SHOULDER dislocation

Question 1

SHOULDER dislocation classic presentation

Answer 1

• a person comes in with shoulder pain after hearing a “pop” sound after a fall and feels stiff in overhead activities
• after initial injury the shoulder is throbbing and in the morning it is stiff and achy
• the pain is a constant dull ache and feeling of instability

Question 2

3 similar DDX’s

Answer 2

1. rotator cuff tear
2. shoulder tendonitis
3. frozen shoulder

Question 3

supporting factors

Answer 3

• rotator cuff weakness
• 95% acute traumatic dislocations
• “POP” sensation of instability
• ant. dislocation
  worse with ext. rotation, extension, abduction
• axillary nerve injury

Question 4

refuting factors

Answer 4

• posterior findings
• non traumatic MOI

Question 5

relevant orthos

Answer 5

• apprehension test
• sulcus test
• jobe’s test (rotator cuff weakness

Question 6

contraindications

Answer 6

• careful of pushing on the arm
• not comfortable lying on either side
• activator may be painful

Question 7

technique

Answer 7

• no side postures or pushing on patients shoulder
• place pillow b/w arm and torso to increase comfort

Question 8

care plan

Answer 8

2 x a week for 4 weeks then progress

Question 9

recommendations

Answer 9

• re-establish pain free ROM
• strengthening and proprioception drills

Question 10

prognosis

Answer 10

• Good but depends on onset