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Dislocated shoulder

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support. Traditionally, this has responded well to a 'reefing' procedure known as an open inferior capsular shift. More recently, the procedure has been carried out as an arthroscopic procedure, rather than open surgery, again with comparable results. Most recently, the procedure has been carried out using radio frequency technology to shrink the redundant shoulder capsule (thermal capsular shrinkage); while long-term results of this development are currently unproven, recent studies show thermal capsular shrinkage have higher failure rates with the highest number of cases of instability recurrence and re-operation.
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Following shoulder reduction, most people are given self-management advice on recovery, such as home exercises, but some receive additional physiotherapy. A randomised controlled trial showed similar shoulder function after 6 months between those who received self-management advice only and those who
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Stimson procedure is the least painful, widely used shoulder reduction technique. In this procedure a weight is attached to the wrist while the injured arm is hanging off an examination table for between 20 and 30 minutes. The arm is then slowly rotated until the shoulder is relocated. Sedatives are
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Inferior dislocation is the least likely, occurring in less than 1%. This condition is also called luxatio erecta because the arm appears to be permanently held upward or behind the head. It is caused by a hyper abduction of the arm that forces the humeral head against the acromion. Such injuries
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A diagnosis of shoulder dislocation is often suspected based on the person's history and physical examination. Radiographs are made to confirm the diagnosis. Most dislocations are apparent on radiographs showing incongruence of the glenohumeral joint. Posterior dislocations may be hard to detect on
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There remains those situations characterized by multidirectional instability, which have failed to respond satisfactorily to rehabilitation, falling under the AMBRI classification previously noted. This is usually due to an overstretched and redundant capsule which no longer offers stability or
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There is no strong evidence of a difference in outcomes when the arm is immobilized in internal versus external rotation following an anterior shoulder dislocation. A 2008 study of 300 people for almost six years found that conventional shoulder immobilisation in a sling offered no benefit.
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Although posterior dislocation is much less common, instability following it is no less challenging and, again, some form of bone augmentation may be required to control instability. Damaged ligaments, including labral tears, occurring as a result of posterior dislocations may be treated
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or seizure. They may be caused by strength imbalance of the rotator cuff muscles. People with dislocated shoulders typically present holding their arm internally rotated and adducted, and exhibiting flattening of the anterior shoulder with a prominent coracoid process.
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Wasserstein DN, Sheth U, Colbenson K, Henry PD, Chahal J, Dwyer T, Kuhn JE (December 2016). "The True Recurrence Rate and Factors Predicting Recurrent Instability After Nonsurgical Management of Traumatic Primary Anterior Shoulder Dislocation: A Systematic Review".
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which may be accomplished by a number of techniques. These include traction-countertraction, external rotation, scapular manipulation, and the Stimson technique. After reduction X-rays are recommended for verification. The arm may then be placed in a
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after an acute shoulder dislocation will not experience recurrent dislocations. It has been shown that patients who do not receive surgery after a shoulder dislocation do not experience recurrent dislocations within two years of the initial injury.
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into the shoulder joint. Injecting lidocaine into the joint may be less expensive and faster. If a shoulder cannot be relocated in the emergency room, relocation in the operating room may be required. This situation occurs in about 7% of cases.
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may be accomplished with a number of techniques including traction-countertraction, external rotation, scapular manipulation, Stimson technique, Cunningham technique, or Milch technique. Pain can be managed during the procedures either by
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may be used to assess soft tissue damage. In regards to recurrent dislocations, the apprehension test (anterior instability) and sulcus sign (inferior instability) are useful methods for determining predisposition to future dislocation.
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Burkhart SS, De Beer JF (October 2000). "Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion".
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is an impaction of the head of the humerus left by the glenoid rim during dislocation. Hill-Sachs deformities occur in 35–40% of anterior dislocations. They can be seen on a front-facing X-ray when the arm is in internal rotation.
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standard AP radiographs, but are more readily detected on other views. After reduction, radiographs are usually repeated to confirm successful reduction and to detect bone damage. After repeated shoulder dislocations, an
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Mohtadi NG, Kirkley A, Hollinshead RM, McCormack R, MacDonald PB, Chan DS, et al. (August 2014). "Electrothermal arthroscopic capsulorrhaphy: old technology, new evidence. A multicenter randomized clinical trial".
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Whelan DB, Kletke SN, Schemitsch G, Chahal J (February 2016). "Immobilization in External Rotation Versus Internal Rotation After Primary Anterior Shoulder Dislocation: A Meta-analysis of Randomized Controlled Trials".
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Burkhart SS, De Beer JF, Barth JR, Cresswell T, Criswell T, Roberts C, Richards DP (October 2007). "Results of modified Latarjet reconstruction in patients with anteroinferior instability and significant bone loss".
