What is a shoulder dislocation?
Shoulder Anatomy
The shoulder consists of three bones, namely the scapula (shoulder blade), clavicle (collarbone), and humerus (the bone in the upper arm). Two joints enable the shoulder's mobility: the acromioclavicular joint, where the highest part of the scapula connects with the clavicle, and the glenohumeral joint.
What happens when your shoulder dislocates?
Shoulder dislocations are common especially in young, active athletes, but it can also occur in others due to falling on your shoulder or other related trauma.
When a shoulder dislocates, it means that one or both of the joints in the shoulder have come out of their normal positions. In most cases, a shoulder dislocation involves the humerus (upper arm bone) moving out of the glenohumeral joint. During a shoulder dislocation, the ligaments, tendons, and muscles that stabilize the shoulder joint may become stretched, torn, or damaged. The severity of the injury can vary, ranging from a partial dislocation (subluxation) where the joint partially comes out and then goes back in on its own, to a complete dislocation where the joint remains out of place until it is put back into position.
It is very common during a shoulder dislocation that the labrum which is the surrounding soft tissue around the socket also tears. This will make it more likely for the shoulder to dislocate again.
Symptoms
Sudden or intense shoulder pain, particularly at the joint
Visible deformity or abnormal shoulder appearance
Limited to no range of motion
Instability
Swelling or bruising
Muscle Weakness
Numbness and tingling
treatment options
The first step to treatment is to place the humerus back into the shoulder socket. If it is your first time dislocating your shoulder, we will recommend using a sling to help stabilize the joint, allowing the shoulder to heal on its own. Strengthening exercises and/or physical therapy may also be an option.
However, if you have recurrent instability where the shoulder continues to dislocate over time, then surgery will be the next option. We typically fix reoccurring shoulder dislocations with an arthroscopic procedure in which case we sew down the labrum and maybe close the capsule down a little bit to tighten the shoulder so it doesn't dislocate quite as easily again.
Shoulder dislocations are a common injury, especially among young and active individuals. They often result in labral tears, increasing the likelihood of recurrent dislocations. While initial dislocations may be treated conservatively with immobilization and monitoring, surgical intervention may become necessary for those with recurring shoulder instability. By following preventive measures, such as strengthening exercises, using protective gear, maintaining proper technique, and allowing for gradual progression, individuals can minimize the risk of shoulder dislocations. If you suspect a shoulder dislocation or experience recurrent instability, consult with a physician here at Ortho SA for an accurate diagnosis and propper treatment.
MEET OUR shoulder SPECIALIST HERE IN SAN ANTONIO, Dr. Burns!
Dr. Burns, values each of his patient's needs and strives towards helping them feel relief from their shoulder injuries through accurate diagnoses & treatments. If you’re suffering from a shoulder injury, don’t hesitate - schedule an appointment with him today!