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Posterior Dislocation of Shoulder : This is a rarified pathologic condition of the shoulder in which the shoulder gets dislocated posteriorly . Anterior dislocation of the articulatio humeri is quite common but posteriordislocation of the shoulderis pretty rare and usually occurs after atraumaor an epileptic shock . The detain diagnosis of posterior berm dislocation causes difficulties in discourse and results in surgery.1
What Is Posterior Dislocation Of Shoulder?
Theshoulder jointis a ball and socket joint . The socket of the shoulder joint is shallow which gives the shoulder increased range of motion than other ball and socket articulatio in the body but at the same it get the shoulder joint prone to various injuries . absolute majority of shoulder dislocation are prior but in rare display case a ulterior dislocation of the articulatio humeri also takes billet .
Causes of Posterior Dislocation Of Shoulder
As stated , Posterior Dislocation of Shoulder is a pretty rarefied phenomenon . It is unremarkably caused due to trauma or impact with the shoulder being held in internal gyration ( arm become inwards ) and adduction ( arm closely to body or chest wall ) . The injury mostly occur when an soul lose from an epileptiform seizure or as a solution of an electrocution injury . If an individual germinate Posterior Dislocation of the Shoulder of unknown etiology then the possibility of a paroxysm needs to be considered . This harm can also happen as a result of a verbatim trauma in some cases . Improper weight distribution while exercising weight lifting can do later dislocation.2
Types Of Posterior Dislocation Of Shoulder
Partial (25% or Less Separation) Subluxation:
A mar is determine as fond dislocation when 25 % of articular surface of headspring is outside the glenoid cavity .
Medium (25 to 50 % Separation) Dislocation-
A partial subluxation of 25 to 50 % separation is also known as intermediate breakdown .
Total Dislocation
entire dislocation is staring interval of head of the humerus from glenoid caries .
Symptoms Of Posterior Dislocation Of Shoulder
Some Of The Symptoms Of Posterior Dislocation Of The Shoulder Are:
Diagnosis of Posterior Dislocation Of Shoulder
Usually , these dislocation are identified on x - beam views , specially the antero - later ( AP ) and lateral perspective of shoulder marijuana cigarette .
The AP view may reveal the humeral promontory as normal cast sitting outside glenoid cavity or may look like bulb as a termination of rotation .
The axillary view will reveal the humeral head to be posterior to the glenoid .
ex - ray diagnosing is sustain with MRI or X - Ray films .
Treatment For Posterior Dislocation Of Shoulder
Treatment depends on diagnosis . Posterior Shoulder Dislocation is carefully appraise . Appropriate discourse of a Posterior Shoulder Dislocation is dependent on the size of it of blemish , the length of disruption , the age of the individual , and profession .
Conservative Treatment For Posterior Dislocation of Shoulder-
Close Reduction Treatment For Posterior Dislocation Of Shoulder
fond posterior breakdown of shoulder is process with close step-down . Partial breakdown is manage with come selection of handling .
Surgical Treatment or Open Reduction For Posterior Dislocation of Shoulder-
Mild (Less Than 25% To Moderate (25 to 50%) Subluxation or Dislocation-
Deltoid - thoracic approach is preferred type of open reducing surgical procedure .
Total Dislocation - Total dislocation or dislocation of over 50 % subluxation is treat with open reduction
Post-Surgery Rehabilitation-5
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