Habitual dislocation of the shoulder: forms, diagnosis and repair injuries

Habitual dislocation of the shoulder is unstable, a pathological condition of the joint. In this case, it is often observed damage to the head and upper arm. Trauma can cause not only serious physical activity. Patients suffering from this disease, must be time to start the course of recovery of the shoulder joint. This is a long process, and much depends on how quickly people will turn for help to the doctor.Привычный вывих плеча: формы, диагностика и устранение травмы


The forms and causes of sprains

There are several variants of habitual dislocation of the shoulder. They all have their own characteristics and manifest themselves in different ways. In trauma the main component of the shoulder joint can move in different directions. To diagnose the type of damage alone is quite difficult.

Anterior dislocation is the most common. More than 90% of human cases observed it is this type of injury. To dislocation may occur as a result of the earlier damage. Not excluded unexpected displacement of the joint at the wrong movement. The head of the humerus is significantly shifted forward and goes completely under the shoulder blade. If the joint will go further, it will be under the collarbone.

A posterior shoulder dislocation is rare, it is fixed in 1-2% of cases. People may fall on an outstretched hand and to get injured. In addition to front and rear, meet lower habitual dislocations. In this case, the joint moves down. The main feature of this injury is the inability to give up. It is also possible intrathoracic upper and habitual dislocations.

Привычный вывих плеча: формы, диагностика и устранение травмы

Due to a shoulder injury, damaged tendons, and the joint loses its stability

In addition to injuries, there are other negative factors that can provoke a dislocation of the shoulder joint.

  • Generalized hypermobility of the joints. This phenomenon is characterized by an excessive range of motion. It manifests itself in 10-15% of cases damage.
  • Abnormal development of the glenoid cavity of the scapula. In some people, the glenoid cavity is not so deep, so habitual shoulder dislocation occurs quite often and in this situation it is normal. In addition, there are cases when part of the glenoid cavity is not fully formed.
  • Stretching of the capsule. Habitual dislocation of the shoulder joint occurs when doing certain sports. Among them include volleyball, swimming and tennis. In the process of training the athlete continuously performs the same movement with too sharp a swing arm. This often leads to multiple trauma.
  • You must correctly calculate the load and do not overdo it when playing sports. People whose risk of injury is elevated, you need to carefully monitor their health.


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    What is the injury

    In many cases, the dislocated shoulder can be set with the help of a specialist. Usually a doctor with a very difficult situation or a wrong setting of the joint in place, when there is severe deformity. If the patient has already received a dislocated shoulder, then place the head joint you can see the cavity. Man tormented by aching pain, injured hand he holds. It is customary for this phenomenon symptoms.

    Привычный вывих плеча: формы, диагностика и устранение травмыAny movement of the shoulder is impossible, there is a strong spring resistance. Pain can manifest itself in different ways, from a sharp pain to the minor. Visually identify problem is not easy, because edema is usually not. Sometimes there is some muscle atrophy, but it occurs when repeated dislocation of the shoulder. To determine the presence of habitual dislocation difficult. People can confuse this condition with an ordinary injury and use appropriate methods of treatment.

    Sometimes habitual dislocation and did not care, so to the doctor, do not apply. However, the problem does not disappear, only worse. To eliminate the dislocation required surgery.


    Diagnostic methods

    To determine the problem, the doctor may prescribe a series of examinations. Among them include:

    • x-rays, it allows to identify the current dislocation of the joint and other diseases;
    • computed tomography.

    The diagnosis is established on the basis of the received history. If a person had a dislocated shoulder, the doctor examining previous x-rays and takes into account the specifics of the injuries sustained in the past. To determine the exact condition of the joint which is assigned x-ray. She is able to show the existence of the defect of the head of the shoulder joint. To see this, if only to put the joint in a special way to show the rotation of the shoulder. Sometimes to identify a dislocated shoulder done a few pictures. They can detect the increase in the distance between the top of the head and the acromion.

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    Привычный вывих плеча: формы, диагностика и устранение травмы

    CT is the most informative in diagnostics of damage of the joint

    There are cases when data of x-ray is not enough. To determine the presence of habitual dislocation of the shoulder, do a CT scan of the joint. This allows you to obtain the necessary information about the condition of the structures of soft tissues. It is not excluded MRI of the joint.

    If necessary, use a contrast arthrography. When to determine the presence of habitual shoulder dislocation is not easy, assign diagnostic arthroscopy. After a well-conducted diagnostic select the most effective treatments.


    Fixing the problem

    Drug therapy in this case does not give the desired effect. Quickly fix a dislocated shoulder treatment without surgery will not help. If the amount of damage exceeds 2-3, you can try to resort to massage, which aims to strengthen the muscles. In the absence of the desired result in the most reliable way to eliminate the problem becomes surgery.

    There are approximately 200 techniques that will effectively eliminate the pathology. All of them can be divided into several groups:

    • the operation, which aims to reinforce the joints;
    • plastic interference;
    • combined methods, including several methods;
    • an operation that allows to restore joint osteo-plastic method.

    All of these methods for its own good. What method of treatment to give preference, decided by the doctor. To date, widespread operation Bankart. It consists of fixing the cartilaginous lips and the creation of the joint capsule connecting the cushion. All this allows to limit the mobility of the articulation and to ensure a speedy recovery. Treatment of habitual dislocation of in this way quite effectively.

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    There are other methods. These include, for example, the operation according to the method of Putti-Plyatt and Weinstein. During the rehabilitation period are assigned specific maintenance treatments. Treatment of habitual dislocation includes massage, physiotherapy and magnetotherapy. If the injury is accompanied by severe pain, prescribed phonophoresis with dipyrone.

    Development of the joint starts a month after surgery. The doctor may prescribe a complex exercise therapy and physiotherapy. To restore range of motion, it takes approximately 3 months. For full rehabilitation after the usual dislocation will need an average of 8 months.