Abstract des Autors

Shoulder dislocations occur often in contact sports. The most common is the anterior dislocation of which there are two types: the atraumatic and the traumatic. When evaluating a dislocation, the signs and symptoms of the anterior dislocation are much more easily noticed than the subtle signs of the posterior dislocation. The history, including a mechanism of injury, plus a thorough evaluation of the shoulder girdle, should lead to a correct prognosis. Reduction is one of the most important aspects of treatment of the shoulder dislocation. There are several recommended ways to reduce a shoulder: Hippocratic Method, Modified Hippocratic Method, Kocher's Method, Stimson Method, Milch Method, and the Passive Method. Controversy exists as to how long a shoulder should be immobilized; it is suggested that three weeks is the optimum time for immobilization. Rehabilitation is divided into two phases: the acute rehabilitative phase, and the post-acute phase. There are different methods proposed for rehabilitation, some use more isotonics whereas others use more isokinetics. In both methods, plyometric and sport-specific exercises are incorporated. The athletic trainer must be aware of the likelihood of recurrence and of the surgical techniques available for correcting this problem. Verf.-Referat