Shoulder Dislocation Orthopaedic Shoulder dislocation happens when the head of the upper arm has come out of the shoulder joint. This can be very painful and sometimes can put pressure on the nerves and blood vessels of the arm. Shoulder Dislocation
Causes Commonly happens after a heavy fall, sports injury or motorcycle accident. Signs and symptoms • Severe pain in the shoulder • Stiffness of the shoulder joint • Limited motion of the arm • Alteration in the contour of the shoulder
Diagnosis Your doctor will examine the shoulder and ask about the event happening before the symptoms. X-rays will be taken for diagnosis. Treatment • First aid Do not move the shoulder joint. Splint the shoulder and arm by placing a pillow or rolled blanket in the space between the arm and chest, and a sling to support the arm • Reduction of the dislocation Your doctor will guide your shoulder back into place, after giving you the sedative medicine. An X-ray will be taken after the reduction to rule out any associated fractures. • Sling support A sling will be applied after reduction of the dislocation to support and help ease the pain. • Surgery Surgery may be required to repair torn tissue. You will need
to commit to a rehabilitation programme lasting several months. • Medication Painkillers will be prescribed to you to stop pain. • Cold compress You may use an ice pack wrapped in a damp towel on your shoulder to reduce pain and swelling, during the first 48-72 hours of happening. An ice pack can be used for around 20 minutes every 1-2 hours. Follow-Up Your shoulder is at a greater risk of dislocating again especially in the first few weeks. It is important that you follow your doctor’s advice and attend the follow-up appointment in the clinic for further care. Rehabilitation You will be asked to attend a series of muscle exercises to regain your mobility and strength.
Yishun Health is a network of medical institutions and health facilities of the National Healthcare Group. Admiralty Medical Centre • (65) 6807 8000 • www.admiraltymedicalcentre.com.sg Khoo Teck Puat Hospital • (65) 6555 8000 • www.ktph.com.sg Yishun Community Hospital • (65) 6807 8800 • www.yishuncommunityhospital.com.sg The information is correct at the time of printing and subject to revision without further notice.
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