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Dislocation of the shoulder (glenohumeral joint)

The shoulder is the most mobile joint of the body. This characteristic, however, makes it also the most unstable joint of the human organism and this is why it is often object of dislocations.

When one of the structures that stabilise the shoulder is damaged after a trauma or is weaker because of personal features related to genetics, some movements of the superior limb provoke an anomalous sliding of the humeral head, that which provokes pain and sense of instability that reach their higher level in cases of shoulder dislocation, moment in which functional impotence is immediate and pain intense.

The reduction of the dislocation, that is the repositioning of the humeral head in its cavity, is possible through specific manoeuvres not always easy to do. It is important to know if this is the first episode of dislocation and whether there have been traumatic episodes, what you do in your life and if you do sport. For the diagnostic confirmation, the physician will suggest you to undergo a CT or MRI scan, so to establish the therapeutic programme that is more adequate to your case. The articulation will then be immobilised with a brace for almost three weeks and period of rehabilitation will follow.

Rehabilitation in itself plays a relevant role, both because the use of the superior limb needs a free and not painful joint, and because the most common problem arising after an episode of dislocation is the permanence of an instability that sooner or later will cause a relapse. Initially the shoulder will be rigid and painful with an hypertrophic musculature, that which usually provokes worry and fear in the patient. Our duty is to personalise the programme so to reach the delicate equilibrium that allows a major range of movement and, contemporaneously, the major possible stability.

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