Materiały źródłowe

• #1 Shoulder Dislocations Overview – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK459125/

  Shoulder dislocations represent 50 percent of all major joint dislocations, with anterior dislocation being most common. […] This activity describes the pathophysiology, evaluation, and management of shoulder dislocations and highlights the role of the interprofessional team in the care of affected patients. […] Explain the treatment and management options available for shoulder dislocation. […] Conservative treatment does yield good outcomes but recurrences are known to occur in about 1-5% of patients. […] Shoulder dislocations are best managed by an interprofessional team that also includes therapists and orthopedic nurses. […] Carefully examine the patient for neurovascular compromise. […] Although dislocation is often obvious, pre-reduction imaging for associated fractures can be useful and should be done when trauma is known.

• #1 Dislocated shoulder – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/dislocated-shoulder/symptoms-causes/syc-20371715

  A dislocated shoulder is an injury in which the upper arm bone pops out of the cup-shaped socket that’s part of the shoulder blade. […] If you suspect a dislocated shoulder, seek prompt medical attention. Most people regain full use of their shoulder within a few weeks. However, once a shoulder dislocates, the joint might be prone to repeat dislocations. […] Get medical help right away for a shoulder that appears dislocated. […] While waiting for medical attention: Don’t move the joint. Splint or sling the shoulder joint in the position it’s in. Don’t try to move the shoulder or force it back into place. This can damage the shoulder joint and its surrounding muscles, ligaments, nerves or blood vessels. […] Ice the injured joint. Apply ice to the shoulder to help reduce pain and swelling.

• #1 Dislocated shoulder – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/dislocated-shoulder/diagnosis-treatment/drc-20371720

  Dislocated shoulder treatment might involve: […] Closed reduction. In this procedure, some gentle maneuvers might help move the shoulder bones back into position. […] Surgery. Surgery might help those with weak shoulder joints or ligaments who have repeated shoulder dislocations despite strengthening and rehabilitation. […] Immobilization. After closed reduction, wearing a special splint or sling for a few weeks can keep the shoulder from moving while it heals. […] Medication. A pain reliever or a muscle relaxant might provide comfort while the shoulder heals. […] Rehabilitation. When the splint or sling is no longer needed, a rehabilitation program can help restore range of motion, strength and stability to the shoulder joint. […] A fairly simple shoulder dislocation without major nerve or tissue damage likely will improve over a few weeks. Having full range of motion without pain and regained strength are necessary before returning to regular activities. Resuming activity too soon after shoulder dislocation may cause re-injury of the shoulder joint. […] Once the injury heals and the shoulder has good range of motion, keep exercising. Daily shoulder stretches and a shoulder-strengthening and stability program might help prevent another dislocation. Your health care provider can help plan an appropriate exercise routine.

• #1 Nonsurgical Treatment for Shoulder Dislocation | NYU Langone Health

  https://nyulangone.org/conditions/shoulder-dislocation/treatments/nonsurgical-treatment-for-shoulder-dislocation

  After a shoulder dislocation, your doctor at NYU Langone performs a procedure called closed reduction to reconnect the joint. […] If a first-time shoulder dislocation hasnt damaged ligaments or other soft tissues, your doctor may recommend ice, immobilization, and anti-inflammatory medication to relieve pain and swelling. After pain and swelling have been alleviated, our doctors work closely with specialists at NYU Langones Rusk Rehabilitation to ensure that you rebuild muscle strength, improve flexibility, and recover a full range of motion. […] Most people who experience a shoulder dislocation seek immediate treatment in an emergency room, where a doctor can put the round end of the arm bone, or humerus, back into place without surgery. […] After a dislocated shoulder has been repositioned, or reduced, pain lessens almost immediately.

• #1 Shoulder Dislocation: Symptoms, and Treatment | Doctor

  https://patient.info/doctor/shoulder-dislocation

  Shoulder dislocation is usually anterior (95-98% of cases). However, posterior dislocation can sometimes occur. […] How to treat a dislocated shoulder: If the dislocation is treated immediately, reduction may be attempted without pain medication because spasms have not yet set in. Muscle spasm tends to occur soon after dislocation and makes reduction more difficult. […] Without a fracture, closed reduction is usually adequate. […] Many techniques have been described for shoulder reduction. The technique used is often chosen because of clinician experience or preference. […] Adequate analgesia and relaxation are usually essential. Sedation with an opiate and benzodiazepine may be used. Emergency departments should have their own protocols. […] Anterior shoulder dislocation cannot be effectively immobilised with a simple sling, as the arm is locked in a degree of abduction and cannot be brought comfortably against the chest wall.

• #1 Shoulder Dislocations – Injuries; Poisoning – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/injuries-poisoning/dislocations/shoulder-dislocations

  Shoulder dislocations are anterior in 95% of patients; the mechanism is abduction and external rotation. […] Treatment of anterior shoulder dislocations is usually closed reduction using local anesthesia (intra-articular injection) or procedural sedation. Commonly used techniques include traction-countertraction, external rotation (eg, Hennepin technique), scapular manipulation, Cunningham (massage) technique, Davos (autoreduction) technique, Stimson (dangling weights) technique, and FARES (fast, reliable, and safe) technique. […] After reduction, the joint is immobilized immediately with a sling and swathe. In patients age 40 years, sling and swathe for 5 to 7 days and encourage early range of motion to help prevent complications (eg, frozen shoulder). […] The traction-countertraction technique can be used to reduce anterior shoulder dislocations.

• #1 Shoulder Dislocations – Purposed Physical Therapy & Massage, Greenville SC

  https://www.purposedphysicaltherapy.com/Injuries-Conditions/Shoulder/Shoulder-Issues/Shoulder-Dislocations/a~4156/article.html

  A shoulder dislocation is a painful and disabling injury of the glenohumeral joint. […] This guide will help you understand: what treatment options are available. […] In many cases, the shoulder can be reduced without surgery. This is called a closed reduction. […] Following closed reduction, X-rays are used to confirm correct placement of the humeral head in the glenoid cavity. After reduction, immobilization of the arm in a sling against the chest is usually recommended for several weeks up to a month. […] Many dislocations, especially in middle or older age, can be treated non-surgically. Physical therapy at Purposed Physical Therapy will assist you in restoring the normal function of your shoulder. […] Initially, the treatment we provide at Purposed Physical Therapy will be focused on relieving any pain and inflammation caused by the dislocation and reduction of your shoulder joint.

