Shoulder & Elbow dislocations.

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Presentation transcript:

Shoulder & Elbow dislocations. H. Sithebe 2012

Shoulder Dislocations. 50% of all joint dislocations. 98% - Anterior. 2% - Posterior.

Clinical Presentation. Anterior dislocation. Posterior Dislocation. Abduction. External rotation. Rare. Missed!!. Adduction. Internal rotation.

Clinical Assessment. Neurovascular Exam!!!. Brachial Plexus. Axillary Nerve. Peripheral pulses.

Radiology.

Radiology. Anterior. Posterior.

Reduction- Hippocratic manoeuvre

Reduction- Anterior Dislocation. Stimson. Kocher.

Complications. Rotator cuff tear. Nerve injury. Vascular injury. Fracture-dislocation. Stiffness. Unreduced dislocation. Recurrent dislocation.

Elbow Dislocations Stable Joint. Simple dislocations. Complex dislocations.

Pathophysiology. Posterior. Anterior. Fall on extended/abducted arm. Direct blow to Flexed elbow.

Clinical Presentation. Posterior. Elbow flexed. Anterior. Extended Neurovascular exam!!!!.

Radiology AP Lateral.

Reduction- posterior dislocation.

Complications. Vascular injury.(Compartment Sx) Nerve injury. Stiffness. Recurrent dislocation. OA.