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has been shown to increase markedly in people with significant bone loss from the glenoid (socket). In such cases, improved results have been reported with some form of bone augmentation of the glenoid such as the
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Kearney, Rebecca S.; Ellard, David R.; Parsons, Helen; Haque, Aminul; Mason, James; Nwankwo, Henry; Bradley, Helen; Drew, Stephen; Modi, Chetan; Bush, Howard; Torgerson, David; Underwood, Martin (2024-01-17).
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Longo UG, Loppini M, Rizzello G, Ciuffreda M, Maffulli N, Denaro V (April 2014). "Management of primary acute anterior shoulder dislocation: systematic review and quantitative synthesis of the literature".
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About 1.7% of people have a shoulder dislocation within their lifetime. In the United States this is about 24 per 100,000 people per year. They make up about half of major joint dislocations seen in
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Fitch RW, Kuhn JE (August 2008). "Intraarticular lidocaine versus intravenous procedural sedation with narcotics and benzodiazepines for reduction of the dislocated shoulder: a systematic review".
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Millett PJ, Schoenahl JY, Register B, Gaskill TR, van Deurzen DF, Martetschläger F (February 2013). "Reconstruction of posterior glenoid deficiency using distal tibial osteoarticular allograft".
408:(C5, C6) may result. The axillary nerve is injured in 37% making it the most commonly injured structure with this type of injury. Other common, associated, nerve injuries include injury to the 2168: 1324:
Yamamoto T, Yoshiya S, Kurosaka M, Nagira K, Nabeshima Y (December 2003). "Luxatio erecta (inferior dislocation of the shoulder): a report of 5 cases and a review of the literature".
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Noonan B, Hollister SJ, Sekiya JK, Bedi A (August 2014). "Comparison of reconstructive procedures for glenoid bone loss associated with recurrent anterior shoulder instability".
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Chen D, Goldberg J, Herald J, Critchley I, Barmare A (February 2016). "Effects of surgical management on multidirectional instability of the shoulder: a meta-analysis".
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Kelley SP, Hinsche AF, Hossain JF (November 2004). "Axillary artery transection following anterior shoulder dislocation: classical presentation and current concepts".
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A shoulder dislocation often occurs as a result of a fall onto an outstretched arm or onto the shoulder. Diagnosis is typically based on symptoms and confirmed by
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and as the deltoid atrophies unilaterally, the normal rounded contour of the shoulder is lost. A person with injury to the axillary nerve will have difficulty in
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person and in people who are in the state of unconscious trauma. An average interval of 1 year was noted between injury and diagnosis in a series of 40 people.
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Shoulder and arm held in external rotation (anterior dislocation), or adduction and internal rotation (posterior dislocation). Resistance of all movement.
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X-ray at left shows anterior dislocation in a young man. X-ray at right shows the same shoulder after reduction and internal rotation, revealing a
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used in Stimson procedure and first time Stimson reduction for acute shoulder dislocation requires wearing arm slings for between 2 and 4 weeks.
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may provide support and increase comfort. Strong analgesics are needed to allay the pain of a dislocation and the distress associated with it.
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Prompt medical treatment should be sought for suspected dislocation. Usually, the shoulder is kept in its current position by use of a
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Anterior dislocations are usually caused by a direct blow to, or fall on, an outstretched arm. The person typically holds his/her arm
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Not all patients require surgery following a shoulder dislocation.  There is moderate quality evidence that patients who receive
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After an anterior shoulder dislocation, the risk of a future dislocation is about 20%. This risk is greater in males than females.
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Lightbulb sign indicative of posterior shoulder dislocation shown on the left. On the right, the same shoulder after reduction.
790: 438: 638:, a time-honored surgical treatment for recurrent anterior instability of the shoulder. However, the failure rate following 191: 1627: 1193:
Malik S, Chiampas G, Leonard H (November 2010). "Emergent evaluation of injuries to the shoulder, clavicle, and humerus".
351: 1589: 1386: 265:. Males are affected more often than females. Most shoulder dislocations occur as a result of sports injuries. 1009: 382: 378: 2088: 224: 2492: 2487: 2260: 511: 421: 88: 730:
Bonz J, Tinloy B (May 2015). "Emergency department evaluation and treatment of the shoulder and humerus".
389: 624: 2307: 1245: 1457:"Conservative management following closed reduction of traumatic anterior dislocation of the shoulder" 1265: 1109:
Riebel GD, McCabe JB (March 1991). "Anterior shoulder dislocation: a review of reduction techniques".