• #1 Shoulder Dislocation Treatment & Management: Acute Phase, Recovery Phase, Maintenance Phase

  https://emedicine.medscape.com/article/93323-treatment

  In the acute phase of a dislocated shoulder, therapy should be limited. The arm should be immobilized in a sling and swathed for 1-3 weeks. The actual position of the arm in the sling has been debated and thought to be more beneficial to the torn soft tissues with the arm in external rotation. […] While the patient is in the sling, elbow, wrist, and hand range of motion should be encouraged. Working with the parascapular muscles is also important during this acute phase of rehabilitation since this can be initiated while the patient is still in the sling. These exercises should be continued when the patient comes out of the sling. […] Active and passive flexion, extension, abduction, and internal/external rotation begin at about the third week, when the patient comes out of the sling. […] Rehabilitation should be geared to gently restoring the range of motion over 6-8 weeks.

• #1 Management of the First-time Traumatic Anterior Shoulder Dislocation

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7726393/

  Careful evaluation and treatment selection are crucial in this population because they can lead to persistent pain and disability due to rotator cuff tears and nerve injuries. […] A detailed history and examination are important in the assessment of patients with first-time anterior shoulder dislocation. […] Whether a patient with first-time anterior shoulder dislocation undergoes conservative or surgical treatment, immediate reduction and immobilization are initial recommendations. […] There is also controversy regarding the duration of immobilization following first-time traumatic anterior shoulder dislocation in the literature. […] Although there is no significant evidence currently showing that immobilization decreases the risk of recurrent instability, it is recommended to immobilize patients for 1 to 3 weeks for comfort, particularly in younger athletic population.

• #1 Dislocated or Separated Shoulder: Symptoms, Treatment, Recovery

  https://www.webmd.com/fitness-exercise/dislocated-separated-shoulder

  Take anti-inflammatory painkillers. Non-steroidal anti-inflammatory drugs, or NSAIDs such as ibuprofen (Advil, Motrin) or naproxen (Aleve), will help with pain and swelling. However, these drugs may have side effects, like an increased risk of bleeding and ulcers or heart attacks and strokes. They should not be used for extended periods of time, unless your doctor specifically says otherwise. […] Practice stretching and strengthening exercises if your doctor recommends them. […] Most of the time, these treatments will do the trick. But in rare cases, you may need surgery. […] Surgery for severely separated shoulders is sometimes needed to repair the torn ligaments. Afterward, you will probably need to keep your arm in a sling for about 6 weeks. […] For a severely dislocated shoulder, surgery is sometimes needed to correctly position the bones. If you keep dislocating your shoulder, surgery to tighten the ligaments surrounding the joint may help.

• #1 Guide | Physical Therapy Guide to Shoulder Dislocation: Overview | Choose PT

  https://www.choosept.com/guide/physical-therapy-guide-shoulder-dislocation-overview

  Your treatment program may include: Range-of-motion exercises. Swelling and pain can reduce your shoulder movement. Your physical therapist will teach you how to perform safe and effective exercises to restore full range of motion to your shoulder. […] Strengthening exercises. Poor muscle strength can cause the shoulder joint to remain unstable and possibly reinjure it. […] Joint awareness and muscle retraining. Specialized exercises help your shoulder muscles relearn how to respond to sudden forces. […] Activity- or sport-specific training. Depending on the requirements of your job or the type of sports you play, you might need additional rehabilitation tailored to the demands your activities place on your shoulder. […] If you already have a history of shoulder dislocation, you are at a greater risk for reinjury if your shoulder does not heal properly or if you do not regain your normal shoulder strength or joint awareness. […] Your physical therapist can determine when you are ready to return to your activities and sports by making sure that your shoulder is strong and ready for action.

• #1 Dislocated Shoulder Exercises – Mobility, Strengthening & Functional

  https://www.sportsinjuryclinic.net/rehabilitation-exercises/dislocated-shoulder-strengthening-exercises

  The following Dislocated Shoulder exercises form part of our full shoulder dislocation rehabilitation plan. They include postural exercises, mobility, strengthening, proprioception, and functional and cardiovascular exercises to maintain fitness. […] If you have suffered a shoulder dislocation then seek medical attention and advice before attempting exercises. […] You can do these in the early stages of rehabilitation if they are pain-free. See our full Dislocation shoulder rehab program for step-by-step details of which exercises to do when, as well as treatment methods to apply. […] These aim to gradually and safely increase the range of movement in your shoulder. However, only begin these when the initial acute phase has passed. […] These exercises specifically strengthen the shoulder muscles. It is important you avoid abduction at the same time as external rotation (moving your arm up and out sideways) in the earlier stages. This is because your shoulder is weakest and most susceptible to dislocating in this position. As the program progresses they become increasingly more advanced and difficult.

