shoulder joint dislocation
DESCRIPTION
Shoulder Joint DislocationTRANSCRIPT
Recurrent Closed Anterior Dislocation Of
Glenohumeral Joint
Hasanuddin University Hospital
Presented By :
Fyco Christian K
Advisor :
dr. Felix S. Batuna
dr. Aries Hutabarat
Supervisor :
dr. M. Ruksal Saleh, Ph.D, Sp. OT
Orthopaedic and Traumatology Department
Medical Faculty of Hasanuddin University
Makassar
2015
CASE PRESENTATION
May 2015
Patient Identity
Name : Mr. PA
Age : 65 y.o.
Gender : Male
Admission Date : May 10th, 2015
Registration : 711437
History Taking
Chief Complain :•Pain on the left shoulderAnamnesis :•Suffered since 1 hour before admitted to the hospital due to traffic accident, felt continuously and worsening when moving the armMechanism of Trauma :•Patient sit at 2nd row and a passenger. The car hit a tree and bump his left shoulder to the front seat. After that, he felt pain and can not move his left armHistory of Past Disease :•Underwent surgery 4 months ago due to dislocation of the left shoulder for 6 months ago
Primary Survey
Airway : ClearBreathing : RR 24 x/min, spontaneous,
thoracoabdominal typeCirculation : HR 98 x/min, strong, regular, BP 130/70Disability : GCS 15 (E4M6V5), pupil isochoric
ɸ 3mm/ 3mm, light reflex +/+Exposure : T (axilla) 36.5 oC
Seconday Survey
Left Shoulder Region•Look : Deformity (+), Flat Shoulder (+),
hematome (-), Swelling (-), Scar (+)•Feel : Tenderness (+)•Move : Active and passive motions of shoulder
joint can not be evaluated due to pain•NVD : Sensibility is good, pulsation of radial
artery is palpable, CRT < 2 seconds
Physical Findings
Anterior View
Physical Findings
Posterior View Lateral View
Laboratory Findings
• WBC : 10.000/ ul• RBC : 4.070.000/ ul• HBG : 12,9 g/dl• HCT : 36 %• PLT : 275.000/ ul• CT : 3’00’’• BT : 6’00’’• HBsAg : non-reactive
Radiological Findings
Radiological Findings
Discussion
Evidence Leading to Diagnosis
• History Taking
• Physical Examination
• Radiological Examination
• Radiological Examination
Diagnosis
Recurrent Closed Anterior Dislocation of The Left Glenohumeral Joint
Treatment
• IVFD RL• Analgetic• Closed Reduction• Apply Velpeau Bandage
Complication
Early•Ligament injury•Neurological injury•Vascular injury •FractureLate•Joint stiffness•Recurrent dislocation
Thank you for your attention!