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Overview - www.royalorthopaedichospital.com , (contact no 9928841020, 9358815600) Recurrent anterior Dislocation of Shoulder A dislocated shoulder is an injury in which your upper arm bone pops out of the cup-shaped socket that's part of your shoulder blade. The shoulder is the body's most mobile joint, which makes it susceptible to dislocation. If you suspect a dislocated shoulder, seek prompt medical attention. Most people regain full shoulder function within a few weeks. However, once you've had a dislocated shoulder, your joint may become unstable and be prone to repeat dislocations. Dislocated shoulder signs and symptoms may include: A visibly deformed or out-of-place shoulder Swelling or bruising Intense pain Inability to move the joint Shoulder dislocation may also cause numbness, weakness or tingling near the injury, such as in your neck or down your arm. The muscles in your shoulder may spasm from the disruption, often increasing the intensity of your pain. Don't move the joint. Splint or sling the shoulder joint in its current position. Don't try to move the shoulder or force it back into place. This can damage the shoulder joint and its surrounding muscles, ligaments, nerves or blood vessels. Ice the injured joint. Applying ice to your shoulder can help reduce pain and swelling by controlling internal bleeding and the buildup of fluids in and around your shoulder joint. Causes It takes a strong force, such as a sudden blow to your shoulder, to pull the bones out of place. Extreme rotation of your shoulder joint can pop the ball of your upper arm bone out of your shoulder socket. Partial dislocation — in which your upper arm bone is partially in and partially out of your shoulder socket — also may occur. A dislocated shoulder may be caused by: Sports injuries. Shoulder dislocation is a common injury in contact sports, such as football and hockey, and in sports that may involve falls, such as downhill skiing, gymnastics and volleyball. Trauma not related to sports. A hard blow to your shoulder during a motor vehicle accident is a common source of dislocation. Falls. Risk factors Males in their teens or 20s, a group that tends to be physically active, are at highest risk of shoulder dislocation. Complications Complications of a dislocated shoulder may include: Tearing of the muscles, ligaments and tendons that reinforce your shoulder joint Nerve or blood vessel damage in or around your shoulder joint Shoulder instability, especially if you have a severe dislocation or repeated dislocations, which makes you more prone to re-injury. If you stretch or tear ligaments or tendons in your shoulder or damage nerves or blood vessels around your shoulder joint, you may need surgery to repair these tissues. Prevention To help prevent a dislocated shoulder: Take care to avoid falls Wear protective gear when you play contact sports Exercise regularly to maintain strength and flexibility in your joints and muscles Once you've dislocated your shoulder joint, you may be more susceptible to future shoulder dislocations. To avoid a recurrence, follow the specific strength and stability exercises that you and your doctor have discussed for your injury. Diagnosis During the physical exam, your doctor will inspect the affected area for tenderness, swelling or deformity. An X-ray of your shoulder joint will show the dislocation and may reveal broken bones or other damage to your shoulder joint. MRI Treatment Dislocated shoulder treatment may involve: Closed reduction. Your doctor may try some gentle maneuvers to help your shoulder bones back into their proper positions. Depending on the amount of pain and swelling, you may need a muscle relaxant or sedative or, rarely, a general anesthetic before manipulation of your shoulder.. Surgery. You may need surgery if you have a weak shoulder joint or ligaments and tend to have recurring shoulder dislocations despite proper strengthening and rehabilitation. Immobilization. Your doctor may use a special splint or sling for a few days to three weeks. Medication. Rehabilitation. After your shoulder splint or sling is removed, you'll begin a gradual rehabilitation program designed to restore range of motion, strength and stability to your shoulder joint. Lifestyle and home remedies Rest your shoulder. Apply ice then heat. Do this every couple of hours the first day or two. After two or three days, when the pain and inflammation have improved, hot packs or a heating pad may help relax tight and sore muscles. Limit heat applications to 20 minutes at a time. Take pain relievers. Maintain the range of motion of your shoulder. Dr. Ashish Mittal Director & Chief Consultant -The Royal Orthopaedic Hospital & Sports Injury Centre B-73-A, Sahkar Marg, near imli Phatak, Jaipur Ph: +91 9358815600, 9928841020 www.royalorthopaedichospital.com [email protected]