Inferior shoulder dislocation: Difference between revisions
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*Pt p/w humerus fully abducted with hand on or behind the head | *Pt p/w humerus fully abducted with hand on or behind the head | ||
*Humeral head can be palpated on lateral chest wall | *Humeral head can be palpated on lateral chest wall | ||
==Diagnosis== | |||
*Plan film X-ray | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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*[[Shoulder dislocation]] | *[[Shoulder dislocation]] | ||
== | ==References== | ||
<references/> | <references/> | ||
[[Category:Ortho]] | [[Category:Ortho]] | ||
[[Category:Procedures]] | |||
Revision as of 08:31, 4 July 2015
Background
- Assoc w/ significant soft tissue trauma or fracture
- Via hyperabduction force which levers the humeral neck against the acromion
Clinical Features
- Pt p/w humerus fully abducted with hand on or behind the head
- Humeral head can be palpated on lateral chest wall
Diagnosis
- Plan film X-ray
Differential Diagnosis
Shoulder and Upper Arm Diagnoses
Traumatic/Acute:
- Shoulder Dislocation
- Clavicle fracture
- Humerus fracture
- Scapula fracture
- Acromioclavicular joint injury
- Glenohumeral instability
- Rotator cuff tear
- Biceps tendon rupture
- Triceps tendon rupture
- Septic joint
Nontraumatic/Chronic:
- Rotator cuff tear
- Impingement syndrome
- Calcific tendinitis
- Adhesive capsulitis
- Biceps tendinitis
- Subacromial bursitis
- Cervical radiculopathy
Refered pain & non-orthopedic causes:
- Referred pain from
- Neck
- Diaphragm (e.g. gallbladder disease)
- Brachial plexus injury
- Axillary artery thrombosis
- Thoracic outlet syndrome
- Subclavian steal syndrome
- Pancoast tumor
- Myocardial infarction
- Pneumonia
- Pulmonary embolism
Management
- Reduce
- Traction in upward and outward direction
- Sling, ortho f/u (rotator cuff tear is the norm)