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Visibly displaced shoulder. Some dislocations result in the shoulder appearing unusually square.
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Fleega BA, El Shewy MT (May 2012). "Arthroscopic inferior capsular shift: long-term follow-up".
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Sensation that the shoulder is slipping out of the joint during abduction and external rotation.
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An inferior dislocation of the shoulder after an automobile accident. Note how the humerus is
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Chalidis B, Sachinis N, Dimitriou C, Papadopoulos P, Samoladas E, Pournaras J (June 2007).
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Posterior dislocations are uncommon, and are typically due to the muscle contraction from
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Cunningham NJ (2005). "Techniques for reduction of anteroinferior shoulder dislocation".
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MRI of shoulder after dislocation with Hill-Sachs lesion and labral Bankart's lesion.
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are disruptions of the glenoid labrum with or without an avulsion of bone fragment.
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had extra physiotherapy. Both groups also had a similar number of complications.
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An example of a shoulder reduction technique, specifically the Cunningham technique
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for a few weeks. Surgery may be recommended in those with recurrent dislocations.
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There are three main types of dislocations: anterior, posterior, and inferior.
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have a high complication rate as many vascular, neurological, tendon, and
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Kavaja L, Lähdeoja T, Malmivaara A, Paavola M (December 2018).
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Posterior dislocations may go unrecognized, especially in an
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injuries are likely to occur from this mechanism of injury.
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Hawkins RJ, Neer CS, Pianta RM, Mendoza FX (January 1987).
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Anterior shoulder dislocation while carrying a frail elder
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Anterior dislocation of the right shoulder. Y view X ray.
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Arthroscopic stabilization surgery has evolved from the
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In young adults engaged in highly demanding activities
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the arm from approximately 15° away from the body. The
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The Journal of Bone and Joint Surgery. American Volume
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Anterior dislocation of the right shoulder. AP X ray
