Anterior GH Dislocation in a Wide Reciever Monica Brown

What is??? Glenohumeral Joint Glenohumeral Joint Commonly know a the shoulder joint Commonly know a the shoulder joint a synovial ball and socket joint a synovial ball and socket joint involves articulation between the glenoid fossa of the scapula and the head of the humerus. involves articulation between the glenoid fossa of the scapula and the head of the humerus. Anterior Dislocation Anterior Dislocation A dislocated shoulder occurs when the humerus separates from the scapula at the glenohumeral joint. A dislocated shoulder occurs when the humerus separates from the scapula at the glenohumeral joint. Over 95% of shoulder dislocation cases are anterior. Over 95% of shoulder dislocation cases are anterior.

Signs and Symptoms Intense Pain, which can sometimes be felt past the shoulder, along the arm. Intense Pain, which can sometimes be felt past the shoulder, along the arm. Inability to move the arm from its current position. Inability to move the arm from its current position. Numbness of the arm. Numbness of the arm. Visibly displaced shoulder. Visibly displaced shoulder. Some dislocations result in the shoulder appearing unusually square. Some dislocations result in the shoulder appearing unusually square. Bruising and swelling Bruising and swelling

MOI Direct impact Direct impact Direct impact to the posterior aspect of the shoulder Direct impact to the posterior aspect of the shoulder Most Common: Most Common: Arm forced into Abd, Ext. Rotation, and Extension (forces head out of cavity) Arm forced into Abd, Ext. Rotation, and Extension (forces head out of cavity) A dislocated shoulder may be caused by: A dislocated shoulder may be caused by: Sports injuries Sports injuries Trauma not related to sports Trauma not related to sports Falls Falls

Phases Phase 1 Phase 1 Immobilized in sling for 3-4 weeks Immobilized in sling for 3-4 weeks Goal: Limit Inflammatory process, decrease pain, and stop muscle atrophy Goal: Limit Inflammatory process, decrease pain, and stop muscle atrophy Phase 2 Phase 2 Begins when sling is removed Begins when sling is removed Goal: Return of full ROM Goal: Return of full ROM Phase 3 Phase 3 Goal: Restore normal strength & neuromuscular control Goal: Restore normal strength & neuromuscular control Phase 4 Phase 4 Goal: Functional progression & RTP Goal: Functional progression & RTP RTP in brace RTP in brace

Things to consider Until shoulder is strong enough, do not put shoulder in: Until shoulder is strong enough, do not put shoulder in: Abduction > 90 degrees Abduction > 90 degrees Extension past normal ROM Extension past normal ROM Over the head External Rotation Over the head External Rotation Do not push the athlete beyond comfort point Do not push the athlete beyond comfort point

Athlete The athlete was a 19 year old male wide receiver, Collegiate Football Player. The athlete was a 19 year old male wide receiver, Collegiate Football Player. MOI: Coming down after catching a ball in the game and landed on elbow pushing the humorous anteriorly. MOI: Coming down after catching a ball in the game and landed on elbow pushing the humorous anteriorly. S&S: Numbness down arm, intense pain, and obvious diformity S&S: Numbness down arm, intense pain, and obvious diformity Put in sling for 3 weeks Put in sling for 3 weeks