Shoulder Dislocation, Subluxation, and Instability

 

A dislocation of the shoulder occurs when the upper arm bone is forced out of the shoulder socket, which usually occurs as the result of a traumatic injury. A partial dislocation, when the arm bone only comes part of the way out of the socket, is called a subluxation.

 

Shoulder instability is a condition in which the ligaments of the shoulder are damaged or looser than normal. This results in the ball of the shoulder not staying within the socket. Shoulder instability can lead to pain, cartilage or bone injury and may become frequent. However, some people with shoulder instability have never had a complete dislocation. Those under the age of 40 and those competing in sporting activity are more likely to have multiple dislocations.

 

 

Diagnosing Shoulder Dislocations & Instability

 

A shoulder dislocation is usually obvious and may require manual relocation in the hosptial. It is accompanied by immediate pain and noticeable restrictions in range of motion and occasionally numbness and tingling of the arm.

 

Other symptoms include:

 

  • Pain and soreness in the shoulder
  • Limited range of motion
  • Sensation of looseness or instability in the shoulder
  • Repeated instances of dislocation or “giving out” of the shoulder

 

In order to diagnose shoulder instability, it is important to be examined by an experienced physician. Your doctor will examine your shoulder ligaments, range of motion, strength, and may conduct an X-Ray or MRI.

 

Treatment Options

 

A shoulder dislocation is typically treated immediately by replacing the ball back in the shoulder joint. It is often held in place by a splint or sling. Your doctor may prescribe pain medications, or recommend over-the-counter pain medications.

 

Longer term shoulder instability treatment is somewhat more complicated. Your physician will recommend a course of action based on your individual circumstances.

 

  • Nonsurgical treatment is typically the first course of action in treating shoulder instability. Its success is dependant on patient age, activity level, and other injuries. This can include rest, modifications to activity and lifestyle, ice, medication, and physical therapy.
  • Surgical treatment is often necessary to fully treat shoulder instability. The goal of the procedure is to repair the torn shoulder ligaments so that it is able to hold the joint in place. This is commonly performed using an arthroscopic procedure, a minimally invasive option which uses small instruments guided by a camera. Rarely an open procedure is necessary to replace bone lost following one or more dislocations.

 

 

Schedule a Consultation With OSMC

 

OSMC’s physicians are experienced in treating shoulder dislocations and shoulder instability. A consultation with one of our surgeons is the first step to becoming pain-free and improving your quality of life. To schedule your consultation, click here.