2474: 2452: 2430: 2416: 2380: 2338: 2316: 2289: 2237: 2210: 2196: 2114: 2044: 1620:"Bankart repair for unstable dislocating shoulders" 181: 171: 155: 141: 128: 120: 112: 87: 77: 61: 42: 1034:Rabow MW, McPhee SJ, Papadakis MA (2017-09-02). 358:, referred to as sub-coracoid dislocation. Sub- 1796:Knee Surgery, Sports Traumatology, Arthroscopy 1753:Knee Surgery, Sports Traumatology, Arthroscopy 1266:"Locked posterior dislocation of the shoulder" 1036:Current medical diagnosis & treatment 2018 867:Wakai A, O'Sullivan R, McCabe A (April 2011). 124:Fall onto an outstretched arm or the shoulder. 2162: 1622:. University of Washington: Orthopaedics and 1144:https://www.ncbi.nlm.nih.gov/books/NBK459125/ 1098:https://www.ncbi.nlm.nih.gov/books/NBK459125/ 1023:https://www.ncbi.nlm.nih.gov/books/NBK459125/ 916: 914: 912: 8: 1594:UW Orthopaedics and Sports Medicine, Seattle 1188: 1186: 1461:The Cochrane Database of Systematic Reviews 1195:Emergency Medicine Clinics of North America 873:The Cochrane Database of Systematic Reviews 732:Emergency Medicine Clinics of North America 2427: 2207: 2169: 2155: 2147: 2041: 1111:The American Journal of Emergency Medicine 1066:: CS1 maint: location missing publisher ( 57:Anterior dislocation of the left shoulder. 48: 39: 1953: 1835: 1833: 1529: 1480: 946: 892: 862: 860: 816: 814: 812: 810: 808: 725: 723: 721: 719: 717: 777: 775: 773: 771: 769: 767: 765: 763: 761: 715: 713: 711: 709: 707: 705: 703: 701: 699: 697: 278:, sometimes felt along the arm past the 203:is a condition in which the head of the 1842:The American Journal of Sports Medicine 1414:The American Journal of Sports Medicine 693: 444:An anterior dislocation of the shoulder 434: 350:dislocations, the humerus is displaced 116:Anterior, posterior, inferior, superior 1059: 1001: 1886:Journal of Shoulder and Elbow Surgery 1746: 1744: 1715:Journal of Shoulder and Elbow Surgery 615:techniques may be used to repair the 7: 1600:from the original on 13 October 2017 972: 970: 968: 966: 631:or to tighten the shoulder capsule. 2523:Injuries of shoulder and upper arm 978:Essentials of musculoskeletal care 927:British Journal of Sports Medicine 25: 2533:Dislocations, sprains and strains 2357:Anterior cruciate ligament injury 1455:Braun C, McRobert CJ (May 2019). 793:from the original on 17 June 2017 571:procedural sedation and analgesia 428:initiates abduction from a fully 177:Recurrence common in young people 162:Procedural sedation and analgesia 1630:from the original on 2008-01-15. 1365:10.1111/j.1553-2712.2008.00164.x 1296:from the original on 2007-10-13. 1282:10.2106/00004623-198769010-00003 835:10.1111/j.1742-6723.2005.00778.x 535:or sling. A pillow between the 461: 449: 437: 1326:American Journal of Orthopedics 1308:Dislocations, Shoulder~clinical 1473:10.1002/14651858.CD004962.pub4 1246:Posterior Shoulder Dislocation 885:10.1002/14651858.CD004919.pub2 823:Emergency Medicine Australasia 1: 374:dislocations may also occur. 2018:10.1016/j.arthro.2016.05.039 1692:10.1016/j.arthro.2007.08.009 1568:10.1016/j.arthro.2014.01.003 1169:10.1016/j.injury.2003.08.009 1123:10.1016/0735-6757(91)90187-o 939:10.1136/bjsports-2017-098539 304:on the side of the shoulder. 185:24 per 100,000 per year (US) 1353:Academic Emergency Medicine 2549: 1990:10.3310/nihrevidence_62848 1510:International Orthopaedics 558: 29: 1898:10.1016/j.jse.2014.02.022 1808:10.1007/s00167-012-2254-5 1765:10.1007/s00167-015-3901-4 1727:10.1016/j.jse.2013.11.011 1522:10.1007/s00264-006-0183-y 1207:10.1016/j.emc.2010.06.006 744:10.1016/j.emc.2014.12.004 56: 47: 1854:10.1177/0363546512438509 1426:10.1177/0363546515585119 1251:January 6, 2010, at the 30:Not to be confused with 2493:Achilles tendon rupture 2488:Patellar tendon rupture 1938:10.1136/bmj-2023-076925 1656:10.1053/jars.2000.17715 1244:Life in the Fast Lane 1229:Dislocations, Shoulder 1008:: CS1 maint: others ( 604: 556: 515: 483: 343: 196: 1082:Shoulder Dislocations 783:"Dislocated Shoulder" 602: 554: 509: 481: 333: 263:emergency departments 207:is detached from the 194: 2367:Patellar dislocation 627:long head anchor or 613:Arthroscopic surgery 474:Posterior (backward) 426:supraspinatus muscle 366:, and, very rarely, 18:Shoulder dislocation 2255:Dislocated shoulder 611:may be considered. 