Podcast
Questions and Answers
What is the main symptom associated with a shoulder dislocation?
What is the main symptom associated with a shoulder dislocation?
Which classification describes a shoulder dislocation that is caused by traumatic events and requires surgery?
Which classification describes a shoulder dislocation that is caused by traumatic events and requires surgery?
What is the role of the rotator cuff in shoulder stability?
What is the role of the rotator cuff in shoulder stability?
Which of the following factors is the primary risk for dislocating the shoulder?
Which of the following factors is the primary risk for dislocating the shoulder?
Signup and view all the answers
What pathology is commonly associated with a traumatic anterior shoulder dislocation?
What pathology is commonly associated with a traumatic anterior shoulder dislocation?
Signup and view all the answers
Which condition would indicate that surgery is required after conservative measures fail for a shoulder dislocation?
Which condition would indicate that surgery is required after conservative measures fail for a shoulder dislocation?
Signup and view all the answers
Which sport is associated with a higher incidence of shoulder dislocations due to frequent contact impacts?
Which sport is associated with a higher incidence of shoulder dislocations due to frequent contact impacts?
Signup and view all the answers
What is a common physical sign observed in someone with a dislocated shoulder?
What is a common physical sign observed in someone with a dislocated shoulder?
Signup and view all the answers
What is the most common type of shoulder dislocation?
What is the most common type of shoulder dislocation?
Signup and view all the answers
Which method is used for closed reduction of acute shoulder dislocation?
Which method is used for closed reduction of acute shoulder dislocation?
Signup and view all the answers
What should be examined to assess for neurovascular injury in shoulder dislocation?
What should be examined to assess for neurovascular injury in shoulder dislocation?
Signup and view all the answers
What is a potential complication of lunate dislocation?
What is a potential complication of lunate dislocation?
Signup and view all the answers
Which characteristic is NOT associated with anterior shoulder dislocation?
Which characteristic is NOT associated with anterior shoulder dislocation?
Signup and view all the answers
In which circumstance is open reduction indicated for shoulder dislocation?
In which circumstance is open reduction indicated for shoulder dislocation?
Signup and view all the answers
What is the risk associated with shoulder dislocation related to the axillary nerve?
What is the risk associated with shoulder dislocation related to the axillary nerve?
Signup and view all the answers
Which classification of shoulder dislocation is considered rare?
Which classification of shoulder dislocation is considered rare?
Signup and view all the answers
What is typically visible or palpable when there is a loss of the normal contour of the shoulder?
What is typically visible or palpable when there is a loss of the normal contour of the shoulder?
Signup and view all the answers
What is the first step in the nonoperative treatment of a dislocated shoulder?
What is the first step in the nonoperative treatment of a dislocated shoulder?
Signup and view all the answers
Which technique is NOT used for closed reduction of a dislocated shoulder?
Which technique is NOT used for closed reduction of a dislocated shoulder?
Signup and view all the answers
What role does physiotherapy play after shoulder dislocation treatment?
What role does physiotherapy play after shoulder dislocation treatment?
Signup and view all the answers
Which of the following is a recommended approach to shoulder rehabilitation?
Which of the following is a recommended approach to shoulder rehabilitation?
Signup and view all the answers
What is the purpose of using a sling after a shoulder dislocation?
What is the purpose of using a sling after a shoulder dislocation?
Signup and view all the answers
In the context of joint dislocation prevention, which of the following is NOT advisable?
In the context of joint dislocation prevention, which of the following is NOT advisable?
Signup and view all the answers
Which type of dislocation is the most common for the elbow?
Which type of dislocation is the most common for the elbow?
Signup and view all the answers
What is the most common type of elbow dislocation?
What is the most common type of elbow dislocation?
Signup and view all the answers
Which mechanism of injury most commonly leads to a posterior elbow dislocation?
Which mechanism of injury most commonly leads to a posterior elbow dislocation?
Signup and view all the answers
Which complication can result from neglected mobilization after elbow dislocation?
Which complication can result from neglected mobilization after elbow dislocation?
Signup and view all the answers
What is the primary focus of initial treatment for an elbow dislocation?
What is the primary focus of initial treatment for an elbow dislocation?
Signup and view all the answers
What anatomical feature is disrupted during an elbow dislocation?
