GH DISLOCATION

Definition
– Instability of the humeral head in the glenohumeral joint. This instability can be anterior, posterior or inferior. Most commonly, the GH is dislocated anteriorly. Damage to the ligaments, labrum and/or capsule of the shoulder usually results from a dislocation of the GH. Pain is felt immediately, and the humeral head is felt anteriorly on the patient. Usually the shoulder needs to be reduced by a trained professional (doctor), however, sometimes the shoulder will reduce on it’s own. The patient should still go to the hospital to get an x-ray of the shoulder to ensure that the humeral head is sitting properly in the joint.



Method Of Injury
– Anterior Dislocation - Most common position for the GH to dislocate anteriorly is with the arm in an externeral rotation and abducted position. 
- Posterior Dislocation - A fall on the outstretched hand (FOOSH) may also cause a dislocation of the GH anteriorly
- Inferior Dislocation – Usually a result of multidirectional instability

Treatment
– Initially treatment should follow the PIER principle (Pressure, Ice, Elevation, Rest)
- Shoulder should be reduced as soon as possible
- An x-ray should also be taken to ensure proper reduction of the humerus
- Physiotherapy/Athletic therapy to strengthen surrounding musculature
- High rate of re-occurrence, and should be treated conservatively 
- Brace/support for return to activity

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Reference WebMD. The contents of this site is for informational purposes only. Always consult a physician or healthcare provider on any medical condition.

 
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