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CONDITION/DISORDER SYNONYMS

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  • Shoulder dislocation

  • Humerus dislocation

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ICD-9-CM CODES

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  • 831 Dislocation of shoulder

  • 831.0 Closed dislocation of shoulder

  • 831.00 Closed dislocation of shoulder, unspecified

  • 831.01 Closed anterior dislocation of humerus

  • 831.02 Closed posterior dislocation of humerus

  • 831.03 Closed inferior dislocation of humerus

  • 831.09 Closed dislocation of shoulder, other

  • 831.1 Open dislocation of shoulder

  • 831.10 Open dislocation of shoulder, unspecified

  • 831.11 Open anterior dislocation of humerus

  • 831.12 Open posterior dislocation of humerus

  • 831.13 Open inferior dislocation of humerus

  • 831.19 Open dislocation of shoulder, other

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ICD-10-CM CODES

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  • S43.006A Unspecified dislocation of unspecified shoulder joint, initial encounter

  • S43.016A Anterior dislocation of unspecified humerus, initial encounter

  • S43.026A Posterior dislocation of unspecified humerus, initial encounter

  • S43.036A Inferior dislocation of unspecified humerus, initial encounter

  • S43.086A Other dislocation of unspecified shoulder joint, initial encounter

  • S43.109A Unspecified dislocation of unspecified acromioclavicular joint, initial encounter

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PREFERRED PRACTICE PATTERN

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  • 4D: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Connective Tissue Dysfunction

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PATIENT PRESENTATION

A 57-year-old male arrived with a complaint of right shoulder pain. Patient reports sudden onset of pain 2 days ago after falling on his outstretched right arm while playing soccer. He reports has been in “extreme” pain since then for which has been taking ibuprofen. He reports enjoys playing soccer at least once a week. Patient’s PMH includes HTN, appendectomy, tonsillectomy, and right humeral fracture as a child due to a fall. He reports feeling concerned due to his current inability to work as a plumber as well as his inability to perform some ADLs. Patient lives with his wife, who has been helping him mainly to get dressed and shower. He was unable to sleep on his right side (as usual) due to increased pain. Upon examination, patient appears in pain with a guarded posture to his right arm which is in mild abduction and external rotation. ROM and strength of the right shoulder were unable to assess due to pain. MMT of the right hand and elbow were decreased. Sensation on the right anterior shoulder area was diminished to light touch. Special tests were positive for the Sulcus sign on the right shoulder. Right shoulder Anterior Drawer, Load and Shift, and Apprehension tests were unable to assess due to pain (which were expected to be positive). Right shoulder x-rays showed anterior dislocation of the humeral head. Right shoulder MRI showed tear of the anterior inferior labrum.

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FIGURE 158-1

Anatomic lesions producing shoulder instability. (From Skinner HB: Current Diagnosis & Treatment in Orthopedics. 4th ed. www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)

Graphic Jump Location
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KEY FEATURES

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Description
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  • Humerus can dislocate anteriorly, posteriorly or inferiorly out of the socket.

  • Excessive translation of the ...

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