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 its 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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