Shoulder Dislocation and Management

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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?

Axillary nerve 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?

Apprehension test 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?

Magnetic resonance imaging (MRI) 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?

Rotator cuff tear 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?

Weakness 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?

Rehabilitation, education, muscle control and strengthening exercises Signup and view all the answers

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

Fall onto an outstretched arm in flexion and internal rotation Signup and view all the answers

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

Posterior deltoid Signup and view all the answers

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

Motor control and proprioceptive exercises for rotator cuff and scapular muscles Signup and view all the answers

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

Recurring pain or slipping feeling Signup and view all the answers

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

Refer to emergency department for relocation Signup and view all the answers

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

Horizontal flexion test Signup and view all the answers

Shoulder Dislocation and Management

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