Shoulder Dislocation and Management
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Questions and Answers

What is the most common type of shoulder dislocation?

  • Anterior dislocation (correct)
  • Superior dislocation
  • Posterior dislocation
  • Medial dislocation

Who is more prone to experiencing recurrent anterior glenohumeral dislocations?

  • Males above 50 years old
  • People between 14-25 years old (correct)
  • People above 40 years old
  • Females aged 25-35 years old

What is the main ligamentous restraint to anterior translation during shoulder dislocation?

  • Acromioclavicular ligament
  • Superior glenohumeral ligament
  • Inferior glenohumeral ligament (correct)
  • Coracoclavicular ligament

Which nerve should be checked for sensory loss in the lateral deltoid region after a shoulder dislocation?

<p>Axillary nerve (A)</p> Signup and view all the answers

What test, if positive six weeks after a shoulder dislocation, is associated with an increased risk of recurrent instability?

<p>Apprehension test (C)</p> Signup and view all the answers

What is the recommended investigation of choice for assessing associated pathology in a patient with a traumatic anterior glenohumeral dislocation?

<p>Magnetic resonance imaging (MRI) (B)</p> Signup and view all the answers

In an older patient (>40 years) with a traumatic anterior glenohumeral dislocation, what condition must be suspected until cleared?

<p>Rotator cuff tear (D)</p> Signup and view all the answers

Which factor is more indicative than pain in an older patient (>40 years) with a traumatic anterior glenohumeral dislocation?

<p>Weakness (B)</p> Signup and view all the answers

What approach is recommended for the management of a patient with lower demands (work/sport) and resolution of symptoms over 6 weeks following a traumatic anterior glenohumeral dislocation?

<p>Rehabilitation, education, muscle control and strengthening exercises (B)</p> Signup and view all the answers

Which mechanism of injury is more likely to result in a posterior shoulder dislocation?

<p>Fall onto an outstretched arm in flexion and internal rotation (A)</p> Signup and view all the answers

Which muscle group is particularly important to focus on when addressing ongoing posterior instability signs and symptoms?

<p>Posterior deltoid (A)</p> Signup and view all the answers

What type of exercises are recommended early on for managing posterior dislocation?

<p>Motor control and proprioceptive exercises for rotator cuff and scapular muscles (D)</p> Signup and view all the answers

What symptom may a patient with posterior subluxation/instability experience during specific movements according to the text?

<p>Recurring pain or slipping feeling (D)</p> Signup and view all the answers

What is the immediate action recommended if a dislocation is not relocated?

<p>Refer to emergency department for relocation (A)</p> Signup and view all the answers

Which test can be used to assess posterior subluxation/instability in the shoulder?

<p>Horizontal flexion test (D)</p> Signup and view all the answers

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