502:Inferior (downward) 410:suprascapular nerve 201:dislocated shoulder 134:Based on symptoms, 43:Dislocated shoulder 2308:Gamekeeper's thumb 2265:Separated shoulder 2224:Dislocation of jaw 2115:External resources 651:arthroscopically. 645:Latarjet operation 621:capsular ligaments 605: 566:Shoulder reduction 561:Shoulder reduction 557: 516: 484: 379:externally rotated 344: 326:Anterior (forward) 269:Signs and symptoms 243:shoulder reduction 197: 146:Shoulder reduction 68:Emergency medicine 32:Separated shoulder 2510: 2509: 2506: 2505: 2444:Rotator cuff tear 2412: 2411: 2398:High ankle sprain 2144: 2143: 2012:(12): 2616–2625. 1984:. 24 April 2024. 1596:. 3 August 2012. 933:(23): 1498–1506. 682:Shoulder problems 390:Hill–Sachs lesion 340:Hill-Sachs lesion 221:rotator cuff tear 217:Hill-Sachs lesion 189: 188: 164:, intraarticular 130:Diagnostic method 102:rotator cuff tear 98:Hill-Sachs lesion 37:Medical condition 16:(Redirected from 2540: 2466:Pulled hamstring 2428: 2372:Knee dislocation 2352:Tear of meniscus 2208: 2171: 2164: 2157: 2148: 2042: 2030: 2029: 2000: 1994: 1993: 1974: 1968: 1967: 1957: 1916: 1910: 1909: 1880: 1874: 1873: 1837: 1828: 1827: 1791: 1785: 1784: 1748: 1739: 1738: 1710: 1704: 1703: 1674: 1668: 1667: 1638: 1632: 1631: 1616: 1610: 1609: 1607: 1605: 1590:"Shoulder Scope" 1586: 1580: 1579: 1550: 1544: 1543: 1533: 1501: 1495: 1494: 1484: 1452: 1446: 1445: 1408: 1402: 1401: 1399: 1398: 1383: 1377: 1376: 1348: 1342: 1341: 1321: 1315: 1304: 1298: 1297: 1261: 1255: 1242: 1236: 1225: 1219: 1218: 1190: 1181: 1180: 1152: 1146: 1141: 1135: 1134: 1106: 1100: 1095: 1089: 1078: 1072: 1071: 1065: 1057: 1031: 1025: 1020: 1014: 1013: 1007: 999: 974: 961: 960: 950: 918: 907: 906: 896: 864: 855: 854: 818: 803: 802: 800: 798: 789:. October 2007. 787:OrthoInfo - AAOS 779: 756: 755: 727: 617:glenoidal labrum 609:shoulder surgery 465: 453: 441: 356:coracoid process 255:physical therapy 241:Treatment is by 52: 40: 21: 2548: 2547: 2543: 2542: 2541: 2539: 2538: 2537: 2513: 2512: 2511: 2502: 2470: 2448: 2421: 2408: 2376: 2334: 2330:Hip dislocation 2312: 2285: 2233: 2201: 2192: 2175: 2145: 2140: 2139: 2110: 2109: 2053: 2039: 2034: 2033: 2002: 2001: 1997: 1976: 1975: 1971: 1918: 1917: 1913: 1882: 1881: 1877: 1839: 1838: 1831: 1793: 1792: 1788: 1750: 1749: 1742: 1712: 1711: 1707: 1686:(10): 1033–41. 1676: 1675: 1671: 1640: 1639: 1635: 1624:Sports Medicine 1618: 1617: 1613: 1603: 1601: 1588: 1587: 1583: 1552: 1551: 1547: 1503: 1502: 1498: 1467:(5): CD004962. 1454: 1453: 1449: 1410: 1409: 1405: 1396: 1394: 1391:Medically Sound 1385: 1384: 1380: 1350: 1349: 1345: 1323: 1322: 1318: 1305: 1301: 1263: 1262: 1258: 1253:Wayback Machine 1243: 1239: 1226: 1222: 1192: 1191: 1184: 1163:(11): 1128–32. 1154: 1153: 1149: 1142: 1138: 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2173: 2166: 2159: 2151: 2142: 2141: 2138: 2137: 2119: 2118: 2116: 2112: 2111: 2108: 2107: 2096: 2085: 2070: 2054: 2049: 2048: 2046: 2045:Classification 2038: 2037:External links 2035: 2032: 2031: 1995: 1969: 1911: 1892:(8): 1171–80. 1875: 1848:(5): 1126–32. 