Shoulder dislocation✅

Question 1

SSx of shoulder dislocation

Answer 1

Acute:
* popping sensation
* sudden onset of pain with decreased ROM
* swelling
* shoulder depressed on affected side
* axillary nerve compromise
→ weakness in deltoid and teres minor
→ sensory disturbance over deltoid

Chronic:
* pain
* repeated shoulder dislocations

Question 2

Etiology of shoulder dislocation

Answer 2

Types:
1. Anterior
* most common
MOI: Abd, ER, Ext (throwing action)

2. Posterior
   MOI: flex, add, IR (electric shock)

Question 3

General treatment of shoulder dislocation

Answer 3

immobilize by sling: few days - 4 wks

Question 4

Precaution of shoulder dislocation

Answer 4

No active shoulder abduction over 90’
No extension pass neutral
No abd+ER

Question 5

Occupational performance issue of shoulder dislocation

Answer 5

1. Immobilization: One handed technique
2. Limited ROM
3. Muscle atrophy
4. Pain
5. Precaution –> affect sleep positioning (one pillow under the affected shoulder and one pillow under the arm)
6. hypersensitivity in axillary nerve distribution
7. Avoid soaking the wound with water –> bathing → prepare a shower sling and a regular sling/ hand-held shower head