20Feb

Shoulder dislocation and treatment program

Shoulder dislocation( shoulder joint) remains the most common type of dislocation that occurs in humans.

dislocation of shoulder symptoms

In many ways, this predisposition is due to the anatomical structure of the joint, formed by the humerus, scapula and clavicle( in fact, there are three joints, and they are all surrounded by a joint joint bag), and the functional loads that fall on it.

It is in this joint that the leading limb can be brought and withdrawn, the movement forward and backward, a circular rotation with an amplitude of almost 1800, but the ligaments surrounding the capsule of the joint are very few and their strength is insufficient to prevent injury.

Reasons for dislocation of the shoulder

Contents

  • 1 Reasons for dislocation of the shoulder
  • 2 How the dislocation of the shoulder joint
  • is shown 3 How to treat the dislocation of the shoulder

Of course, the place of the absolute leader among occupations that can lead to the development of joint dislocation is playing sports, and almost all athletes can"Meet" with such damage.

The dislocation of the shoulder joint can also occur with a sharp active movement in it, when the capsule and ligaments can not hold all the elements of this joint and prevent injury, and when falling on the arm extended to the side( the impact force is applied to the longitudinal axis of the limb).Predisposing factors may be age-related changes in connective tissue( a decrease in its plasticity and extensibility), congenital anomalies of the structure of this joint - often the true cause of dislocation can be identified only when conducting a comprehensive survey after its development.

shoulder dislocation

basic symptoms occur, with dislocation of shoulder in case of patient:

  • sharp pain in the joint itself and tissues surrounding it - muscles of the arm and shoulder girdle;
  • impossibility of movement or significant restriction of mobility in this joint;
  • a pronounced deficit of the limb - with anterior dislocation of the joint, the length of the limb increases( in comparison with the healthy one), whereas in the rear dislocation, on the contrary, it becomes noticeably shorter.

It is important to remember that the appearance of swelling of the tissues and bruising can be delayed for 2-3 hours, therefore, if any of these complaints appear, immediate consultation of the trauma doctor is mandatory. Before the examination of the doctor, you should not try to adjust the joint or in any way affect the area of ​​injury - during transportation of the patient, the doctor must apply cold to the site of injury and fix the hand( if it is not accompanied by increased pain in the middle physiological position - with the arm bent at the ulnarjoint).The shoulder itself can be pribintovat to the trunk, and the forearm pribintovat to a thick board or gypsum longite.

How to treat a dislocation of the shoulder

To confirm the diagnosis of shoulder dislocation and exclusion of broken bones of the skeleton of the shoulder girdle and free upper limb, should be examined by a qualified traumatologist and a radiograph of the shoulder joint - the examination of the doctor can be performed at a trauma clinic or hospital. After that, the doctor who conducted the examination will appoint you a course of treatment.

Immobilization of the joint shoulder dislocation

In the event that there are no complications of this condition, a 21 day gypsum plaster is applied to treat the dislocation of the shoulder. Before this time, active movements in the affected joint are prohibited - otherwise the likelihood of forming a habitual dislocation of the shoulder caused by violations of the scarring of the joint capsule is high.

You can not start active movements in the joint earlier than the time prescribed by the doctor - even if the patient does not experience any unpleasant sensations, attempts to "develop" the joint can lead to a repeated or habitual dislocation. To treat this complication, it may not only require compliance with the curative and protective regimen, but also the surgical intervention on the affected joint.

Recommended loads

However, to prevent the weakening of muscle tone, which invariably leads to a deterioration of the blood supply to the capsule of the injured joint. The patient is prescribed isometric exercises - with this form of exercise therapy the main load is on the muscle fibers, and there is no displacement of the articular processes of the bones. Specific exercises for a patient with a joint injury should be suggested by a trauma doctor who will observe the patient all the time of treatment, since after dislocating the shoulder should be very careful not to aggravate the trauma.

Comprehensive rehabilitation of

After removal of gypsum longiots, complex rehabilitation of the patient is necessary - its program must include physiotherapy, massage, active therapeutic exercises( some of its exercises can be performed in water).After the completion of the period of early rehabilitation, a training program should be developed, the exercises in which help to work out all the muscles surrounding the shoulder joint. Only in this case it is possible to hope for the successful completion of the patient's treatment process and repeated dislocation of the shoulder will not complicate the life of a person of any age. Hopefully we helped you figure out how to treat shoulder dislocation. If you have any questions, you can go to the dislocation section on vcmed.ru or read an article about general treatment of dislocations.

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