Shoulder Dislocation - Diagnosis and Treatment Options
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- Опубліковано 22 бер 2017
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This video discusses shoulder dislocations including anatomy, causes, symptoms, and treatment.
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Great video. I have a Bankart lesion from throwing a football...my quarterback dream is over and that was made pain disappear with no surgery. I'm always afraid of dislocation if I fall or something likely to cause dislocation. Question I have is: what is your opinion of the Cunningham shoulder reduction. It seems an easier reduction, less painful. Thanks!
Hi Michael. Thanks for watching. The Cunningham shoulder reduction is one of many techniques that can be successful however it may be difficult in the setting of severe pain like what is encountered often with first time dislocations where significant sedation is required.
Do you have video on rotar. Chuff. Injutie
Hey guys, great informative video. My situation is somewhat similar, but different so to speak. I'm 40 yrs old, have had 6 surgeries already on my R shoulder which include two replacements already since 2006. I'm now heading in for another total shoulder replacement revision in March. My surgeon is going to be altering the angle of the stem, and increasing the size of the humeral head. He says that reverse replacement is not really optimal for my situation, and with doing things this way, it'll leave the option of arthrodesis on the table should it come to that. I should say that it's being replaced again due to many dislocations. It slides out of the socket multiple times daily now and I just have to slowly rotate my arm enough that it'll clunk back in. My question to you guys is this... Am I ever going to be done with shoulder surgery? I'm already heading towards a total knee replacement as well. I've endure 8 surgeries on my R knee including 3 ACL reconstructions, and 1 tibial osteotomy to prolong the replacement.
Is there hope? Or is this just my genetic makeup?
Also, love the videos. Please keep them coming!
From NB Canada.
Hi Canadian_Airgunner78. It sounds like you have definitely had more than a lifetime of surgery by 40. It is difficult to say how your next shoulder surgery will go. We always tell patients that we are more optimistic about the outcome if we can find identify a specific cause for the problem. We wish you all the best in your next surgery. We also appreciate you watching and commenting on our channel and are grateful for your service to our country if your handle is related to your career.
I’ve never had a dislocated shoulder I’ve injured it and it was very painful that I thought it was dislocated. Thanks for the video.
Glad you didn’t dislocate Alida! Thanks for watching and subscribing
Hi Docs, I had an inferior and medial dislocation with a fracture in my humeral head when I was 22. It took almost two months until I could get into physical therapy and I had some nerve issues in my ulnar nerve. After therapy I didn't get a full range of motion and ended up having to go back to my dr because it never really felt "normal". I went back to physical therapy but still didn't feel right about my progress and the exercises I was doing. My biggest issue is that I feel like my scapula is "stuck" around the inferior angle and medial border. My PT had me doing a lot of scapular exercises such as pushups and over head band work. I never got an MRI but am still active in the gym. After two years I still have pain and haven't reached full range of motion. Should I go back to my dr? Is my pain ever going to go away? Thanks!
Hi megan. Thanks for your question. It is hard to say specifically but many patients will have ongoing pain, stiffness and weakness after a dislocation. If you are unsure, best to get a new xray to start and get reassessed. Hope that helps. Best of luck and keep us posted. Thanks for watching.
My MRI says I have a "small perforated tear" in my biceps tendon at the proximal extra-articular segment. Is that considered a complete tear or partial tear? Do "small perforated tears" heal on their own with rest and rehab. I'm trying to do whatever I can to avoid surgery and hoping rehab will work. Thanks
Hi Jim. They have some potential to heal and that is likely only partial. Many people live with bicep tears. It mostly abkur your pain. Thanks for watching and subscribing
@@TalkingWithDocs thank you so much. There is another Dr. I am communicating with on UA-cam who says that a "perforated tear" even if small is a full thickness complete tear that will never ever heal. Is this correct information from him? I'm just in a bit of a pickle due to no insurance with my job and also extremely demanding on the shoulder and biceps. Unfortunately I cannot afford a surgery and hoping rehab and exercise will heal me.
Is this one of the more severe injuries someone can face would you say?
Hi bobby joel. It is certainly a severe injury and can a long time to recover from for sure. Thanks for watching.
Hi I’ve recently dislocated my shoulder after getting surgically operated for the same. What do you recommend I should do now?
Hi Simar. That would really depend on how it happened and how your surgeon felt the procedure went. Best to get reassessed. Good luck. Thanks for watching and subscribing if you did
@@TalkingWithDocs Simar, what surgery did you undergo? they say that chances of dislocating after a surgery are technically 0- it is appalling to hear your experience!
I have had my first in 2013 age 21, then in 2016 age 24, and now I was trying to throw something with full force in agitation, it happened again after 7years at 30.
Do you think I should go for a bankart repair?
hello docs im 30yrs old i dislocated my right shoulder 4 times (16yrs-21) 3 times and the last time was last years i don't know if operation will success or not plz i need your advices
Hi elfakiry. Surgery for recurrent dislocations is often very successful. The cause of the dislocation is often a displaced labrum that needs to be replaced and sometimes due to a defect on either the proximal humerus or the glenoid. Your shoulder is best assessed with an MR arthrogram and then appropriate referral to a surgeon. If you have not had a dislocation in a long time, some patients would simply choose to wait. Good luck and thanks for watching.
What about torn labrums at an older age?
Hi Nick. It kind of depends but would relate to the type of symptoms, the status of the rotator cuff, etc. Thanks for watching, subscribing and sharing with someone if you did.
Hii i had 3 shoulder dislocations including 1 right hand and 2 left hand.
please tell what should i do
Hi Aatif. If you are young, you should consider getting assessed for surgical reconstruction as there is a high chance this will continue to happen. Usually xrays and MRI. Hope that helps. Thanks for watching.
@@TalkingWithDocs i am 20 years old.
What do you think it is a kind of labrum injury or anything else
I’ve recently dislocated my shoulder and I was wondering what pain should I be expecting. So far it’s my third day after injury and I’ve realized pain has reduced quite a bit and I can start using it a little bit. Is this normal or just me
Hi Beastman023. So the pain will improve quickly. Typically we like patients to rest for a couple of weeks before starting gentle therapy. Every patient and surgeon are different so confirm the protocol with your treating surgeon. Good luck during your recovery. Thanks for watching and subscribing if you did.
I don't exactly concur with these guys. I'm 61. I first had a subluxation around 30 playing hockey. Did all rehab these guys are saying. Didn't matter. I've popped it out over 40 times since then, and I can still can do it easily even today. Shoulder freeze? Pfff. I've never met one other hockey player who didn't have the same experience after their first rehab. Solution: Don't do that which makes it pop out. I've coaxed it back in at least 35 times. No labrum by now. At some point, it isn't worth all the effort and pain to fix it for it coming out every once in a while.
Hi Stan. Not sure what part you disagree with. Yes avoiding the cause of the dislocation is great but sometimes that is not possible. If it keeps coming out, some people want it fixed. All the best. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocs Thanks for the reply. I think what you should explain in detail the procedures that fix it, and the incredible amount of rehabilitation involved over 6 months. It's a lot less rosey than you guys describe it.