Excerpt from Surgery, Gynecology and Obstetrics, Vol. 33: July to December, 1921
That dislocation of the shoulder is not more common demonstrates how wonderful are mechanism and muscle balance that pre vent such an occurrence; this is all the more remarkable when one considers the poor bony formation of the joint from the view~point Of mechanics.
Almost invariably there is a severe injury at the time of the primary dislocation fol lowed by a normal convalescence, but the second and subsequent dislocations usually are not accompanied by any trauma or severe muscle strain. There is no way of finding out what percentage of persons who have had dis locations Oi the shoulder become sufferers from habitual dislocations. If there is any way Of preventing recurrence Of the disloca tions the means should be known and used. Following the primary dislocation the arm should be held to the side for 3 weeks and no abduction permitted for at least 5 weeks. Some stiffness may result, but this can be overcome by massage and use, or if necessary, by manipulation under an anaesthetic.
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