Shoulder Dislocation

Question 1

Most common type of shoulder dislocation

Answer 1

Anterior (95%) > Posterior

Question 2

Methods of reduction of shoulder dislocation

Answer 2

1. Kocher method-
   -External rotation
   -Traction
   -Adduction
   -Internal rotation
2. Hippocratic method

Post reduction Xray to detect hidden fractures, sling 2wks, Pendulum and circumduction exercises
Avoid abduction and lateral rotation

Question 3

Posterior shoulder dislocation

Answer 3

Etiology:
Epileptic seizure
Electric shock
Fall with hand internally rotated

C/F: Painful external rotation

Axillary Shoot through Xray, CT scan (false negative on xray)

Question 4

Axillary shoot through X-ray is done in which Ortho condition?

Answer 4

Posterior shoulder dislocation

Question 5

Bankart lesion

Answer 5

Avulsion of anterior and inferior capsulolabral complex of shoulder joint

Recurrent shoulder dislocation

Question 6

Which nerve can be affected in shoulder dislocation?

Answer 6

Axillary/circumflex nerve (C5)

Question 7

What to check in elderly pts with suspected shoulder dislocation?

Answer 7

Humerus neck fracture (mimics shoulder dislocation)

Question 8

Fractures associated with shoulder dislocation

Answer 8

Greater tuberosity
Head of radius
Glenoid

Internal fixation might be required