SHOULDER SUBLUXATION-MANAGEMENT

SUMMARY

1. Pros of shoulder slings: may be used when the patient ambulates for comfort and may prevent further trauma.

2. Cons: may encourage contractures in shoulder adduction/internal rotation or elbow flexion.

3. Other treatments: FES, arm board, arm trough, lap board (particularly in wheelchair users).

4. Prevention: early reactivation of shoulder muscles (supraspinatus, deltoid) using FES or using passive support (arm trough).

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.