• #1 Shoulder dislocation/subluxation Management | Excel Physical Therapy

  https://www.excelpt.nyc/condition/shoulder-dislocation-subluxation

  Ultrasound – Ultrasound warms deep structures, improves blood flow and flexibility and allows for better stretching. TENS-TENS Unit – Unit is a low voltage electric current that stimulates nerves and produces a massaging or tingling sensation to decrease pain. Electrodes are placed directly on the skin on a painful point. Superficial heat – A hot compress warms superficial structures, decreases muscle spasm and increases blood flow. Ice- Cold pack decreases redness and swelling and slows down metabolism during acute pain and inflammation. Cupping – Cupping is used in physical therapy to increase blood circulation to a particular area, which can help to promote muscle healing, reduce pain, and increase range of motion. Low Level Laser Therapy – Laser therapy increases blood flow, speeds up tissue repair and healing, decreases swelling and inflammation and enhances immune responses. Joint Mobilization and Joint Traction – Joint mobilization and traction help to decrease pain by increasing mobility of a joint and decreasing swelling and inflammation. Stretching – Regular stretching improves elasticity, increases blood flow, maintains healthy structure of joints and muscles and helps to prevent or slow down arthritic changes. Exercise – Regular exercises increase muscle strength and joint stability, boost bone health and help maintain healthy weight. Massage with Hot Stones – Massage with Hot Stones relaxes painful muscles and breaks down „knots” and restrictions. It has an overall soothing effect on the body, increases mood and improves wellbeing. Bracing – A brace gives extra support to muscles and joints, especially after injury or surgery and when performing strenuous daily activities. Patient Education – Patient is instructed on proper use of heat or ice, home exercises, proper sleeping and sitting positions and proper lifting techniques.

• #1 Nonsurgical Treatment for Shoulder Dislocation | NYU Langone Health

  https://nyulangone.org/conditions/shoulder-dislocation/treatments/nonsurgical-treatment-for-shoulder-dislocation

  Doctors recommend using a sling or brace to immobilize the affected arm and shoulder for four to six weeks to allow the muscles and other soft tissues to rest and heal. […] Doctors may recommend a non-steroidal anti-inflammatory drug (NSAID) to relieve inflammation and reduce pain. […] Doctors recommend physical therapy to rebuild muscle, improve stability in the shoulder, and prevent further injury. […] Doctors recommend four to six weeks of physical therapy as part of a treatment plan for a shoulder dislocation, but recovery time depends on a persons age, overall health, whether the shoulder has been injured before, and the severity of a dislocation. […] Physical therapy can also increase flexibility and restore range of motion. […] Strengthening shoulder muscles can also help prevent a future shoulder dislocation.

• #1 How Long Does It Take to Recover From a Dislocated Shoulder? – ROC PDX

  https://rocpdx.com/how-long-does-it-take-to-recover-from-a-dislocated-shoulder/

  Its essential to rest your shoulder and give the tissues time to heal. We typically use a sling or brace to immobilize your arm and shoulder. If you have a partial dislocation without tissue damage, you may only need to wear a sling for a few weeks. Otherwise, you need to rest the joint for up to six weeks. […] After we determine that you can start moving the joint again, the next step in your recovery is physical therapy. You follow a personalized exercise regimen to rebuild muscle strength, improve the shoulders flexibility and range of motion, and prevent future injuries. […] People with partial dislocations may regain shoulder function in 4-6 weeks, especially if they keep up with their exercise regimen at home. However, many shoulder dislocations need at least 4-6 weeks of physical therapy. Your rehabilitation takes longer if you had surgery or suffered a fracture.

• #1 Shoulder Dislocation Treatment & Management: Acute Phase, Recovery Phase, Maintenance Phase

  https://emedicine.medscape.com/article/93323-treatment

  More vigorous therapy can be initiated after full passive ROM has been regained, usually after 6 weeks. Rotator cuff strengthening exercises can be initiated with the use of rubber tubing or weights. […] A literature review by McIntyre et al indicated that in patients with posterior glenohumeral instability, strengthening the rotator cuff and posterior deltoid may decrease pain, increase function, and reduce instability recurrence, particularly in those with nontraumatic instability who have not had surgery. […] Return to play in patients following a shoulder dislocation is determined when full range of motion (ROM) and strength have been regained. […] When determining a patient’s return to competitive sports, the author uses the following criteria: Scapular stability through full ROM, Normal scapulohumeral rhythm, Full active and passive ROM, Rotator cuff strength at 80% of opposite side, Pain-free activities of daily living (ADLs).

• #1 Shoulder Dislocation – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/dislocated-shoulder/

  If there is not much damage to the shoulder, a shoulder dislocation may be treated without surgery. […] Rehabilitation. Physical therapy can be helpful during this period of recovery. Physical therapy will help restore the shoulder’s range of motion and strengthen the muscles. […] If the shoulder joint is unable to be put back into socket, or has dislocated multiple times, surgery may be required. […] After surgery, it is possible to have some stiffness of the shoulder. Physical therapy after surgery is very important to help restore range of motion. […] Treatment for shoulder dislocations is usually straightforward, and the results are usually good.

• #1 Shoulder Dislocation | Conditions | UCSF Health

  https://www.ucsfhealth.org/conditions/shoulder-dislocation

  A shoulder dislocation usually also injures the front of the labrum (resulting in what doctors call a Bankart lesion) and the humeral head (a Hill-Sachs lesion). […] The first treatment for a dislocated shoulder is for a doctor to put the upper arm bone back into the shoulder socket, which quickly brings significant pain relief. Simple therapies such as applying ice packs, taking oral pain medication and wearing an arm sling for a few weeks can further reduce pain and swelling. Patients usually participate in a course of physical therapy to stabilize the shoulder. In many cases, these measures allow patients to return to prior levels of activity. […] For patients who’ve had multiple dislocations, or who play sports that raise the risk of another dislocation, surgery may be an option. The procedure is usually performed arthroscopically (passing slender instruments through small incisions to visualize and treat the joint), and patients can go home the same day. Patients are under general anesthesia (completely asleep) and receive a nerve block (an injection that interrupts pain signals in the area), which lessens post-op pain. The procedure involves repairing the labrum back to the glenoid cavity, so the shoulder won’t dislocate again. Following surgery, patients wear a sling for four to six weeks, allowing the tissue to heal.