1829: 1786: 1740: 1705: 1669: 1633: 1611: 1581: 1545: 1496: 1447: 1403: 1378: 1343: 1316: 1299: 1256: 1237: 1220: 1182: 1147: 1136: 1101: 1090: 1073: 1044: 1026: 1015: 987:978-0892035793 986: 962: 908: 856: 804: 757: 738:(2): 297–310. 692: 691: 689: 686: 685: 684: 677: 674: 669: 666: 660: 657: 640:Bankart repair 636:Bankart repair 596: 593: 587: 586:Post-reduction 584: 559:Main article: 548: 545: 528: 525: 503: 500: 488:electric shock 475: 472: 471: 470: 467: 460: 458: 455: 448: 446: 443: 436: 418:deltoid muscle 412:(29%) and the 406:axillary nerve 400:Damage to the 336:Bankart lesion 327: 324: 310: 307: 306: 305: 298: 295: 289: 286: 283: 270: 267: 229:axillary nerve 213:Bankart lesion 187: 186: 183: 179: 178: 175: 169: 168: 159: 153: 152: 143: 139: 138: 132: 126: 125: 122: 118: 117: 114: 110: 109: 106:axillary nerve 94:Bankart lesion 91: 85: 84: 81: 75: 74: 65: 59: 58: 54: 53: 45: 44: 36: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 2545: 2534: 2531: 2529: 2526: 2524: 2521: 2520: 2518: 2499: 2496: 2494: 2491: 2489: 2486: 2485: 2483: 2481: 2477: 2473: 2467: 2464: 2463: 2461: 2459: 2455: 2451: 2445: 2442: 2441: 2439: 2437: 2433: 2429: 2426: 2424: 2419: 2415: 2405: 2402: 2399: 2395: 2392: 2391: 2389: 2387: 2383: 2379: 2373: 2370: 2368: 2365: 2363: 2362:Unhappy triad 2360: 2358: 2355: 2353: 2350: 2349: 2347: 2345: 2341: 2337: 2331: 2328: 2327: 2325: 2323: 2319: 2315: 2309: 2306: 2304: 2301: 2300: 2298: 2296: 2292: 2288: 2282: 2279: 2277: 2274: 2272: 2269: 2266: 2262: 2259: 2256: 2252: 2249: 2248: 2246: 2244: 2240: 2236: 2230: 2227: 2225: 2222: 2221: 2219: 2217: 2213: 2209: 2206: 2204: 2199: 2195: 2191: 2187: 2183: 2179: 2172: 2167: 2165: 2160: 2158: 2153: 2152: 2149: 2136: 2133: 2130: 2126: 2125: 2121: 2120: 2117: 2113: 2106: 2102: 2101: 2097: 2095: 2091: 2090: 2086: 2084: 2080: 2079: 2075: 2071: 2069: 2065: 2064: 2060: 2056: 2055: 2052: 2047: 2043: 2036: 2027: 2023: 2019: 2015: 2011: 2007: 1999: 1996: 1991: 1987: 1983: 1982:NIHR Evidence 1979: 1973: 1970: 1965: 1961: 1956: 1951: 1947: 1943: 1939: 1935: 1931: 1927: 1923: 1915: 1912: 1907: 1903: 1899: 1895: 1891: 1887: 1879: 1876: 1871: 1867: 1863: 1859: 1855: 1851: 1847: 1843: 1836: 1834: 1830: 1825: 1821: 1817: 1813: 1809: 1805: 1801: 1797: 1790: 1787: 1782: 1778: 1774: 1770: 1766: 1762: 1758: 1754: 1747: 1745: 1741: 1736: 1732: 1728: 1724: 1721:(8): 1113–9. 1720: 1716: 1709: 1706: 1701: 1697: 1693: 1689: 1685: 1681: 1673: 1670: 1665: 1661: 1657: 1653: 1650:(7): 677–94. 1649: 1645: 1637: 1634: 1629: 1625: 1621: 1615: 1612: 1599: 1595: 1591: 1585: 1582: 1577: 1573: 1569: 1565: 1562:(4): 506–22. 1561: 1557: 1549: 1546: 1541: 1537: 1532: 1527: 1523: 1519: 1515: 1511: 1507: 1500: 1497: 1492: 1488: 1483: 1478: 1474: 1470: 1466: 1462: 1458: 1451: 1448: 1443: 1439: 1435: 1431: 1427: 1423: 1420:(2): 521–32. 1419: 1415: 1407: 1404: 1392: 1388: 1382: 1379: 1374: 1370: 1366: 1362: 1358: 1354: 1347: 1344: 1339: 1335: 1332:(12): 601–3. 1331: 1327: 1320: 1317: 1314: 1310: 1309: 1303: 1300: 1295: 1291: 1287: 1283: 1279: 1275: 1271: 1267: 1260: 1257: 1254: 1250: 1247: 1241: 1238: 1235: 1231: 1230: 1224: 1221: 1216: 1212: 1208: 1204: 1201:(4): 739–63. 