Shoulder dislocation

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  • Опубліковано 5 лис 2020
  • Live online medical lecture on shoulder joint and its dislocation
    The shoulder joint is a ball-and-socket joint between the glenoid fossa of the scapula and the head of the humerus.
    The shoulder ball (humeral head) fits loosely in the socket (glenoid) and is unrestricted so the shoulder joint is the most mobile and most commonly dislocated major joint.
    Soft-tissue stabilizers can be divided into two categories: static and dynamic.
    The static stabilizers are the ligaments of the shoulder: superior, middle and inferior glenohumeral ligaments, capsule and the labrum (the cartilage ring that surrounds the socket).
    The dynamic stabilizers, which include the rotator cuff muscles, are the muscle groups that surround the shoulder.
    Flexion:
    Pectoralis major, deltoid, coracobrachialis, long head of biceps brachii
    Extension:
    Latissimus dorsi, teres major, pectoralis major, deltoid, long head of triceps brachii
    Adduction:
    Coracobrachialis, pectoralis major, latissimus dorsi, teres major
    Abduction:
    Supraspinatus, deltoid
    Internal rotation:
    Subscapularis, teres major, latissimus dorsi, pectoralis major, deltoid
    External rotation:
    Teres minor, infraspinatus, deltoid
    A dislocation is a complete displacement of articular surfaces from each other.
    A dislocated bone is no longer in its normal position.
    A dislocation may also cause ligament or nerve damage.
    Dislocations may be associated with a periarticular fracture
    Traumatic dislocation :
    More common
    Dislocations are usually caused by a sudden impact to the joint.
    This usually occurs following a blow, fall, or other trauma.
    Pathological dislocation :
    In some cases, dislocations are caused by a disease or a defective ligament.
    Examples are Rheumatoid Arthritis and tumor.
    Mechanism of injury:
    95% of the dislocations are classified as traumatic, it is very age dependent.
    In the younger age groups, athletic injures are common, such as from athletic trauma or a fall, whereas in older persons, often the result of falls.
    Inferior dislocation is the result of a hyperabduction force that levers the proximal humerus against the acromion and out of the glenoid inferiorly.
    Anterior (forward)
    Posterior (backward)
    Inferior (downward)
    Diagnosis:
    History of injury
    Significant pain, which can sometimes be felt past the shoulder, along the arm
    Inability to move the arm from its current position, particularly in positions with the arm reaching away from the body and with the top of the arm twisted toward the back ,Numbness of the arm
    Visibly displaced shoulder. Some dislocations result in the shoulder appearing unusually square
    Dugas sign: A simple clinical test for dislocated shoulder. When the hand of the affected side is placed on the opposite shoulder the elbow cannot be made to touch the chest.
    Treatment:
    Manual reduction : A variety of techniques exist, but some are preferred due to fewer complications or easier execution. Such as Hippocrates, Stimson, Kocher maneuver
    Hang the affected limb with elbow in 90 degree
    3 weeks or more
    Early functional exercises

КОМЕНТАРІ • 3

  • @wanyonyisam8445
    @wanyonyisam8445 8 місяців тому

    Absolutely simple,brief and concise

  • @fitnfine7248
    @fitnfine7248 2 роки тому

    Is shoulder arthroscopy good

  • @wakylaugh
    @wakylaugh Рік тому

    You confused anatomical neck w surgical neck of humerus