Ask the Doctor

Still on shoulder dislocations

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I first learnt about shoulder dislocations in your last week’s column. Kindly let me know what could cause a dislocated shoulder as well as the treatment.

Bayo (by SMS)

A traumatic event, such as a blow to the shoulder or a fall, is the most common cause of a first-time shoulder dislocation. The resulting dislocation is nearly always an anterior dislocation, in which the humeral head moves out the shoulder socket to the front of the body. Shoulder dislocations most commonly occur in teenage boys and young men in their 20s because they tend to engage in the physical activities that raise risk for a dislocation, such as playing a contact sport like hockey or football.  Outside of sports, car accidents and falls are often causes of a dislocated shoulder. Shoulder dislocation is also a common complication after a stroke as a result of paralysis on one side of the body. In addition, some people naturally have more lax, muscles, ligaments and malleable connective tissues in the body. They may experience a shoulder dislocation without substantial injury or pain. These people may also be more likely to experience partial dislocations in which the joint slides back into place by itself. When a shoulder dislocation occurs, it is best to have it moved back into place (reduced) by a physician. Since most dislocations occur during contact sports, this should be a consideration for coaches, parents, and athletes alike.

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