1200: 1196: 1189: 1187: 1183: 1178: 1174: 1170: 1166: 1162: 1158: 1151: 1148: 1145: 1140: 1137: 1132: 1128: 1124: 1120: 1116: 1112: 1105: 1102: 1099: 1094: 1091: 1088: 1084: 1083: 1077: 1074: 1069: 1063: 1055: 1051: 1047: 1045:9781259861482 1041: 1037: 1030: 1027: 1024: 1019: 1016: 1011: 1005: 997: 993: 989: 983: 979: 973: 971: 969: 967: 963: 958: 954: 949: 944: 940: 936: 932: 928: 924: 917: 915: 913: 909: 904: 900: 895: 890: 886: 882: 878: 874: 870: 863: 861: 857: 852: 848: 844: 840: 836: 832: 828: 824: 817: 815: 813: 811: 809: 805: 792: 788: 784: 778: 776: 774: 772: 770: 768: 766: 764: 762: 758: 753: 749: 745: 741: 737: 733: 726: 724: 722: 720: 718: 716: 714: 712: 710: 708: 706: 704: 702: 700: 698: 694: 687: 683: 680: 679: 675: 673: 667: 665: 659:Physiotherapy 658: 656: 652: 648: 646: 641: 637: 632: 630: 626: 622: 618: 614: 610: 601: 594: 592: 585: 583: 579: 576: 572: 567: 562: 553: 546: 544: 542: 538: 534: 526: 524: 522: 513: 508: 501: 499: 497: 492: 489: 480: 473: 464: 459: 452: 447: 440: 435: 433: 431: 427: 423: 419: 415: 411: 407: 403: 398: 396: 391: 386: 384: 381:and slightly 380: 375: 373: 369: 368:intrathoracic 365: 361: 357: 353: 349: 341: 337: 332: 325: 323: 320: 317: 308: 303: 299: 296: 293: 290: 287: 284: 281: 277: 273: 272: 268: 266: 264: 259: 256: 251: 249: 244: 239: 237: 232: 230: 226: 222: 218: 214: 210: 209:glenoid fossa 206: 202: 193: 184: 180: 176: 174: 170: 167: 163: 160: 158: 154: 151: 147: 144: 140: 137: 133: 131: 127: 123: 119: 115: 111: 107: 103: 99: 95: 92: 90: 89:Complications 86: 83:Shoulder pain 82: 80: 76: 73: 69: 66: 64: 60: 55: 51: 46: 41: 33: 19: 2498:Shin splints 2303:Pulled elbow 2271:ALPSA lesion 2254: 2182:subluxations 2178:Dislocations 2129:orthoped/440 2122: 2098: 2087: 2072: 2057: 2009: 2005: 1998: 1981: 1972: 1929: 1925: 1914: 1889: 1885: 1878: 1845: 1841: 1802:(2): 445–9. 1799: 1795: 1789: 1759:(2): 630–9. 1756: 1752: 1718: 1714: 1708: 1683: 1679: 1672: 1647: 1643: 1636: 1614: 1602:. Retrieved 1593: 1584: 1559: 1555: 1548: 1516:(3): 385–9. 1513: 1509: 1499: 1464: 1460: 1450: 1417: 1413: 1406: 1395:. Retrieved 1393:. 2020-09-14 1390: 1381: 1359:(8): 703–8. 1356: 1352: 1346: 1329: 1325: 1319: 1306: 1302: 1273: 1269: 1259: 1240: 1227: 1223: 1198: 1194: 1160: 1156: 1150: 1139: 1117:(2): 180–8. 1114: 1110: 1104: 1093: 1080: 1076: 1035: 1029: 1018: 977: 930: 926: 876: 872: 826: 822: 795:. Retrieved 786: 735: 731: 671: 662: 653: 649: 633: 606: 589: 580: 573:or injected 564: 530: 517: 493: 485: 414:radial nerve 399: 387: 376: 345: 321: 312: 300:No palpable 274:Significant 260: 252: 240: 233: 200: 198: 2006:Arthroscopy 1932:: e076925. 1680:Arthroscopy 1644:Arthroscopy 1556:Arthroscopy 1276:(1): 9–18. 629:SLAP lesion 294:of the arm. 72:orthopedics 2517:Categories 2135:sports/152 2100:DiseasesDB 1604:14 October 1397:2020-11-01 797:13 October 688:References 432:position. 364:clavicular 352:anteriorly 157:Medication 2436:upper arm 2276:SLAP tear 2243:upper arm 2203:ligaments 2132:radio/630 2124:eMedicine 1946:1756-1833 1313:eMedicine 1234:eMedicine 1087:eMedicine 1062:cite book 1054:959649794 1004:cite book 996:706805938 668:Prognosis 575:lidocaine 547:Reduction 527:Treatment 422:abducting 309:Diagnosis 182:Frequency 173:Prognosis 166:lidocaine 150:arm sling 142:Treatment 63:Specialty 2528:Shoulder 2432:Shoulder 2404:Turf toe 2239:Shoulder 2229:Whiplash 2026:27487737 1964:38233068 1955:10792684 1906:24939380 1870:11329565 1862:22437281 1816:23114865 1781:35624937 1773:26658564 1735:24561175 1700:17916467 1664:11027751 1628:Archived 1598:Archived 1576:24680311 1540:16909255 1491:31074847 1442:26001387 1434:26116355 1373:18783486 1338:14713067 1294:Archived 1249:Archived 1215:20971390 1177:15488503 957:29936432 903:21491392 851:18146330 843:16302939 791:Archived 752:25892723 676:See also 521:ligament 512:abducted 430:adducted 383:abducted 348:shoulder 316:MRI scan 292:Numbness 280:shoulder 79:Symptoms 