Responses to Chronic Shoulder Dislocation

Responses to Chronic Shoulder Dislocation

Thomas M. Wilson, C.Ped, CO

8/31/2007

Thanks to all who have responded so quickly!.

Original Post:

I am looking for an efficient way to control a left shoulder from chronic

>dislocation. My patient is an otherwise healthy very active skinny older

>man and he does not want his elbow and hand immobilized.

>

>I have looked at the Highland Shoulder Sling, but I am wondering if anyone

>has used anything else that may work. He has no insurance and will be

>paying out of pocket, so cost is a concern.

Here are the responses:



From one that has suffered a Class II SLAP Lesion, the guy needs surgery.

No orthosis is going to be satisfactory for a chronic problem. Perhaps he

could get coverage from Independent Living in your state or vocational rehab

if he is still working.

++++++++++++++++++++++++
How about the Omotrain from Bauerfeind?
++++++++++++++++++++++++

What about showing him some strengthening excercises to help reinforce the
shoulder muscles, and consequently the tendons? It's free and effective. All
he needs is some weight to provide resistance. Like a small dumb bell or
even better the elastic bands PTs use in therapy. That is the advice I
recieved from my doctor after my third, and most painful, right shoulder
dislocation from a crash on my mountain bike. It worked. I can still ride
without fear, and throw a baseball.

++++++++++++++++++++++++

question is - how does he dislocate? is it in flexion, extension, abduction,
or downward slide? there are multiple braces, more or less complex, for the
last one, none easy for the other 3 if you want to preserve range of motion.

++++++++++++++++++++++++

I have used Otto Bock's Shoulder Support 07126 - It is light weight and
flexible, but offers good stability as long as he not looking at high
activity sports (such B'Ball) that would require aggresive and/or quick
shoulder abduction.

++++++++++++++++++++++++

a kudlow type orthosis should work for him, adjusted for limiting flexion.
unfortunately, those are not cheap. used to be donjoy had one decently
priced.

------------------------------
DJ Ortho makes a great neoprene wrap and there are some other companies that
do the sam e thing. Duke wireharness is another route worth looking into.
Sometimes they are stuffed in a closet somewhere and just laying around?

++++++++++++++++++++++++
the give- mohr sling might help while pt. is upright.


Thanks All!
Tom

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