Crashes shoulder joint — what to do in this case
When does the shoulder joint — what is the first occurs in the affected matter. To understand why there is frequent dislocation of the humerus, will help a quick lesson in anatomy and physiology. This joint is a connection of three bones into a single articular capsule. Shoulder blade has a small depression, filled with the humerus. The head of the humerus is covered by cartilage tissue and has a spherical shape. Using the system of muscles, tendons, ligaments, joint connects the collarbone and fixed. The joint capsule is formed by connective tissue.
The structure of the joint allows for the human hand movement in almost all directions. Through the shoulder arm system can be rotated in different directions, to get back and deep behind your head, raise and lower, to catch and hold its items. But the same movement of the joint creates and its high instability. The head of the humerus often popping up of scapular depressions, forming a dislocation or subluxation. If once received a dislocated joint often begins to repeat, the disease takes a chronic form.
Causes and symptoms of habitual dislocation of the shoulder
When the shoulder often POPs out, we can talk about its chronic instability. Causes of shoulder instability are different.
- Excessive elasticity of the connective tissues of the body where there is multidirectional articular hypermobility.
- Malformation of the joint or its components, in particular, dysplasia scapular depression.
- Common shoulder injuries (sprains, strains, bruises, fractures). They are typical for tennis players, volleyball players, professional swimmers and also people, long-running, with their hands up.
Professional athletes also often crashes the knee, there are other similar damage. People with hyperelastic ligaments often suffer from dislocation not only of the shoulder, but many other bone or joint compounds.
The nature of injuries dislocations of the shoulder are divided into front, rear and bottom. Least likely to occur the lower the dislocation, when the head bones of the shoulder and moves down. Thus the patient is forced to keep the hand above the head and cannot be omitted. In posterior dislocation of the articular lip off not only in front but also the back. This corruption occurs when you fall on the straight outstretched arm.
In 98% of cases of dislocation of the shoulder is forward, i.e. with the displacement of the bones of the shoulder forward under the shoulder blade or collarbone. In the result of damage to the articular lip detaches from the depression, broken ligaments, blood vessels, nerve branches. In some cases, torn joint capsule.
The presence of shoulder dislocation can be judged by the following symptoms:
- shoulder pain sharp or muffled;
- deformation of the damaged area (in posterior dislocation of the shoulder bulges coracoid process of the scapula, while the anterior shoulder is rounded by moving the head bone);
- violation of the sensitivity of the shoulder, forearm or brush, which is caused by compression of the (gap) nerve branches;
- limitation of range of motion (shoulder starts to «bounce», swing).
When initial or re-injury pain occurs because of a rupture of ligaments, articular lips or joint capsule. When the dislocation becomes habitual, pain may not be as sharp or it may not be at all, because the soft tissue has been injured repeatedly.
Treatment of the shoulder joint
When does the knee or shoulder, treatment of chronic articular instability is divided into conservative and operative. There are a few rules that you need to do in the first place.
It is not recommended to carry out the reduction of a shoulder independently. You can further damage the vessels or nerves. In the presence of broken bones a patient’s condition can rapidly deteriorate.
After removal of plaster is useful to do water gymnastics, massage, physiotherapy, comprehensively strengthening large and small muscles, ligaments, tendons. This will help prevent repeated dislocations. If the patient has a busted kneecap, recommends a similar holistic approach. In addition to traditional plaster splint immobilization effective today have learned to do with fixing a damaged hand in a designated position, and with the use of a sling of bandages.
If conservative treatment of habitual dislocation of the shoulder does not give the desired result, resort to surgical intervention. Often done in an arthroscopic operation, named after the English surgeon Arthur Sydney Bankart. While this transaction is not made ordinary surgical incisions, and only a few pinholes. With their help, the surgeon creates the multiple channels of length one or two centimeters each.
Through a single channel of intra-articular introduced a miniature video camera which allows you to keep on monitor the progress of the operation. Another couple of punctures used for insertion into the damaged area of surgical instruments. During the operation, the surgeon from the tissues of the capsule forms the tools of the new articular lip, since the former has completely worn off in numerous previous injuries. Cushion lips is attached special medical anchors to the bone behind or in front, depending on the type of chronic dislocation.
At the same time the doctor during the surgery eliminates the existing gaps of the muscles or ligaments. Arthroscopy is a minimally invasive surgical technique to stabilize articular joints of the bones of the shoulder.