What anatomical feature is disrupted during an elbow dislocation?
Signup and view all the answers
Which feature serves as an indicator of an elbow dislocation during clinical examination?
Which feature serves as an indicator of an elbow dislocation during clinical examination?
Signup and view all the answers
What should be avoided in the post-treatment care of an elbow dislocation to prevent complications?
What should be avoided in the post-treatment care of an elbow dislocation to prevent complications?
Signup and view all the answers
What ensures a high degree of stability in the elbow joint?
What ensures a high degree of stability in the elbow joint?
Signup and view all the answers
Study Notes
Joints Dislocation
- Joints dislocation is a common injury, particularly the shoulder.
- Pain is a primary symptom.
- Shoulder anatomy relies on soft tissues for stability, not inherent bony structure.
- The glenoid bone stock is limited.
- The rotator cuff serves as a dynamic stabilizer.
- The capsular and glenohumeral ligaments provide static stabilization.
Shoulder Dislocation Classification
- TUBS: Traumatic aetiology, unidirectional instability, Bankart lesion (requires surgery).
- AMBRI: Atraumatic (minor trauma), multidirectional instability, bilateral (asymptomatic shoulder is also loose). Rehab is treatment of choice.
Traumatic Dislocation Classification
- Anterior: Common, involving glenoid labrum and capsule avulsion (Bankart lesion). Capsule is stretched anteriorly; indentation in the posterolateral humeral head.
- Posterior: less frequent, a result of marked adduction-internal rotation.
- Multidirectional: less frequent.
Causes of Shoulder Dislocation
- Sports injuries (e.g., football, rugby, hockey, skiing).
- Accidents.
- Falling on shoulder or outstretched arm.
- Seizures.
- Electric shocks.
Risk Factors for Shoulder Dislocation
- Previous dislocation (higher risk).
- High-impact sports involving contact (throwing, falls).
- Congenital conditions (such as Ehlers-Danlos Syndrome).
- Weak shoulder and core muscles.
- Incorrect posturePoor technique.
Signs and Symptoms of Shoulder Dislocation
- Severe pain.
- Swelling, bruising of shoulder or upper arm.
- Numbness/weakness in arm, neck, hand, or fingers.
- Trouble moving arm.
- Feeling like arm is out of place.
- Muscle spasms.
- Palpable, prominent acromion (anterior bulge of humerus head).
- Empty glenoid socket.
- Shoulder is flattened.
Diagnosis (Shoulder Dislocation)
- X-ray (anteroposterior and axial views).
- MRI (to check rotator cuff, capsule, glenoid labrum).
Treatment (Shoulder Dislocation)
- Nonoperative: Closed reduction under anesthesia, immobilization (4 weeks), NSAIDs, physiotherapy. Techniques include traction-countertraction, Hippocrates, Stimpson's, and Kocher's.
- Surgical: For old/unreduced dislocation or recurrent dislocation.
- Rehabilitation: Use of sling, massage, joint mobilization, ice/heat treatment, physical exercises (pendular movements), education/sport and daily activities, ergonometric postural correction, return to sport plan.
Dislocation of Elbow
- Elbow dislocation (most common in young adults, excluding shoulder).
- Elbow is a modified hinge joint with strong ligaments and good intrinsic stability.
- Most frequent is posterior dislocation (often caused by a fall on an outstretched hand). A direct force to posterior forearm with elbow flexed is another common cause.
- Diagnosis involves a clinical assessment, imaging (an X-ray).
Treatment of Elbow Dislocation
- Urgent closed reduction under general anesthesia, gentle longitudinal traction with elbow flexed
- immobilization.
- Rehab after 3 weeks of immobilization, active exercises to avoid stiffness.
Dislocation of Wrist
- Lunate dislocation (can cause carpal tunnel syndrome).
- Usually requires open reduction, followed by rehabilitation to prevent hand stiffness.
Prevention
- Take care to avoid falls.
- Wear protective gear when in contact sports.
- Regularly exercise to maintain strength and flexibility in your joints and muscles.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
This quiz covers the fundamentals of joints dislocation, focusing on the shoulder and its anatomy. Explore different classifications, symptoms, and treatment approaches for both traumatic and atraumatic dislocations. Test your knowledge on key concepts such as TUBS and AMBRI classifications.