If you have surgery, rare complications can include infection or lack of healing, which may require further surgery. You may not be able to move your shoulder as freely as you could before the injury. Sometimes people have numbness over the outside of their shoulder. Long-term effects after a shoulder dislocation can include stiffness, weakness, and (less commonly) lingering discomfort or pain. It is important to listen to the specific instructions of your surgeon, as therapy may vary depending on what type of surgery you received. As your bone and tissues heal, it will become easier to move your shoulder and use your arm. Similar to non-operative treatment, a physical therapist will work with you to slowly increase your motion and strength over time. You will also need to avoid lifting heavy objects. If surgery is needed, you will likely need to keep your arm in a sling for a time. Surgery was recommended to put the fractured bone back in place to hold it while it healed. The operation can sometimes be done arthroscopically (with small cuts), or may require a larger cut with plates, screws, and sutures.įigure 5: This fracture of the greater tuberosity displaced, or moved, on a follow-up x-ray. The type of surgery needed depends on the type of injury. If a part of your shoulder fractured when it dislocated, you may need surgery. You may be instructed to move your elbow and wrist several times a day so they do not become stiff. Your surgeon will tell you when you can come out of the sling and you are able to use your shoulder and arm again. In general, you will need to work with a physical therapist to slowly get your shoulder moving again and to strengthen the muscles around your shoulder. Shoulder dislocations can often be managed without surgery using a sling. The tuberosity is where the rotator cuff muscles attach and the humeral head moves against the glenoid (part of the shoulder blade) to make up the shoulder joint. The arrows point to a break in the tuberosity of the bone as well as the humeral head. Reduction of the shoulder has also reduced the tuberosity into the correct spot (right image).įigure 4: A shoulder that was dislocated (left), and then put back into place, or reduced (right). The left arrows both show t e fracture of the greater tuberosity. Usually more than one radiograph is needed to make sure it is reduced. This needs to be within the cup of the glenoid (Right image) in order to be reduced. The red arrows show areas of interest – in each picture the right arrow illustrates the humeral head. You will most likely be given a sling and asked to not use your arm or lift anything until you have an appointment with an orthopaedic surgeon. After your joint is back in place, an x-ray will be taken to see if there are any broken bones.Īfter your shoulder is back in place, you can usually return home and don’t have to stay overnight in the hospital. Usually, this is done in an emergency room after you have been given pain medication and light sedation. Shoulder dislocations should be put back in the socket (reduced). When your shoulder is dislocated, it is usually painful and very hard to move the arm. Disaster Management and Emergency Preparednessįigure 3: The red arrows denote the most common fractured areas with a dislocation.OTA Support of Federal Grant Applications.Video Library: Annual Meeting & Conferences.
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