• #1 Shoulder Dislocation | Conditions | UCSF Health

  https://www.ucsfhealth.org/conditions/shoulder-dislocation

  An important part of a full recovery is participating in physical therapy. Most patients start a program one to two weeks after surgery. In the beginning, the focus will be on maintaining the shoulder’s ability to move while still protecting the repair. After six weeks, patients can taper their use of the sling and progress toward active range-of-motion exercises. Once movement is recovered, patients work on strengthening the shoulder. They can generally resume contact sports and other more risky activities around six months after surgery. […] Depending on their medical history with regard to the shoulder, some patients need a different procedure, either an open surgery (a traditional type of procedure) or surgery to address injury to the shoulder socket’s bone. For those who have had prior surgery to stabilize the shoulder or numerous prior dislocations, surgical options may include a Latarjet coracoid transfer (moving a piece of bone from the shoulder blade to the front of the socket to stabilize the joint) or a reconstruction of the shoulder socket using bone from elsewhere in the patient’s body or from donor bone. Our surgical care team carefully reviews each patient’s history, exam findings and imaging studies to determine the best option.

• #1 Shoulder Dislocations – Purposed Physical Therapy & Massage, Greenville SC

  https://www.purposedphysicaltherapy.com/Injuries-Conditions/Shoulder/Shoulder-Issues/Shoulder-Dislocations/a~4156/article.html

  After any surgery to stabilize the shoulder your shoulder will be immobilized. […] Once the immobilizer has been removed, formal physical therapy will begin. […] Rehabilitation following shoulder stabilization surgery will follow a similar pattern to the rehabilitation described above under non-surgical treatment. […] Rehabilitation post shoulder stabilization surgery generally responds very well to the physical therapy we provide at Purposed Physical Therapy and patients can return to their normal activity.

• #1 Recovery from shoulder dislocation – Mayo Clinic Health System

  https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/helping-athletes-with-dislocated-shoulder

  After surgery, you’ll wear a sling for about six weeks, gradually working on range of motion and strength. Full recovery may take five to six months. […] If you experience a shoulder dislocation, health care professionals, including sports medicine and orthopedics specialists, orthopedic surgeons, physical therapists and athletic trainers, will help you get back into the game and regain your levels of performance and strength.

• #1 Dislocated shoulder – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/dislocated-shoulder/symptoms-causes/syc-20371715

  Stretched or torn ligaments or tendons in the shoulder or damaged nerves or blood vessels around the shoulder might require surgery for repair. […] To help prevent a dislocated shoulder: Take care to avoid falls and other shoulder injuries. Wear protective gear when playing contact sports. Exercise regularly to maintain strength and flexibility in joints and muscles. […] Having a dislocated shoulder joint can increase the risk of future shoulder dislocations. To help avoid a recurrence, keep doing the strength and stability exercises prescribed for the injury.

• #1 Dislocated Shoulder Treatment | Orthopedic Doctors San Antonio, TX

  https://www.centerfororthosurgery.com/conditions-we-treat/dislocated-shoulder/

  Non-steroidal anti-inflammatory medication can help reduce the pain and swelling. In most cases, the doctor will manually move the ball of the humerus back into the joint socket. This nonsurgical technique is known as reduction. Following treatment, your doctor may immobilize your shoulder in a sling for several weeks. During your recovery, you should rest your shoulder and ice the sore area 3-4 times per day. […] Once the pain and swelling subside, you will participate in physical therapy to restore your shoulder’s range of motion, strengthen your muscles, and help you prevent dislocating your shoulder in the future. […] If you repeatedly dislocate your shoulder, your doctor might suggest wearing a brace for stability. But if neither rehab nor bracing helps, you may require surgery to repair or tighten torn or stretched ligaments. […] If you suffer a dislocated shoulder or other shoulder injuries, call the Center for Orthopaedic Surgery and Sports Medicine immediately. One of our specialists can put it back into place and ensure proper alignment of your shoulder.

• #1 Dislocated Shoulder

  https://medlineplus.gov/dislocatedshoulder.html

  Your shoulder joint is made up of three bones: your collarbone, your shoulder blade, and your upper arm bone. A shoulder dislocation is an injury that happens when the ball pops out of your socket. […] The treatment for dislocated shoulder usually involves three steps: The first step is a closed reduction, a procedure in which your health care provider puts the ball of your upper arm back into the socket. You may first get medicine to relieve the pain and relax your shoulder muscles. Once the joint is back in place, the severe pain should end. […] The second step is wearing a sling or other device to keep your shoulder in place. You will wear it for a few days to several weeks. […] The third step is rehabilitation, once the pain and swelling have improved. You will do exercises to improve your range of motion and strengthen your muscles. […] You may need surgery if you injure the tissues or nerves around the shoulder or if you get repeated dislocations. […] Your health care provider may ask you to continue doing some exercises to prevent another dislocation.

• #2 Shoulder Dislocation: Symptoms, and Treatment | Doctor

  https://patient.info/doctor/shoulder-dislocation

  Shoulder dislocation is usually anterior (95-98% of cases). However, posterior dislocation can sometimes occur. […] How to treat a dislocated shoulder: If the dislocation is treated immediately, reduction may be attempted without pain medication because spasms have not yet set in. Muscle spasm tends to occur soon after dislocation and makes reduction more difficult. […] Without a fracture, closed reduction is usually adequate. […] Many techniques have been described for shoulder reduction. The technique used is often chosen because of clinician experience or preference. […] Adequate analgesia and relaxation are usually essential. Sedation with an opiate and benzodiazepine may be used. Emergency departments should have their own protocols. […] Anterior shoulder dislocation cannot be effectively immobilised with a simple sling, as the arm is locked in a degree of abduction and cannot be brought comfortably against the chest wall.

• #2 Dislocated shoulder

  https://www.nhs.uk/conditions/dislocated-shoulder/

  Get medical help as soon as possible if you think you’ve dislocated your shoulder. Do not try to treat it yourself. […] If you think you’ve dislocated your shoulder, there are some things you can do while you’re waiting for treatment. […] You will usually have an X-ray to check your shoulder is dislocated. […] If it is dislocated, a doctor will rotate your arm back into place. […] You will be given a local anaesthetic or a sedative so you do not feel any pain. […] Once your arm is back in place, you’ll be given a sling to support your arm. […] Sometimes you may also need surgery to reduce your risk of dislocating the same shoulder again. […] A physiotherapist may recommend some regular shoulder exercises to help reduce pain and stiffness. […] The hospital may recommend regular physiotherapy appointments to help make your shoulder muscles stronger and reduce the risk of dislocating your shoulder again.

