Shoulder Dislocation: Quick Troubleshooting
A dislocation of the shoulder is a trauma of the most variedorigin, which is very common in modern medicine. First of all, it is necessary to clarify that this pathology characterizes the structural disturbance of the articulating surfaces of the articular cavity of the scapula and the head of the humerus, as a result of a pathological process or physical violence. However, here one should not confuse the dislocation of the shoulder with the subluxation, since in the latter case, despite the congruence dysfunction, the contacting surfaces are in contact.
Why do dislocations occur? There are many reasons, but the main ones are still the fall or excessive physical effort on the withdrawn hand. It is important to remember that if you dislocate your shoulder, you should not exclude repeated dislocations that already occur without much violence, and sometimes even happen in a dream. This anomaly was called "habitual dislocation".
A very versatile clinical picture hasdislocation of the shoulder, the symptoms are often the same for all stages of a similar anomaly. Basically, patients complain of intense pain and disruption of the habitual operation of the shoulder joint, resulting from injury. The victim is unable to hold his hand on the injured side, fixing it in a less painful position. In addition, judging by the X-ray image, the apparent deformation of the shoulder joint is clearly monitored.
If a dislocation of the shoulder was received long ago, the capsuleThe joint becomes substantially thickened, becoming thicker and losing its former elasticity. In the thickness of the joint, there is a dominance of fibrous tissue, which not only covers the articular surfaces, but also fills free spaces. In the periarticular muscles, atrophic and dystrophic structural changes predominate. The older the shoulder dislocation, the more fat degeneration progresses, fibrosis, cartilage degeneration, sclerosis of the synovium, and even ossification of the joint, leading to the formation of a vast focal pathology requiring immediate surgical intervention.
If using an X-ray, a dislocation was diagnosedshoulder, treatment should be timely. First of all, the affected element must be quickly corrected immediately after the diagnosis is clarified. Here, general anesthesia comes in to help, which greatly alleviates the patient's painful procedure. Its absence is considered a medical negligence, because such manipulations require the maximum relaxation of the muscles.
Today, 50 methods for eliminating thisviolations. However, taking into account the local anesthesia according to Meshkov, it is possible to systematize them into three main groups, including leverage and physiological methods, as well as jogging methods, the essence of the latter being to push the head of the humerus into the joint space. An experienced trauma specialist should ideally possess such abilities and skillfully combine all the prescribed methods.
However, it sometimes happens that such treatmentis ineffective, since it is not possible to restore the joint. A similar phenomenon in traumatology is attributed to irreparable dislocations of the shoulder, which occur against the background of the ingress of tissues between the contiguous planes. Such an obstacle can be the edges of a broken and bent joint capsule, damaged muscles and tendons, bone elements. In such cases, a special tire is required, as well as the inclusion of analgesics, UHF and exercise therapy in the treatment regimen, as well as active exercises in the hand joints. In general, the dislocation of the shoulder is reversible and prone to further normalization of the functioning of the damaged area.
