Definition of 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.
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).
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.