• #2 Dislocated Shoulder: Causes, Treatment & Prevention

  https://my.clevelandclinic.org/health/diseases/17746-dislocated-shoulder

  Go to the emergency room right away if you think your shoulder might be dislocated. The most important treatment for a dislocated shoulder is getting your arm back into its socket. This is called a closed reduction or manipulation. During this nonsurgical procedure, your provider will physically push and pull your body on the outside to set (align) your shoulder. They might give you a local anesthetic to numb the area around your shoulder or sedatives to relax your whole body. […] After your provider puts your joint back in place, you might need other treatments, including: […] Physical therapy: As your shoulder heals, you’ll need to start physical therapy to help it regain its strength and ability to move. At first, you’ll probably only have gentle motion exercises to reduce stiffness. After your shoulder ligaments (your shoulder capsule) have started to heal, you’ll need stretches to loosen your shoulder and make sure it’s not too tight. Eventually, your provider or physical therapist will have you add in exercises to strengthen your shoulder muscles. This will help reduce your risk of future dislocations. Most people need several months of physical therapy after a shoulder dislocation. […] A dislocated shoulder won’t heal on its own, and it won’t heal properly unless a healthcare provider diagnoses and treats it.

• #2 Shoulder Dislocation – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/dislocated-shoulder/

  Shoulder dislocations are relatively common. They typically occur as the result of a traumatic injury, such as from a fall or motor vehicle accident. […] A shoulder dislocation should be considered an emergency injury. […] The goal of immediate treatment of a dislocated shoulder is to return the elbow to its normal alignment. […] The long-term goal is to restore function to the arm. […] Closed reduction. The normal alignment of the shoulder can usually be restored in an emergency room (ER) at the hospital. […] If the shoulder dislocation occurs during a sporting event, medical personnel may be able to put the shoulder back into place at the time of the injury. […] Severe pain usually stops almost immediately once the shoulder joint is back in place. […] After the shoulder has been restored to the correct position (reduced), a sling is applied to keep the shoulder still.

• #2 Shoulder Dislocations – Injuries; Poisoning – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/injuries-poisoning/dislocations/shoulder-dislocations

  Hennepin technique (external rotation) can be done with the patient supine or seated. […] Scapular manipulation can be done with the patient upright or prone. […] The Cunningham technique involves massage of the muscles around the glenohumeral joint while the patient is sitting. […] The Davos (autoreduction) technique is a patient-controlled technique used to reduce anterior dislocations; it should be done without procedural sedation. […] The Stimson technique (also called the dangling weights technique) is done less commonly. […] The FARES technique is usually done without sedation. […] Reduction is done using traction-countertraction of the abducted arm. Closed reduction is usually successful unless there is a buttonhole deformity (humeral head is trapped in a tear of the inferior capsule); in such cases, open reduction is required.

• #2 Nonsurgical Treatment for Shoulder Dislocation | NYU Langone Health

  https://nyulangone.org/conditions/shoulder-dislocation/treatments/nonsurgical-treatment-for-shoulder-dislocation

  After a shoulder dislocation, your doctor at NYU Langone performs a procedure called closed reduction to reconnect the joint. […] If a first-time shoulder dislocation hasnt damaged ligaments or other soft tissues, your doctor may recommend ice, immobilization, and anti-inflammatory medication to relieve pain and swelling. After pain and swelling have been alleviated, our doctors work closely with specialists at NYU Langones Rusk Rehabilitation to ensure that you rebuild muscle strength, improve flexibility, and recover a full range of motion. […] Most people who experience a shoulder dislocation seek immediate treatment in an emergency room, where a doctor can put the round end of the arm bone, or humerus, back into place without surgery. […] After a dislocated shoulder has been repositioned, or reduced, pain lessens almost immediately.

• #2 Knowledge Center: Patient information about orthopedic disorders.

  https://www.iskinstitute.com/kc/shoulder/shoulder_dislocation/t1.html

  Shoulder Dislocation Treatments Sling and Physical Therapy Hospital Recovery After a successful closed reduction of a dislocated shoulder, most patients have the affected shoulder and upper extremity placed in a sling, which holds your arm in a bent position across your chest, and an ice pack may be used to reduce pain and swelling. […] You should wear the sling as prescribed by your orthopedic surgeon. Physicians generally recommend wearing the sling at all times except during daily hygiene for two to eight weeks. […] Almost all shoulder dislocations followed by closed reduction heal better initially when the shoulder is immobilized for a period of time. […] After a shoulder dislocation followed by closed reduction, you will need to take steps to reduce the pain and inflammation in the shoulder. Rest, icing, and anti-inflammatory painkillers, such as ibuprofen or aspirin, can ease pain and swelling, and immobilizing the shoulder will decrease pain and promote healing of damaged soft-tissues of the shoulder.

• #2 Shoulder Dislocations – Injuries; Poisoning – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/injuries-poisoning/dislocations/shoulder-dislocations

  Shoulder dislocations are anterior in 95% of patients; the mechanism is abduction and external rotation. […] Treatment of anterior shoulder dislocations is usually closed reduction using local anesthesia (intra-articular injection) or procedural sedation. Commonly used techniques include traction-countertraction, external rotation (eg, Hennepin technique), scapular manipulation, Cunningham (massage) technique, Davos (autoreduction) technique, Stimson (dangling weights) technique, and FARES (fast, reliable, and safe) technique. […] After reduction, the joint is immobilized immediately with a sling and swathe. In patients age 40 years, sling and swathe for 5 to 7 days and encourage early range of motion to help prevent complications (eg, frozen shoulder). […] The traction-countertraction technique can be used to reduce anterior shoulder dislocations.

