S43.014

Clinical Causes: Falls onto an outstretched arm or shoulder Direct blow or impact to the shoulder during contact sports Car accidents causing sudden trauma to the shoulder Excessive rotation or forceful arm movements Severe overextension or twisting of the shoulder joint

Key Symptoms: Severe pain in the shoulder and upper arm Deformity or a visible bump on the shoulder Inability to move the arm or shoulder pain during movement Swelling and tenderness around the shoulder joint Weakness or numbness in the arm or hand (if nerves are affected)

Diagnosis Path: Diagnosis typically involves a physical examination by a healthcare provider, who will inspect the shoulder for deformity, tenderness, and range of motion. Imaging tests such as X-rays are essential to confirm the dislocation, determine its direction (anterior or posterior), and identify any associated fractures or injuries. Proper imaging ensures accurate diagnosis and guides treatment planning.

Treatment Protocols: Treatment aims to reduce pain, realign the humerus, and restore shoulder function. Common treatment approaches include: - **Closed Reduction:** A healthcare professional gently maneuvers the humerus back into its proper position without surgery. This procedure is usually performed under sedation or local anesthesia. - **Immobilization:** After successful reduction, the shoulder may be immobilized using a sling or brace for a period to allow healing. - **Pain Management:** Analgesics and anti-inflammatory medications are used to manage pain and swelling. - **Physical Therapy:** Once initial healing occurs, physical therapy helps restore strength, flexibility, and shoulder stability. - **Surgical Intervention:** In cases with recurrent dislocations, associated fractures, or failed conservative management, surgery might be necessary to stabilize the joint and prevent future dislocations. Rehabilitation is crucial for optimal recovery and to prevent future injuries.