UW questions: Should fracture

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

ODMD

New Member
10+ Year Member
15+ Year Member
Joined
Apr 23, 2007
Messages
8
Reaction score
0
The questions says that Posterior shoulder dislocation results in adducted and internally rotated arm posture, anterior should dislocation results in slightly abducted, external rotated arm posture.

I don't understand what is the reason behind these different postures?
 
Think of the rotator cuff muscles and there attachments and then if you all of a sudden dislocate anteriorly or posteriorly and what the resultant would be, I think it makes sense logically.
 
I guess it's somewhat useful to memorize and understand that. What would be more useful though, for testing purposes, is to know the mechanisms that result in each dislocation. Posterior dislocations are relatively rare, and require a lot of force in the proper direction to occur. Generally, extreme generalized muscle contractions of the shoulder girdle can provide the force vectors and stabilization to result in a posterior dislocation, so if a question scenario involves tetany 2ndary to seizure or electrocution, you're likley dealing with a posterior dislocation (and a concominant fracture of the scapula on X-ray). If you're dealing with trauma, anterior dislocations generally occur because they meet less resistance.

Think of it this way, you have a ball on steep hill and u put a heavy weight on top so it only pushes vertically down. The ball will not be pushed into the ground, it will roll diagonally down the hill. Take the same ball and put a heavy weight on top, and also apply force towards the slope, it's gonna sink into the ground, not roll diagonally down the hill.
 
Top