Posterior shoulder dislocation – An orthopedic nurse is a nurse who specializes in treating patients with bone, limb, or musculoskeletal disorders. Nonetheless, because orthopedics and trauma typically follow one another, head injuries and infected wounds are frequently treated by orthopedic nurses.
Ensuring that patients receive the proper pre-and post-operative care following surgery is the responsibility of an orthopedic nurse. They play a critical role in the effort to return patients to baseline before admission. Early detection of complications following surgery, including sepsis, compartment syndrome, and site infections, falls under the purview of orthopedic nurses.
Posterior shoulder dislocation
C/F of posterior dislocations of shoulder :
1. The arm is held in internal rotation and is locked in that position.
2. The front of the shoulder looks flat with a prominent coracoid, but swelling may obscure this deformity; seen from above.
3. The posterior displacement is usually apparent.
[Ref-Apley’s “System of Orthopaedics and Fractures” و edition, page-743]
Treatment of posterior shoulder dislocation:
1. The acute dislocation is reduced (usually under general anaesthesia) by pulling on the arm with the shoulder in adduction.
2. A few minutes are allowed for the head of the humerus to disengage and the arm is then gently rotated laterally while the humeral head is pushed forwards.
3. If reduction feels stable the arm is immobilized in a sling; otherwise the shoulder is held widely abducted and laterally rotated in an airplane type splint for 3-6 weeks to allow the posterior capsule to heal in the short_position.
4. Shoulder movement is regained by active exercises.
[Ref-Apley’s “System of Orthopaedics and Fractures” 9th edition, page-743]
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