Shoulder Dislocation – Plano, TX
Dr. Kouyoumjian, a Plano, TX, based orthopedic surgeon, provides diagnosis and treatment for various shoulder conditions. He specializes in using surgical and non-surgical techniques to treat Shoulder Dislocation.

Shoulder Dislocation

Shoulder Dislocation is a painful condition which results from the displacement of the ball-shaped head of the upper arm (humerus) from its socket (scapula) that lies within the shoulder blade. The shoulder socket is shallow and is provided a fair amount of depth by the rim of the cartilage that surrounds it. The joint is further supported by ligaments and the rotator cuff muscles comprising of four tendons attached to a group of muscles. The anatomy of the shoulder joint is such that it is provided maximum support from above, in front and at the back. Therefore, most shoulder dislocations occur at the lower front of the joint.

When the bones lose partial contact with each other, the condition is termed as Partial Subluxation while complete loss of contact between the constituent bones is referred to as Complete Subluxation or Shoulder Dislocation. In some cases, this type of injury may further cause damage to the blood vessels, tendons, muscles and nerves.

Causes Of Shoulder Dislocation

  • A direct fall on the shoulder or an outstretched arm
  • Physical combat with another person
  • Automobile accidents
  • Sports injury
  • Rotating the shoulder or arm in extreme direction
  • Presence of loose ligaments may lead to instability and consequent dislocation
  • Tear/damage to the cartilage, muscles or tendons

Symptoms Of Shoulder Dislocation

  • Severe pain may occur in the affected shoulder
  • Movement of the arm becomes difficult
  • The shoulder feels tender when touched as the bone is displaced
  • The shoulder may appear to be flattened
  • Visible deformed shoulder
  • Swelling, redness or bruising may occur
  • The shoulder joint will feel loose as if it is giving away/unstable

Diagnosis Of Shoulder Dislocation

  • A through physical examination of the affected joint
  • Analysis of the details of time and mode of injury besides the medical history of the patient
  • The doctor may check for nerve damage and loss of motion in the injured arm
  • X-ray imaging to check for bone damage if any, exact place of dislocation and/or damage to the surrounding ligaments
  • MRI and CT scans may be recommended if the doctor suspects nerve and soft tissue damage

Treatment Of Shoulder Dislocation

  • Rest the injured shoulder by confining it within a sling or splint. The duration of immobilization depends on the severity of the injury
  • Application of ice packs provides relief from pain and inflammation
  • Prescription of pain relief medicines and muscle relaxants
  •  Closed Reduction- the dislocated bone is put back into place by gently maneuvering it and it provided immediate relief from intense pain and discomfort. The doctor generally administers a suitable dose of anesthesia before this process
  • Surgery is required in case the injury involves damage to the muscles, nerves, ligament or tendon tear and bone fractures
  • Physical therapy is required to restore motion and strength of the supporting muscles and the shoulder joint

For diagnosis and treatment of Shoulder Dislocation, visit Dr. Kouyoumjian. To schedule an appointment with the orthopedic surgeon in Plano, TX, call at (972) 985 – 1072.