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Definition of Shoulder Dislocation

Definition of Shoulder Dislocation

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Published by Deepika verma

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Published by: Deepika verma on Oct 14, 2009
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12/16/2012

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Definition of Shoulder dislocation
Shoulder dislocation:
Displacement of the ball of the shoulder joint(the top rounded portion of the upper arm bone, or humerus) from the socket of the joint(the glenoid fossa of the wingbone, or scapula).There is complete separation of the humerus from the scapular glenoid.The shoulder joint is the most frequently dislocated major joint of the body,reflecting the fact that it sacrifices stability for mobility. Most of these dislocations aredue to trauma.Treatment involves reduction of the dislocation, immobilization of the arm in a slingfor 1 to 3 weeks,and physical therapy. Also known as glenohumeral dislocation.
Sex
Gender distribution is bimodal, with peak incidence in men aged 20-30 years(with a male-to-female ratio of 9:1) and in women aged 61-80 years (with a female-to-male ratio of 3:1).
Age
Shoulder dislocation occurs more frequently in adolescents than in younger children because the weaker epiphyseal growth plates in children tend to fracture beforedislocation.In older adults, collagen fibers have fewer cross-links, making the joint capsule andsupporting tendons and ligaments weaker and dislocation more likely. 
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Anterior dislocation is most commonly seen in those aged 18-25 years due tosporting injury. The second most common age group to sustain anterior dislocationis in elderly persons due to their susceptibility to falls
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Pathological changes
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In following pathological changes occur in the commoner ,anterior dislocationbankarts lesion ;dislocation causes stripping of the glenoidal labrum along withthe periostieum from the anterior surface of the glenoid and scapular neck.the headthus comes to lie in front of the scapular neck ,in the pouch thereby created.b) Hill-sachs lesion; this is a depression on the humeralhead in its postero-lateralquadrant,caused by the anterior edge of the glenoid on the head as it dislocates.c)Roundening off of the anterior glenoid rim occurs as the head dislocate over it.d) The may be associated fractures of greater tuberosity of greater tuberosity of thehumerus or of rim of the glenoid.
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