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Inferior subluxation of the humeral head S43.083A

 
ICD-10 Classification / Treatment
Etiology / Natural History Associated Injuries / DDx
Anatomy Complications
Clinical Evaluation Follow-up Care
Xray / Diagnositc Tests Review References

synonyms:

Inferior Subluxation of the Humeral Head ICD-10

Inferior Subluxation of the Humeral Head Etiology / Epidemiology / Natural History

  • Inferior subluxation of the humeral head is common after trauma of the proximal humerus, glenoid fracture, shoulder dislocation with nerve injury, isolated brachial plexus injury and postoperatively.

Inferior Subluxation of the Humeral Head Anatomy

Inferior Subluxation of the Humeral Head Clinical Evaluation

  •  Document neurovascular exam.  

Inferior Subluxation of the Humeral Head Xray / Diagnositc Tests

  • Shoulder series demonstrates discontinuity in the scapulohumeral line with inferior sublxation of the humeral head.  
  • Consider EMG if assocaited nerve injury is a concern. 

Inferior Subluxation of the Humeral Head Classification / Treatment

  • Without neurovascular compromise:  observation with arm supported in a sling to reduce inferior subluxation. PT focused on isometric exercises for the deltoid and rotator cuff.  Generally completely resovles with time.  
  • With neurovascular injury:  treatment is determined by the neurovasulcar injury.  

Inferior Subluxation of the Humeral Head Associated Injuries / Differential Diagnosis

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Inferior Subluxation of the Humeral Head Complications

Inferior Subluxation of the Humeral Head Follow-up Care

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Inferior Subluxation of the Humeral Head Review References

  • Pritchett JW: Inferior subluxation of the humeral head after trauma or surgery.  Journal of Shoulder and Elbow Surg 1997;6:356-359

 

 

 

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