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Shoulder Trauma: Orthopedic Treatment

Shoulder trauma or injuries are a very common occurrence that can occur due to an accident or sudden fall. The shoulder comprises of three bones, namely: scapula, clavicle or humerus. A number of ligaments, tendons and muscles join these bones together. A shoulder trauma can affect any of these structures and lead to immense pain and discomfort.

There are various types of shoulder injuries such as fractures, dislocations and soft tissue injuries. Shoulder trauma can cause immense difficulty in moving the arm properly.

Causes

  • Strong blow from a fall or road accident
  • Forceful twisting of the arm outwards
  • Powerful contraction of the shoulder muscles
  • Lifting extremely heavy objects

Symptoms

  • Pain and inflammation in the affected area
  • Visible bruising in the affected area
  • Inability to move the shoulder properly
  • A grinding sound when the shoulder is moved
  • Deformity in the shoulder joint
  • A visible bump in case of a fracture in the shoulder

Diagnosis

  • The doctor will conduct a detailed physical examination of the patient and note down the visible symptoms
  • The patient may be asked questions pertaining to history of the injury
  • The shoulder’s range of motion may be tested
  • Imaging tests such as X-Rays along with Computed Tomography (CT) scan may be conducted to look at the injury in detail

Treatment

The treatment for shoulder trauma depends on the nature of the injury. The aim of the treatment is to help the patient regain normal range of motion. Generally, younger patients are advised surgery but it also depends on the health of the patient.

Non-surgical treatment

  • The patient may be advised to immobilize his shoulder using a sling or shoulder immobilizer
  • Using ice packs can provide temporary relief from pain and discomfort
  • Pain medications may be prescribed by the orthopedic doctor to reduce pain and swelling
  • Shoulder Dislocation is initially treated by putting the dislocated bone back into the socket
  • Mild sedation and pain medication is administered before commencing the process
  • An X-Ray may be conducted afterwards to check if the process has been successful
  • The patient may be advised to wear a sling or special brace afterwards

Surgical treatment

  • Surgical intervention may be recommended in case of a compound fracture where the bone is extremely fractured
  • In the procedure, the fracture is fixed using plates and screws or rods inside the bone
  • Repeated dislocations or instances of shoulder instability may also require surgery to treat the condition

Frequently Asked Questions

Is this article a replacement for a doctor?

No. It is educational content only. Patients should consult a qualified clinician for diagnosis and treatment.

When should I seek urgent care?

Seek urgent care for severe symptoms, rapidly worsening condition, breathing difficulty, severe pain, neurological changes, or any emergency warning sign.

References

Add references, clinical guidelines, textbooks, journal articles, or trusted medical sources here. You can edit this area later with a custom field named _rx_references.

Written by Dr. Harun Ar Rashid, MD - Arthritis, Bones, Joints Pain, Trauma, and Internal Medicine Specialist

Dr. Md. Harun Ar Rashid, MPH, MD, PhD, is a highly respected medical specialist celebrated for his exceptional clinical expertise and unwavering commitment to patient care. With advanced qualifications including MPH, MD, and PhD, he integrates cutting-edge research with a compassionate approach to medicine, ensuring that every patient receives personalized and effective treatment. His extensive training and hands-on experience enable him to diagnose complex conditions accurately and develop innovative treatment strategies tailored to individual needs. In addition to his clinical practice, Dr. Harun Ar Rashid is dedicated to medical education and research, writing and inventory creative thinking, innovative idea, critical care managementing make in his community to outreach, often participating in initiatives that promote health awareness and advance medical knowledge. His career is a testament to the high standards represented by his credentials, and he continues to contribute significantly to his field, driving improvements in both patient outcomes and healthcare practices. Born and educated in Bangladesh, Dr. Rashid earned his BPT from the University of Dhaka before pursuing postgraduate training internationally. He completed his MD in Internal Medicine at King’s College London, where he developed a special interest in inflammatory arthritis and metabolic bone disease. He then undertook a PhD in Orthopedic Science at the University of Oxford, conducting pioneering research on cytokine signaling pathways in rheumatoid arthritis. Following his doctoral studies, Dr. Rashid returned to clinical work with a fellowship in interventional pain management at the Rx University School of Medicine, refining his skills in image-guided joint injections and minimally invasive pain-relief techniques.