SHOULDER DISLOCATION

PHT 626- SPORTS PHYSIOTHERAPY

Course Convener- Shofeen Begum
Group members- Joji , Timoci
WHAT IS SHOULDER DISLOCATION ?

• is an injury in which your

upper arm bone pops out of
the cup-shaped socket
that's part of your shoulder
blade. 

• The shoulder joint is the

body’s most mobile joint. It
can turn in many directions,
but this advantage make it
easier for the joint to
dislocate.
Types of dislocation.

1. A complete dislocation means all the wayout of the

socket.

2. A partial dislocation (subluxtion) means the head of the

humerus is partially out of the socket (Glenoid)
What can cause a shoulder dislocation?
• A shoulder dislocation is usually caused by a fall or blow to the
shoulder. This can happen during sports activities. Dislocated
shoulders are more common in teens than younger children.

• Tissues that hold the bones together including muscles, tendons

that connect muscles to bones and ligaments that join the
shoulder bone to the shoulder blade are also sometimes injured.
 Signs and Symptoms

• Deformity
• Swelling
• Numbness
• Weakness
• Bruising

 Shoulder joint can dislocate forward, backward or downward.

 Anterior instability is the most common, Humerus moves forward and out
of it’s socket. This may happen when arm is put into a throwing position.
Treatment.

Closed Reduction

• Lift forearm and elbow to 90 degrees. Slowly externally rotate while keeping it
abduct at 90degrees till relocation is achieved.

Prakash Method

• Client seated on a chair with back on rest to stabilise the scapula. Gently externally
rotate arm to maximum extend. Once at maximum position hold for 1 minute and
gently adduct the shoulder and internally rotate.
• There are no clicks in this method.
• Dr L Prakashs's method of reducing shoulder dislocations - YouTube
Is there a way to prevent shoulder dislocation?

• Athletes can wear protective gear during sports activities.

• During play children and even adults should avoid tugging and pulling on
the arms.
Lifestyle and Home Remedies.

Rest your shoulder. Don't repeat the specific action that caused your shoulder to
dislocate, and try to avoid painful movements. Limit heavy lifting or overhead activity
until your shoulder feels better.

Apply ice then heat. Putting ice on your shoulder helps reduce inflammation and pain.
Use a cold pack, a bag of frozen vegetables or a towel filled with ice cubes for 15 to 20
minutes at a time. Do this every couple of hours the first day or two.

After two or three days, when the pain and inflammation have improved, hot packs or
a heating pad may help relax tight and sore muscles. Limit heat applications to 20
minutes at a time.

Take pain relievers. Over-the-counter (OTC) medications, such as aspirin, ibuprofen

(Advil, Motrin IB, others), naproxen sodium (Aleve) or acetaminophen (Tylenol, others),
may help relieve pain. Follow label directions and stop taking the drugs when the pain
improves.
Maintain the range of motion of your shoulder. After one or two days, do some gentle
exercises as directed by your doctor or physical therapist to help maintain your
shoulder's range of motion.
 REFERENCE

 Dislocated Shoulder: Symptoms, Causes, Treatment

s (clevelandclinic.org)
 Sports shoulder injury - Search (bing.com)