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What tests are needed to assess the dislocated shoulder?

It must always obtain radiographs to rule out an associated fracture, as the fractured fragments can move more with the maneuvers that the doctor does to fit the joint, and the risk of injury to vessels and nerves around the edges of these fragments.

Although anterior dislocation is evident on radiographs usual, the later may go unnoticed unless a screening is conducted to compare both shoulders, or a special screening of the injured shoulder.

Once fitted and depending on the evolution of the shoulder may be necessary imaging tests such as CT (scan) or magnetic resonance imaging (MRI) to see the collapse of the humeral head, the state of the wall joint, impeller, and so on. Normally these tests are requested in the patient who may undergo surgery to stabilize the joint.How is it diagnosed?

Basically by clinical examination and confirmed by radiography, which rules out associated fractures of the humerus or shoulder.

Sometimes the posterior dislocation is detected by CT or MRI, requested by the patient’s poor outcome.

Given that almost always associated with a fracture of the humeral head collapse and its extent determines the treatment, the TAC values ​​better than conventional radiography the percentage of surface buried.

credit to: Dr. Roberto Palacio González, Dr. Alain Vannineuse

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