Under most situations, waiting for professional medical help is the best idea and certainly the safest way to go, but sometimes that's not possible. If you're in an isolated situation far from medical attention (camping, mountain climbing, traveling abroad), the potential risks of fixing your own shoulder — or that of a friend or family member — may not outweigh the benefits of experiencing immediate pain relief and increased arm/shoulder mobility.  As a general rule of thumb, if you can get medical assistance within 12 hours, then wait patiently and try to reduce the discomfort with ice, painkillers and a sling. If a much longer waiting time is apparent, particularly if you need some mobility in your shoulder to get to a hospital, then relocating your shoulder might be considered. The main complications related to trying to relocate your own shoulder are: further tearing muscles, ligaments and tendons; damaging nerves and blood vessels; life-threatening bleeding; severe pain that results in loss of consciousness. If you're forced to consider relocating your own shoulder in an emergency situation, then realize that putting it back in without assistance is nearly impossible. As such, ask for help or offer to help someone else if in an emergency situation. People may be reluctant to help you because they don't want to cause you more pain or risk injuring your shoulder more, so try to reassure them and release them from any liability.  If you're needed to help someone else relocate his shoulder, make sure to get his consent and tell him clearly about your lack of medical training (if applicable). You don't want to face any litigation for trying to be helpful if things go wrong.  If you have a phone and can make a call, try contacting emergency services for advice and support. Even if they can't send medical personnel to you right away, they may be able to offer helpful instructions. Probably the easiest way for non-professionals to relocate your shoulder joint is if you lay flat on your back with your injured arm away from your body at a 90 degree angle. Then get your friend or a bystander to firmly grab your hand or wrist and slowly (but firmly) pull on your arm, which will create traction. The person may have to position her feet against your torso for additional leverage. Pulling the arm at that angle allows the head of the humerus to slide under the bone of your shoulder blade and back into its socket with relative ease.  Remember to use a slow, steady pull (without any fast or jerky movements) directly away from the body until the shoulder re-articulates. If it successful, you will hear a "clunk" and feel the shoulder get back into position. As soon as the shoulder relocates, the level of pain associated with the injury will reduce significantly. However, the shoulder will still be unstable, so make a sling and immobilize the arm if possible.
لا ترد كتفك لنفسك إلا في حالات الطوارئ. اعثر على من يساعدك في حال كان الأمر طارئًا. استلقِ على ظهرك وشد ذراعك.