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Shoulder & Elbow dislocations.

Shoulder & Elbow dislocations. H. Sithebe 2012. Shoulder Dislocations. 50% of all joint dislocations. 98% - Anterior. 2% - Posterior. Clinical Presentation. Anterior dislocation. Posterior Dislocation. Rare. Missed!!. Adduction. Internal rotation. Abduction. External rotation.

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Shoulder & Elbow dislocations.

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  1. Shoulder & Elbow dislocations. H. Sithebe 2012

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

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

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

  5. Radiology.

  6. Radiology. Anterior. Posterior.

  7. Reduction- Hippocratic manoeuvre

  8. Reduction- Anterior Dislocation. • Stimson. • Kocher.

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

  10. Elbow Dislocations • Stable Joint. • Simple dislocations. • Complex dislocations.

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

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

  13. Radiology AP Lateral.

  14. Reduction- posterior dislocation.

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

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