Dislocation Discussion

Dislocation is a serious injury which involves disruption of over half of the capsuloligamentous support of the joint. Even with optimum management, this type of injury may result in joint instability, loss of motion, malalignment, weakness and degenerative arthritis. Treatment options include closed or open reduction, and ligament repair or reconstruction. In general, instability is more reliably corrected with surgery. Surgery may involve a temporary transarticular pin to maintain joint alignment, and a permanent bone anchor. Postoperative therapy with full patient cooperation is critical to achieve the best final outcome. Specific risks include stiffness, numbness, possible persistent laxity, instability and future degenerative changes. There is usually soreness and swelling of this area for as long as a year following injury.

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