Dislocations

Shoulder joint is the most common joint in the body to dislocate. Shoulder Injuries are very common these days due to increased indulgence in outdoor sports activities. Shoulder is the most vulnerable joint for a dislocation due to its inherent laxity at the cost of some instability. The humeral head is three times the   size of glenoid. It is a joint with 3 degrees of freedom.  Shoulder problems are very specific to age unlike the other joints in the body. People in their early 20’s may be likely to be suffering from Instability or problems from the biceps anchor  whereas the elderly may be suffering from problems of rotator cuff. Shoulder is prone for a repetitive injury due to tasks where a impingement (window cleaning ) position is used repetitively.

Do I require a surgery for my shoulder if I am afraid that it may dislocate again?

The feeling of apprehension for a shoulder dislocation or a subluxation is a sign of Instability due to capsulolabral tear with a bone loss of the glenoid or the humeral head.

Do I need a Sling after my dislocation has been reduced ?

Sling after dislocation has a role only till you are pain free. You should start physiotherapy to mobilize your shoulder and avoid stiffness.

When should I start physiotherapy for the shoulder after a dislocation?

As soon as you are painfree you should start cuff strengthening exercises with a target of  good ROM

What kind of surgery are done for a shoulder dislocation?

These days most of the dislocations can be managed arthroscopically i.e Key hole surgery which gives small scar and early recovery from the surgery.

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