2423:tendons 2418:Muscles 2295:forearm 2190:strains 2186:sprains 2094:D012783 1824:8237748 1531:2267594 1482:6510174 1290:3805075 1131:1994950 948:6241619 894:8859829 595:Surgery 496:elderly 360:glenoid 227:to the 205:humerus 2198:Joints 2024:  1962:  1952:  1944:  1904:  1868:  1860:  1822:  1814:  1779:  1771:  1733:  1698:  1662:  1574:  1538:  1528:  1489:  1479:  1440:  1432:  1371:  1336:  1288:  1213:  1175:  1157:Injury 1129:  1052:  1042:  994:  984:  955:  945:  901:  891:  849:  841:  750:  625:biceps 533:splint 338:and a 236:X-rays 225:injury 136:X-rays 121:Causes 108:injury 27:Injury 2458:thigh 2382:Ankle 2322:thigh 2291:Elbow 2105:31231 2068:S43.0 1866:S2CID 1820:S2CID 1777:S2CID 1438:S2CID 847:S2CID 541:torso 362:, sub 248:sling 223:, or 113:Types 2478:and 2476:Knee 2456:and 2434:and 2386:foot 2384:and 2342:and 2340:Knee 2320:and 2293:and 2241:and 2216:neck 2214:and 2212:Head 2188:and 2089:MeSH 2078:9-CM 2022:PMID 1960:PMID 1942:ISSN 1902:PMID 1858:PMID 1812:PMID 1769:PMID 1731:PMID 1696:PMID 1660:PMID 1606:2017 1572:PMID 1536:PMID 1487:PMID 1465:2019 1430:PMID 1369:PMID 1334:PMID 1286:PMID 1211:PMID 1173:PMID 1127:PMID 1068:link 1050:OCLC 1040:ISBN 1010:link 992:OCLC 982:ISBN 953:PMID 899:PMID 877:2013 839:PMID 799:2017 748:PMID 539:and 404:and 302:bone 276:pain 2480:leg 2454:Hip 2420:and 2344:leg 2318:Hip 2200:and 2083:831 2074:ICD 2059:ICD 2014:doi 1986:doi 1950:PMC 1934:doi 1930:384 1926:BMJ 1894:doi 1850:doi 1804:doi 1761:doi 1723:doi 1688:doi 1652:doi 1564:doi 1526:PMC 1518:doi 1477:PMC 1469:doi 1422:doi 1361:doi 1311:at 1278:doi 1232:at 1203:doi 1165:doi 1119:doi 1085:at 943:PMC 935:doi 889:PMC 881:doi 831:doi 740:doi 537:arm 370:or 2519:: 2261:AC 2251:GH 2184:, 2127:: 2103:: 2092:: 2081:: 2066:: 2063:10 2020:. 2010:32 2008:. 1980:. 1958:. 1948:. 1940:. 1928:. 1924:. 1900:. 1890:23 1888:. 1864:. 1856:. 1846:40 1844:. 1832:^ 1818:. 1810:. 1800:21 1798:. 1775:. 1767:. 1757:24 1755:. 1743:^ 1729:. 1719:23 1717:. 1694:. 1684:23 1682:. 1658:. 1648:16 1646:. 1626:. 1592:. 1570:. 1560:30 1558:. 1534:. 1524:. 1514:31 1512:. 1508:. 1485:. 1475:. 1463:. 1459:. 1436:. 1428:. 1418:44 1416:. 1389:. 1367:. 1357:15 1355:. 1330:32 1328:. 1292:. 1284:. 1274:69 1272:. 1268:. 1209:. 1199:28 1197:. 1185:^ 1171:. 1161:35 1159:. 1125:. 1113:. 1064:}} 1060:{{ 1048:. 1006:}} 1002:{{ 990:. 965:^ 951:. 941:. 931:52 929:. 925:. 911:^ 897:. 887:. 875:. 871:. 859:^ 845:. 837:. 827:17 825:. 807:^ 785:. 760:^ 746:. 736:33 734:. 696:^ 647:. 623:, 619:, 388:A 385:. 231:. 219:, 215:, 199:A 148:, 104:, 100:, 96:, 70:, 2400:) 2396:( 2267:) 2263:( 2257:) 2253:( 2180:/ 2170:e 2163:t 2156:v 2076:- 2061:- 2051:D 2028:. 2016:: 1992:. 1988:: 1966:. 1936:: 1908:. 1896:: 1872:. 1852:: 1826:. 1806:: 1783:. 1763:: 1737:. 1725:: 1702:. 1690:: 1666:. 1654:: 1608:. 1578:. 1566:: 1542:. 1520:: 1493:. 1471:: 1444:. 1424:: 1400:. 1375:. 1363:: 1340:. 1280:: 1217:. 1205:: 1179:. 1167:: 1133:. 1121:: 1115:9 1070:) 1056:. 1012:) 998:. 959:. 937:: 905:. 883:: 853:. 833:: 801:. 754:. 742:: 342:. 282:. 34:. 20:)

Index

Shoulder dislocation
Separated shoulder

Specialty
Emergency medicine
orthopedics
Symptoms
Complications
Bankart lesion
Hill-Sachs lesion
rotator cuff tear
axillary nerve
Diagnostic method
X-rays
Shoulder reduction
arm sling
Medication
Procedural sedation and analgesia
lidocaine
Prognosis

humerus
glenoid fossa
Bankart lesion
Hill-Sachs lesion
rotator cuff tear
injury
axillary nerve
X-rays
shoulder reduction

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