Case Study

• British boxer Anthony Ogogo missed out on an early opportunity to qualify for the London 2012 Olympics when he aggravated a long-term shoulder injury in a boxing match. Ogogo revealed he lost the range of mobility in his shoulder, pain in the shoulder, loss of the shoulder's usual rounded appearance and instead a squared off look, and sufferer's supporting their arm against their chest.

• Speaking to Physio, he said: “I couldn't punch with my right hand”.

Treatment

• Shoulder joint reduction.• Rest.• Physiotherapy.

• Anthony Ogogo is well on the way to recovery and is continuing to exercise his shoulder with the help of his physios.

• Commenting on his current training program, he said: “My shoulder blade's really uncomfortable but I feel, I have my mobility back and my muscles have been strengthened”.

“I'm on the way to recovery now!”

Shoulder Dislocation

-The Shoulder Joint:

• An enarthrodial or ball-and-socket joint.

• The bones entering into its formation are the hemispherical head of the humerus and the shallow glenoid cavity of the scapula .

A shoulder dislocation happens when too much force or pressure is applied to the ligaments connecting the arm to the shoulder as:

 1)Sports injuries. Shoulder dislocation is a common injury in

contact sports, such as football, hockey and in sports that may involve falls such as downhill skiing, gymnastics and volleyball.

2)Trauma not related to sports. A hard blow to your shoulder during a motor vehicle accident is a common source of dislocation.

3)Falls. You may dislocate your shoulder during a fall, such as from a ladder or from tripping on a loose rug.

- Deformation of the shoulder: a bump in the front or back of your shoulder depending on how the bone has been dislocated.

- The normal rounded contour of the shoulder and upper arm is lost, Instead of that the outside edge of the shoulder looks flat or square.

- Instead of the greater tuberosity there is a gap under the acromion.

Clinical feature

- The head of the humerus may be observed and felt as a large bump in front or behind the shoulder.

- The area is usually extremely tender to palpation and in movement.

- Lost the range of mobility in shoulder.

Types of Shoulder Dislocation

Anterior Shoulder Dislocation

Inferior Shoulder Dislocation

Inferior Shoulder Dislocation

Shoulder Fracture Dislocation

Lipoheamoarthriosis

TREATMENT

Go to a Hospital Emergency RoomControl Swelling

Immobilize Shoulder

TreatmentFollow up

•The doctor may manipulate the shoulder to put it back in place By Kcher's technique.

•The doctor may recommend wearing a sling for several weeks.

•Give medication such as acetaminophen (Tylenol) or Ibuprofen (Advil, Motrin) for pain and swelling.

TreatmentFollow up

•If shoulder continues to dislocate, surgery may be required.

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