ConditionsShoulderShoulder Dislocation
Shoulder Dislocation Recovery Guide

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.

1.7%
Annual incidence rate
20-30
Peak age for first dislocation
3-6
Months typical recovery
90%
Recurrence rate in young athletes
Understanding Shoulder Dislocation

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

Anterior Dislocation

Most common type - shoulder dislocates forward

95% of all dislocations

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
Posterior Dislocation

Shoulder dislocates backward

4% of all dislocations

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
Inferior Dislocation

Rare type - shoulder dislocates downward

1% of all dislocations

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

Immediate Care (0-2 weeks)

Emergency treatment and initial stabilization

Goals:

Reduce dislocation safelyControl pain and swellingProtect healing tissues

Key Interventions:

Emergency medical evaluation
Closed reduction under sedation
X-rays to confirm reduction
Immobilization in sling
Ice therapy for pain and swelling
Pain medication as prescribed
Gentle pendulum exercises only
Early Recovery (2-6 weeks)

Gradual return of motion while protecting healing

Goals:

Restore pain-free range of motionPrevent stiffnessBegin strengthening

Key Interventions:

Progressive range of motion exercises
Physical therapy evaluation
Gentle stretching program
Isometric strengthening
Manual therapy techniques
Activity modification
Gradual weaning from sling
Strengthening Phase (6-12 weeks)

Rebuild strength and stability

Goals:

Restore full strengthImprove shoulder stabilityReturn to activities

Key Interventions:

Progressive resistance training
Rotator cuff strengthening
Scapular stabilization
Proprioceptive training
Sport-specific exercises
Functional movement training
Return-to-activity assessment

Rehabilitation Program

Early Range of Motion (Weeks 2-4)

Gentle exercises to restore mobility

Pendulum Exercises

Gentle passive motion in all directions

Protocol: 3 sets x 10 each direction
Frequency: 3-4 times daily
Passive Forward Flexion

Use unaffected arm to lift affected arm

Protocol: 3 sets x 10 reps
Frequency: Daily
Passive External Rotation

Gentle rotation with stick or towel

Protocol: 3 sets x 10 reps
Frequency: Daily
Cross-Body Stretch

Gentle stretch across chest

Protocol: 3 sets x 30 seconds
Frequency: Daily
Active Range of Motion (Weeks 4-8)

Progress to active movement

Active Forward Flexion

Lift arm forward actively

Protocol: 3 sets x 10-15 reps
Frequency: Daily
Active External Rotation

Rotate arm outward with elbow at side

Protocol: 3 sets x 10-15 reps
Frequency: Daily
Wall Slides

Slide arm up wall maintaining contact

Protocol: 3 sets x 10 reps
Frequency: Daily
Table Slides

Slide arm on table surface

Protocol: 3 sets x 10 reps
Frequency: Daily
Strengthening (Weeks 6-12)

Build strength and stability

Resistance Band External Rotation

Strengthen external rotators

Protocol: 3 sets x 15 reps
Frequency: Daily
Scapular Retractions

Strengthen muscles between shoulder blades

Protocol: 3 sets x 15 reps
Frequency: Daily
Prone T-Y-W

Strengthen posterior shoulder muscles

Protocol: 3 sets x 10 each position
Frequency: Daily
Push-up Progression

Progress from wall to incline to full push-ups

Protocol: 3 sets x 5-15 reps
Frequency: Daily
Prevention Strategies
Strengthen rotator cuff and shoulder muscles regularly
Maintain good shoulder flexibility
Use proper technique in sports and activities
Avoid high-risk positions if you have previous dislocations
Consider protective equipment for contact sports
Address shoulder instability early
Warm up properly before activities
Listen to your body and avoid overuse
When to Seek Immediate Medical Attention
Suspected shoulder dislocation (visible deformity)
Numbness or tingling in arm or hand
Inability to move arm or severe weakness
Signs of nerve or blood vessel damage

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