Shoulder DislocationComprehensive Recovery
Shoulder dislocation is a serious injury where the upper arm bone comes out of the shoulder socket. Learn about proper treatment and rehabilitation to prevent recurrence.
What is Shoulder Dislocation?
A shoulder dislocation occurs when the head of the upper arm bone (humerus) is forced out of the shoulder socket (glenoid), often due to trauma or extreme force.
Common Causes:
- Sports injuries (contact sports)
- Falls on outstretched arm
- Motor vehicle accidents
- Seizures or electric shock
Emergency Signs
Seek immediate medical attention if:
- Visible shoulder deformity
- Severe pain and inability to move arm
- Numbness or tingling in arm
- Arm feels weak or "dead"
Types of Shoulder Dislocation
Most common type - shoulder dislocates forward
Mechanism of Injury:
Arm forced backward while abducted and externally rotated
Symptoms:
- Visible shoulder deformity
- Severe pain
- Inability to move arm
- Arm held away from body
Potential Complications:
- Bankart lesion
- Hill-Sachs lesion
- Nerve injury
- Recurrent instability
Shoulder dislocates backward
Mechanism of Injury:
Seizures, electric shock, or direct blow to front of shoulder
Symptoms:
- Arm held in internal rotation
- Inability to externally rotate
- Flattened anterior shoulder
- Pain with movement
Potential Complications:
- Reverse Bankart lesion
- Reverse Hill-Sachs lesion
- Missed diagnosis
- Chronic instability
Rare type - shoulder dislocates downward
Mechanism of Injury:
Hyperabduction injury (arm forced overhead)
Symptoms:
- Arm locked overhead
- Severe pain
- Visible deformity
- Inability to lower arm
Potential Complications:
- Nerve injury
- Vascular injury
- Rotator cuff tears
- Fractures
Recovery Phases
Emergency treatment and initial stabilization
Goals:
Key Interventions:
Gradual return of motion while protecting healing
Goals:
Key Interventions:
Rebuild strength and stability
Goals:
Key Interventions:
Rehabilitation Program
Gentle exercises to restore mobility
Pendulum Exercises
Gentle passive motion in all directions
Passive Forward Flexion
Use unaffected arm to lift affected arm
Passive External Rotation
Gentle rotation with stick or towel
Cross-Body Stretch
Gentle stretch across chest
Progress to active movement
Active Forward Flexion
Lift arm forward actively
Active External Rotation
Rotate arm outward with elbow at side
Wall Slides
Slide arm up wall maintaining contact
Table Slides
Slide arm on table surface
Build strength and stability
Resistance Band External Rotation
Strengthen external rotators
Scapular Retractions
Strengthen muscles between shoulder blades
Prone T-Y-W
Strengthen posterior shoulder muscles
Push-up Progression
Progress from wall to incline to full push-ups
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