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The shoulder joint is known for its mobility and not for its stability. The ligaments that surround the joint capsule play an important role in stabilizing and supporting the shoulder during any movement. When one or several of these ligaments is injured due to repeated wear and tear or a traumatic event, shoulder stability is reduced and the risk of subluxation or dislocation is increased.
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Causes of Injury
A traumatic event such as a fall on an extended arm or a direct blow to the shoulder.
Shallow or abnormally formed joint surfaces (congenital) of the glenohumeral joint.
Rheumatoid arthritis or other diseases, which affect the ligaments and tissue surrounding the shoulder joint.
A loose or unstable shoulder resulting from repetitive wear and tear or previous shoulder injury or previous shoulder dislocation
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The diagnosis of a shoulder dislocation is usually evident from the visible deformity of the shoulder. A detailed history and physical exam should be performed by an orthopaedic surgeon and should confirm the diagnosis. The surgeon will re-insert the ball into the shoulder joint socket (this procedure is known as a reduction), evaluation of the degree of tissue damage, examination for any fractures, and the determination if surgical treatment is required to stabilize the shoulder joint capsule are also part of the treatment. Initial reduction of the shoulder dislocation should be performed as soon as possible after the injury in order to limit the degree of nerve and tissue damage pain is also dramatically reduced after the reduction of the dislocated joint.
Medical tests and diagnostic imaging studies will be performed to evaluate the severity of your injury and to rule out any underlying conditions.
X-Rays of the shoulder joint and adjacent structures.
EMG nerve conduction study to assess the arm and shoulder for nerve damage.
MRI to rule out tears or other abnormalities of the labium, rotator cuff, or other soft tissue structures.
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NSAIDs
NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) are a group of drugs used to control pain. This category of medications includes both prescription and common over-the-counter painkillers such as ibuprofen. NSAIDs are effective for many types of pain that can occur because of inflammation of muscles, joints and bones. The drugs work quickly and people often notice some benefit within a few hours of taking the tablet. However, the complete effectiveness of the drug may not be realized for up to four weeks. For each individual, some varieties of NSAIDs are more effective than others. Often, patients will find that one or two varieties are helpful whereas others may not be as effective in controlling symptoms. It is usually necessary to try several brands and continue with the one that is most suitable. NSAIDs can be used to treat:
Pain resulting from inflammation or swelling.
Pain after injury.
Joint pain and arthritis.
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About the Clinical Review Team
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