Shoulder dislocation may also cause numbness, weakness or tingling near the injury, such as in your neck or down your arm. The muscles in your shoulder may spasm from the disruption, often increasing the intensity of your pain. Because it moves in several directions, your shoulder can dislocate forward, backward or downward, completely or partially, though most dislocations occur through the front of the shoulder. In addition, fibrous tissue that joins the bones of your shoulder can be stretched or torn, often complicating the dislocation.
It takes a strong force, such as a sudden blow to your shoulder, to pull the bones out of place. Extreme rotation of your shoulder joint can pop the ball of your upper arm bone out of your shoulder socket. Partial dislocation — in which your upper arm bone is partially in and partially out of your shoulder socket — also may occur. Males in their teens or 20s, a group that tends to be physically active, are at highest risk of shoulder dislocation.
If you stretch or tear ligaments or tendons in your shoulder or damage nerves or blood vessels around your shoulder joint, you may need surgery to repair these tissues.
Once you've dislocated your shoulder joint, you may be more susceptible to future shoulder dislocations. To avoid a recurrence, follow the specific strength and stability exercises that you and your doctor have discussed for your injury. Shoulder dislocation is the most common type of joint dislocation. Shoulder dislocations are common because of the flexibility of the shoulder joint. This flexibility also helps us move and rotate our shoulders freely.
If you've ever had your shoulder dislocated, you're more likely to have it happen again. And if you're young or you've torn your rotator cuff, another common injury, you're more likely to experience a shoulder dislocation.
Whether you've had a dislocated shoulder before, or it's your first time, the most important thing to know is not to try to pop it back into the socket. You could make things worse and more painful. Instead, make an appointment at Texas Orthopaedic Associates at one of our five conveniently located clinics throughout the Dallas-Fort Worth area.
Your shoulder is made up of three bones, your collarbone, your shoulder blade, and your upper arm bone. The upper arm bone is round and fits into a socket in your shoulder blade.
Its wide range of motion also makes the shoulder joint less stable than other joints. Researchers estimate that shoulder dislocations make up 50 percent of all major joint dislocations. A dislocated shoulder means that the head of the arm bone has popped out of the socket of the shoulder blade. A dislocation may be partial or complete. Forward dislocation happens in 95 percent of cases. Backward or downward dislocations can also happen.
A forward dislocation can happen when the arm is hit while stretched or pulled back — for example, when throwing a ball or reaching for something. A strong blow to the arm by a fall, collision, or force like in a car accident can also dislocate the shoulder.
An impact that can cause a dislocation will likely also injure other parts of your shoulder. There may be damage or tears to the muscles , blood vessels , ligaments and tendons , and nerves. The arm bones may have fractures, or you may have internal bleeding in the shoulder and arm. Long-term chronic pain can also be a sign of inflammation in the shoulder.
This can happen if the dislocation is from wear-and-tear, an old injury, or arthritis in the joint. If the dislocation is caused by a fall or similar injury, there may be other damage, broken bones, or torn muscles. Trying to pop your shoulder back in can worsen this damage. While you wait, you can stabilize your shoulder with a sling or splint.
Alternatively, tape or tie the arm of your injured shoulder to your body. Apply ice to help ease the pain and bring down swelling. Get tips on icing your injury. How is a shoulder dislocation treated?
Treatment may include: Moving the head of your upper arm bone back into your shoulder joint reduction , often with an anesthetic Immobilizing your shoulder with a sling after reduction Rehabilitation Surgery, if nonsurgical methods don't restore stability.
What can I do to prevent a shoulder dislocation? How is a shoulder dislocation managed? When should I call my healthcare provider? Contact your healthcare provider if you have these symptoms: Severe pain in your shoulder when you try to move your arm Swelling, pain, or both that gets worse in your shoulder, arm, or hand Your arm or hand turns purple or pale You have a fever or chills Shoulder dislocation can damage blood vessels and nerves that feed the arm and hand.
Key points about shoulder dislocation Shoulder dislocation means your upper arm bone has come out of your shoulder joint. Your shoulder can dislocate forward and downward, and backward. It can be partly or fully dislocated.
A dislocated shoulder is very painful. If you had a dislocated shoulder in the past, you are at greater risk for having it happen again. After you have eased your early pain, rehab exercises will help you prevent future dislocation. Maintaining muscle strength and flexibility can help prevent shoulder dislocations. Next steps Tips to help you get the most from a visit to your healthcare provider: Know the reason for your visit and what you want to happen.
Before your visit, write down questions you want answered. Bring someone with you to help you ask questions and remember what your provider tells you.
At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you. Know why a new medicine or treatment is prescribed, and how it will help you.
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