• #2 Injury care: shoulder dislocation

  https://www.rch.org.au/kidsinfo/fact_sheets/Injury_care__shoulder_dislocation/

  It is a good idea for your child to undertake regular exercises of the elbow, wrist and fingers on the injured arm to stop them from becoming stiff. Your child’s arm may come out of the sling for these exercises, but their elbow should remain tucked against their side. […] Due to the risk of recurrent injury or ongoing shoulder instability, a follow-up appointment for this type of injury is very important. […] An orthopaedic surgeon, sports medicine physician or physiotherapist should review the shoulder and the post-relocation x-rays to check to see if the cup part of the shoulder blade has been injured, as this increases the chance of the ball part of the shoulder slipping out again in the future. […] Physiotherapy should commence one to two weeks after injury to build up strength in the muscles responsible for shoulder stability. Your child’s physiotherapist or sports medicine physician will discuss any planned return to sport with you and your child, but this should not be rushed.

• #2 Nonsurgical Treatment for Shoulder Dislocation | NYU Langone Health

  https://nyulangone.org/conditions/shoulder-dislocation/treatments/nonsurgical-treatment-for-shoulder-dislocation

  Doctors recommend using a sling or brace to immobilize the affected arm and shoulder for four to six weeks to allow the muscles and other soft tissues to rest and heal. […] Doctors may recommend a non-steroidal anti-inflammatory drug (NSAID) to relieve inflammation and reduce pain. […] Doctors recommend physical therapy to rebuild muscle, improve stability in the shoulder, and prevent further injury. […] Doctors recommend four to six weeks of physical therapy as part of a treatment plan for a shoulder dislocation, but recovery time depends on a persons age, overall health, whether the shoulder has been injured before, and the severity of a dislocation. […] Physical therapy can also increase flexibility and restore range of motion. […] Strengthening shoulder muscles can also help prevent a future shoulder dislocation.

• #2 Treatment for a Dislocated Shoulder

  https://www.sports-health.com/sports-injuries/shoulder-injuries/treatment-dislocated-shoulder

  Treatment for a dislocated shoulder begins with reduction, which is the medical term for shifting the shoulder joint back into place. […] Treatment usually begins with nonsurgical methods, such as wearing a sling and physical therapy. Surgery may be considered if shoulder instability persists. […] The physician may recommend one or more of the following nonsurgical treatment options: Immobilization. Immediately after reduction, the arm should be immobilized in a sling for 1 to 3 weeks to prevent shoulder movement. […] Ice can be applied 3 to 4 times each day to the injured shoulder. Doing so can help reduce pain and swelling. […] Anti-inflammatory medications. Non-steroidal anti-inflammatory medications such as ibuprofen or aspirin may also help decrease inflammation and pain. […] Physical rehabilitation. A physician or physical therapist normally creates a rehabilitation program catered toward the patients needs and goals. This is a critical part of the recovery process that helps restore shoulder function and movement by strengthening the muscles surrounding the shoulder joint. […] A possible risk of nonsurgical treatment is the potential for recurring dislocations or shoulder instability. If this develops, physicians will recommend surgical treatment. There are several surgical procedures that can stabilize shoulder instability.

• #2 Shoulder Dislocation Treatment & Management: Acute Phase, Recovery Phase, Maintenance Phase

  https://emedicine.medscape.com/article/93323-treatment

  The recurrence rate for shoulder instability is highly dependent on the age of the patient. Nonoperative care should be performed first before entertaining the thought of surgery. Most patients are able to rehabilitate their shoulder with rest and physical therapy. […] In patients who have recurrent shoulder instability, operative care should be highly considered. […] Numerous studies have shown the increased likelihood of traumatic glenohumeral arthritis in patients with multiple shoulder dislocations. Operative care may consist of both open or arthroscopic treatment of the cause of instability. […] The goal of an operative repair is to reattach the torn tissue back to the place where it tore off of the bone. […] After the initial period of immobilization, passive ROM exercises should begin. Older individuals should begin performing ROM of the shoulder after 1 week of immobilization, because these patients are prone to shoulder stiffness. […] The rotator cuff may also have been injured during the dislocation, so the therapist should be cognizant of the status of the rotator cuff during the early phase of rehabilitation.

• #2 Shoulder Dislocation Treatment & Management: Acute Phase, Recovery Phase, Maintenance Phase

  https://emedicine.medscape.com/article/93323-treatment

  More vigorous therapy can be initiated after full passive ROM has been regained, usually after 6 weeks. Rotator cuff strengthening exercises can be initiated with the use of rubber tubing or weights. […] A literature review by McIntyre et al indicated that in patients with posterior glenohumeral instability, strengthening the rotator cuff and posterior deltoid may decrease pain, increase function, and reduce instability recurrence, particularly in those with nontraumatic instability who have not had surgery. […] Return to play in patients following a shoulder dislocation is determined when full range of motion (ROM) and strength have been regained. […] When determining a patient’s return to competitive sports, the author uses the following criteria: Scapular stability through full ROM, Normal scapulohumeral rhythm, Full active and passive ROM, Rotator cuff strength at 80% of opposite side, Pain-free activities of daily living (ADLs).

• #2

  https://www.myactionpt.com/physical-therapist-s-guide-to-shoulder-dislocation-overview

  Your treatment program may include: Range-of-motion exercises. Swelling and pain can reduce your shoulder movement. Your physical therapist will teach you how to perform safe and effective exercises to restore full range of motion to your shoulder. […] Strengthening exercises. Poor muscle strength can cause the shoulder joint to remain unstable and possibly reinjure it. Based on how severe your injury is and where you are on the path to recovery, your physical therapist can determine which strengthening exercises are right for rehabilitation of your shoulder. […] Joint awareness and muscle retraining. Specialized exercises help your shoulder muscles relearn how to respond to sudden forces. Your physical therapist will design individualized exercises to help you return to your regular activities.

• #2 Dislocated Shoulder Exercises – Mobility, Strengthening & Functional

  https://www.sportsinjuryclinic.net/rehabilitation-exercises/dislocated-shoulder-strengthening-exercises

  This is a particularly important exercise for anyone who has suffered a dislocated shoulder. […] These exercises are important for restoring coordination. Proprioception is your body’s awareness of what your limbs are doing in space. Dislocated shoulder proprioception exercises are about your shoulder relearning where it is relative to the rest of your body. They are very important for shoulder rehab, not only for recovery but also to help mitigate the risk of future injury.

