Case Introduction A 25 year old male presents to the Emergency Department stating "my shoulder has been dislocated for 6 months".
Case A 25 year old male presents to the Emergency Department stating "my shoulder has been dislocated for 6 months". The patient has a history of a seizure disorder. He endorses recurrent dislocations and had a "procedure" previously, although he doesnt know what the procedure was.
He was told he needed surgery back where he used to live. He is not currently taking any medications and he denies any neurological symptoms. However he endorses pain, loss of range of motion and inability to work due to pain.
Classic appearance of a shoulder dislocation (right). Note the squared off shoulder, loss of deltopectoral groove. On physical exam, he looked similar to the above photo (scar not pictured).
His range of motion was very limited and not fully tested. He was intact in his median, ulnar, radial, musculocutaneous and axillary nerves. His radial pulse was 2+ and sensation to light touch was intact.
Https://www.youtube.com/watch?v=txIQtBECJIYWatch the video presentation of the case! Chronic shoulder dislocation is an uncommonly encountered clinical entity. The incidence is not known and literature is limited to case reports and case series.
If you are experiencing symptoms that may be related to a case of chronic shoulder dislocation, it is important to see a sports medicine physician. Early evaluation and treatment typically lead to better outcomes. Do not ignore pain or symptoms that are limiting your activity.
*This article is for educational purposes only and does not substitute for professional medical advice. Always consult a qualified healthcare provider.*
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