Medical history (history of illness) represents an important component in the diagnosis of shoulder dislocation. Family history Are there any diseases of the bones and joints in your family that are common? Social history What is your profession? Current medical history/systemic history (somatic and psychological complaints). Are you experiencing pain? If yes, when does the … Shoulder Dislocation: Medical History
Injuries, poisonings, and other sequelae of external causes (S00-T98). Acute tendinitis calcarea (synonym: calcifying tendinitis) – in this case, calcific deposits in tendons and tendon attachments are the underlying cause Floating shoulder – subsidence of the shoulder girdle due to an untreated fracture (fracture) of the scapula, shoulder level and clavicle. Fracture (fracture) in the … Shoulder Dislocation: Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by shoulder dislocation: Circulatory system (I00-I99) Thrombosis (vascular disease in which a blood clot (thrombus) forms in a vein) of the axillary vein (large vein in the armpit (axilla) area) Nervous system (G00-G99) Damage to the axillary plexus Musculoskeletal system and … Shoulder Dislocation: Complications
Shoulder dislocation can be classified as follows. The following forms of shoulder dislocation can be distinguished: Anterior shoulder dislocation – dislocation of the shoulder forward; most common form. Anterior-inferior shoulder dislocation – dislocation of the shoulder anteriorly downward. Posterior shoulder dislocation – dislocation of the shoulder backward. Others: axillary (“axillary concerning”) shoulder dislocation, paracorcacoidal shoulder … Shoulder Dislocation: Classification
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin (normal: intact; abrasions/wounds, redness, hematomas (bruises), scars) and mucous membranes. Gait (fluid, limping). Body or joint posture (upright, bent, gentle posture). Muscle atrophies (side comparison!, if necessary circumference … Shoulder Dislocation: Examination
Laboratory diagnosis-considering age and concomitant diseases-is required if surgical action is to be taken.
Obligatory medical device diagnostics. Conventional radiographs, in two planes; second plane transthoracic (“through the chest (thorax)”). Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics and obligatory medical device diagnostics – for differential diagnostic clarification. Sonography (ultrasound examination), depending on the joint involved. Computed tomography (CT; sectional imaging … Shoulder Dislocation: Diagnostic Tests
Depending on the exact nature of the shoulder lesion, surgical therapy must be used. The following techniques are available depending on the exact nature of the lesion: Arthroscopic/open rotator cuff suture for partial or small complete ruptures. Open rotator cuff suture with/without acromioplasty (open or endoscopic straightening of the (pathologically) concave lower surface of the … Shoulder Dislocation: Surgical Therapy
The following symptoms and complaints may indicate dislocation: Leading symptoms Painful restriction/elimination of motion of the affected joint. The affected joint is held in a gentle posture The following symptoms and complaints may indicate shoulder dislocation: Leading symptoms Shoulder joint is fixed springy, there is a spontaneous and movement pain. Arm is usually in abduction … Shoulder Dislocation: Symptoms, Complaints, Signs
Pathogenesis (development of disease) The following forms of shoulder dislocation can be distinguished. Anterior shoulder dislocation – forward dislocation of the shoulder (>90% of cases); there is stretching or tearing of the inferior glenohumeral ligamentIf, in addition, the anterior portion of the labrum (glenoid lip) has been damaged and tears away from its bony support, … Shoulder Dislocation: Causes
General measures Traumatic first dislocation of the elderly patient without concomitant injury is treated conservatively. Reduction Traumatic dislocation must be reduced as soon as possible to minimize cartilage damage, after which an immobilizing dressing should be applied. Habitual dislocations (dislocation that occurs repeatedly during physiologic movements without additional force) usually reduce (return to a (near) … Shoulder Dislocation: Therapy