• #2 Shoulder Dislocations – Purposed Physical Therapy & Massage, Greenville SC

  https://www.purposedphysicaltherapy.com/Injuries-Conditions/Shoulder/Shoulder-Issues/Shoulder-Dislocations/a~4156/article.html

  While you are immobilized simple finger movements, elbow and neck range of motion exercises should be performed. […] In order to gain back your range of motion, strength, and function of your shoulder your physical therapist at Purposed Physical Therapy will prescribe a series of stretching and strengthening exercises that you will practice in the clinic and also learn to do as part of a home exercise program. […] Rehabilitation after a shoulder dislocation responds very well to the physical therapy we provide at Purposed Physical Therapy. […] Surgery for the dislocated shoulder may be required if the shoulder can’t be reduced manually or non-surgical treatment does not control the symptoms of instability during every day or sporting activities. […] The main goal of surgery is to reduce and/or stabilize the shoulder.

• #2 Recovery from shoulder dislocation – Mayo Clinic Health System

  https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/helping-athletes-with-dislocated-shoulder

  After surgery, you’ll wear a sling for about six weeks, gradually working on range of motion and strength. Full recovery may take five to six months. […] If you experience a shoulder dislocation, health care professionals, including sports medicine and orthopedics specialists, orthopedic surgeons, physical therapists and athletic trainers, will help you get back into the game and regain your levels of performance and strength.

• #2 How Long Does It Take to Recover From a Dislocated Shoulder? – ROC PDX

  https://rocpdx.com/how-long-does-it-take-to-recover-from-a-dislocated-shoulder/

  With immobilization and physical therapy, recovery lasts 8-12 weeks, or up to six months after surgery. At this stage, youre ready to get back to most activities. […] Though recovering from a dislocated shoulder takes time, you should never rush the process. Keeping up with your physical therapy and exercises is the key to restoring your shoulder and returning to your pre-injury activities. […] The team at ROC specializes in treating shoulder dislocations, helping each person regain shoulder function in the shortest possible time.

• #2 Surgery for Shoulder Dislocation | NYU Langone Health

  https://nyulangone.org/conditions/shoulder-dislocation/treatments/surgery-for-shoulder-dislocation

  If the soft tissues that stabilize the shoulder are torn or strained as a result of a shoulder dislocation, or if you experience frequent dislocations, doctors at NYU Langone recommend surgery to repair or tighten the damaged structures. […] Surgery may improve joint stability and prevent a future dislocation. […] Surgery for a dislocated shoulder is often required to tighten torn or stretched tendons or ligaments. […] The goal of surgery is to repair or tighten these tissues. […] After six weeks, doctors encourage three to six months of physical therapy to rebuild muscle strength and restore range of motion. […] Doctors may recommend physical therapy for four to eight weeks. During the first four weeks, physical therapists use approaches such as heat and massage therapy to relieve pain and inflammation. As the shoulder heals and pain recedes, your therapist gradually incorporates stretching and strengthening exercises for the muscles of your shoulder, arm, and upper back to help restore range of motion and provide long-term stability.

• #2 Dislocated Shoulder Treatment | Orthopedic Doctors San Antonio, TX

  https://www.centerfororthosurgery.com/conditions-we-treat/dislocated-shoulder/

  Non-steroidal anti-inflammatory medication can help reduce the pain and swelling. In most cases, the doctor will manually move the ball of the humerus back into the joint socket. This nonsurgical technique is known as reduction. Following treatment, your doctor may immobilize your shoulder in a sling for several weeks. During your recovery, you should rest your shoulder and ice the sore area 3-4 times per day. […] Once the pain and swelling subside, you will participate in physical therapy to restore your shoulder’s range of motion, strengthen your muscles, and help you prevent dislocating your shoulder in the future. […] If you repeatedly dislocate your shoulder, your doctor might suggest wearing a brace for stability. But if neither rehab nor bracing helps, you may require surgery to repair or tighten torn or stretched ligaments. […] If you suffer a dislocated shoulder or other shoulder injuries, call the Center for Orthopaedic Surgery and Sports Medicine immediately. One of our specialists can put it back into place and ensure proper alignment of your shoulder.

• #2 Dislocated Shoulder | Shoulder Instability | Shoulder Surgeon

  https://drmillett.com/dislocated-shoulder-and-shoulder-instability/

  Bankart-type capsulolabral repair surgery is the most common surgery performed on patients with chronic instability who opt to have surgery. This procedure can be as an open procedure but Dr. Millett usually performs it arthroscopically (which is the preferred method). This is among the most frequent types of surgery that Dr. Millett performs. If the shoulder instability is chronic and is in the setting of ‘end-stage’ instability, then there are options such as a bone grafting procedure and soft tissue grafting procedure which can be used to restore stability to the shoulder joint. Capsulolabral reconstruction is one technique that Dr. Millett has helped develop. This is a technique in which a transplanted tendon (from another part of the body or from a cadaver) is used to make new ligaments (capsule) and cartilage (labrum), which then act to prevent dislocation and stabilize the chronically unstable shoulder.

• #2 Physical or Occupational Therapy in Cleveland for Shoulder Pain – Dislocations

  https://www.therapy-specialists.com/Injuries-Conditions/Shoulder/Shoulder-Issues/Shoulder-Dislocations/a~4156/article.html

  After any surgery to stabilize the shoulder your shoulder will be immobilized. You will probably wear a sling or hard brace for three to six weeks. […] Once the immobilizer has been removed, formal Physical or Occupational Therapy will begin. […] Rehabilitation following shoulder stabilization surgery will follow a similar pattern to the rehabilitation described above under non-surgical treatment. […] Rehabilitation post shoulder stabilization surgery generally responds very well to the Physical or Occupational Therapy we provide at Therapy Specialists Inc and patients can return to their normal activity.

