.
Ask your primary care doctor for a referral to an orthopaedic surgeon or book an appointment online.