Recurrent Shoulder Dislocation

 Look 

        Alignment of UE - Normal 

        Fullness of Anterior Shoulder 

        Skin - Normal 

        Muscles wasting 

           Always look from front , side and then back. If there is a mirror in front you can inspect shoulder                 movements from back also . 

       

Feel 

        Temperature - Generally normal 

        Any tenderness ? 

        Lymph nodes on Axilla 

      Palpation starts from medial border of clavicle , along clavicle , shoulder joint, proximal humerus          and then again back to joint, along spine of scapula and all 3 borders of scapula 


Movement 

        Abduction

        Adduction 

        Flexion 

        Extension 

        ER 

      Special Tests     

                    Apprehension Test

                    Anterior Drawer Test 

                    Jobe's Relocation Test 

                    Sulcus Test 

  Pulsation of Brachial arteries 

  Sensation  - Axillary N. 

                        Radial N. 

                        Ulnar N. 

                        Median N. 

    Power of Muscles 

                        Might not be accurate when shoulder not stable 

   Reflexes - Brachial and Triceps Reflex. 

                    

 Recurrent Dislocation might be  habitual or AMBRI or TUBS and treated accordingly. 

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