• #2 Shoulder Instability Surgery for Recurrent Shoulder Dislocation

  https://www.dukehealth.org/treatments/orthopaedics/shoulder-dislocation-and-instability

  If nonsurgical treatments and physical therapy havent helped, surgery may be your next option to reduce your risk of recurrent dislocations and return you to your daily activities. […] Youll likely start physical therapy within a week after shoulder instability surgery. Over the next 16 weeks or so, youll gradually progress from assisted movement (your physical therapist or your good arm moving your affected shoulder) to light resistance exercises, to strengthening exercises. During the first four to six weeks, limits on range of motion may be used to protect your repair. […] If youre an athlete, our sports physical therapists can tailor exercises to help you return to your sport safely, maximize your performance, and reduce your risk of re-injury. Full rehabilitation may take four to six months based on the sport.

• #2 Dislocated shoulder – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/dislocated-shoulder/symptoms-causes/syc-20371715

  Stretched or torn ligaments or tendons in the shoulder or damaged nerves or blood vessels around the shoulder might require surgery for repair. […] To help prevent a dislocated shoulder: Take care to avoid falls and other shoulder injuries. Wear protective gear when playing contact sports. Exercise regularly to maintain strength and flexibility in joints and muscles. […] Having a dislocated shoulder joint can increase the risk of future shoulder dislocations. To help avoid a recurrence, keep doing the strength and stability exercises prescribed for the injury.

• #2 Shoulder Dislocation | Cedars-Sinai

  https://www.cedars-sinai.org/health-library/diseases-and-conditions/s/shoulder-dislocation.html

  Treatment will depend on your symptoms, age, and general health. It will also depend on how severe the condition is. […] Treatment may include: […] Moving the head of your upper arm bone back into your shoulder joint (reduction), often with an anesthetic […] Limiting shoulder movement (immobilization) with a sling after reduction […] Rehab (rehabilitation) […] Surgery, if nonsurgical methods don’t restore stability. […] Once your shoulder has been placed back into the socket joint, your healthcare provider may advise you to keep your shoulder immobilized. This is done by using a sling or other device for a few weeks after treatment. […] After your pain and swelling go away, you may need to do some rehab exercises to help restore your shoulders range of motion and strengthen your muscles. […] If you had a dislocated shoulder in the past, you are at greater risk for having it happen again. […] After you’ve eased your early pain, rehab exercises will help you prevent future dislocation. […] Maintaining muscle strength and flexibility can help prevent shoulder dislocations.

• #2

  https://www.myactionpt.com/physical-therapist-s-guide-to-shoulder-dislocation-overview

  Activity- or sport-specific training. Depending on the requirements of your job or the type of sports you play, you might need additional rehabilitation tailored to the demands your activities place on your shoulder. […] If you return to sports or activities too soon following injury, you could cause a reinjury. Your physical therapist can determine when you are ready to return to your activities and sports by making sure that your shoulder is strong and ready for action. Your physical therapist may recommend a shoulder brace to allow you to gradually and safely return to your previous activities.

• #2 Dislocated shoulder – Wikipedia

  https://en.wikipedia.org/wiki/Dislocated_shoulder

  A shoulder dislocation often occurs as a result of a fall onto an outstretched arm or onto the shoulder. […] Treatment is by shoulder reduction which may be accomplished by a number of techniques. […] After reduction X-rays are recommended for verification. […] The arm may then be placed in a sling for a few weeks. […] Surgery may be recommended in those with recurrent dislocations. […] Not all patients require surgery following a shoulder dislocation. There is moderate quality evidence that patients who receive physical therapy after an acute shoulder dislocation will not experience recurrent dislocations. […] It has been shown that patients who do not receive surgery after a shoulder dislocation do not experience recurrent dislocations within two years of the initial injury. […] Shoulder reduction may be accomplished with a number of techniques including traction-countertraction, external rotation, scapular manipulation, Stimson technique, Cunningham technique, or Milch technique.

• #2 6 Dislocated Shoulder Facts and Treatment in Maumee

  https://www.promedicaeruc.org/blog/2024/march/6-dislocated-shoulder-facts-and-treatment-in-mau/

  You can handle minor injuries at home, but shoulder dislocations are different. A dislocated shoulder won’t heal on its own, and you could end up with chronic instability without the proper treatment. […] Dislocated shoulder treatment is usually non-surgical. You may need surgery if you have chronic shoulder instability or severe complications from the dislocation. Still, most people fully recover with non-surgical treatment, including putting the bone back in the socket, immobilizing the joint and restoring strength and mobility with physical therapy. […] Most people start feeling better within a few days and can start using the joint again with some restrictions. It can take several weeks or months to recover fully, so you’ll want to discuss the restrictions with your doctor.

• #3 Recovery from shoulder dislocation – Mayo Clinic Health System

  https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/helping-athletes-with-dislocated-shoulder

  After surgery, you’ll wear a sling for about six weeks, gradually working on range of motion and strength. Full recovery may take five to six months. […] If you experience a shoulder dislocation, health care professionals, including sports medicine and orthopedics specialists, orthopedic surgeons, physical therapists and athletic trainers, will help you get back into the game and regain your levels of performance and strength.

• #3 Shoulder Dislocation: Symptoms, and Treatment | Doctor

  https://patient.info/doctor/shoulder-dislocation

  The shoulder and arm should be splinted in the abducted position in which they are found. […] After reduction, the shoulder is usually immobilised for 3-4 weeks, although there is evidence that those who are mobilised sooner do no worse. […] Physiotherapy is usually commenced. […] Both posterior and anterior dislocation may require surgery if a tear in the capsule prevents stable reduction or if soft tissue intervenes to prevent it. […] Primary surgical repair: a Cochrane review supported this for young adults who have had acute traumatic shoulder dislocations and who will continue to be engaged in demanding physical activity – eg, sports, military. The review showed that this increased shoulder stability and function. […] Surgery should be considered in young athletes with a shoulder dislocation because of the relatively high recurrence rate.

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