The shoulder joint is one of the most moving parts of the body in man. Thanks to this joint, a person is able to do many different movements. Therefore, damage to the shoulder joint is always very traumatic and greatly reduces the quality of life of patients. One such damage is the dislocation of the shoulder joint, which is observed in many patients, what this pathology is and the methods of its treatment should be considered in more detail. The code for this disease according to ICD-10 is S43.
- Dislocation of the shoulder: symptoms
- First aid for trauma
- Classification of shoulder dislocations
- Diagnosis of injury
- Direction of dislocation
- Treatment after adjustment
- Rehabilitation after dislocation
- Dislocation of the shoulder joint and army
- Consequences of shoulder injury
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Dislocation of the shoulder: symptoms
Trauma of this nature is always accompanied by acute pain in the joint area. The following symptoms can also be observed in the victim:
- Limited mobility of the shoulder joint. It loses its functionality, the patient becomes hard to move.
- Visually noticeable deformation in the joint region. The shoulders lose their symmetry, there is a slight protrusion from the injured side.
- Puffiness of the shoulder joint. Edema is formed as a result of the development of the inflammatory process, which is caused by trauma.
Depending on the type of shoulder injury received, the visual signs may differ. This is due to the direction of displacement of the head of the humerus.
Important to remember! In case of trauma of this nature, the victim needs urgent medical assistance!
First aid for trauma
What should I do if my shoulder is dislocated? In order to maximally ease the patient's condition, it is required to help him before the arrival of emergency medical care. It is required to conduct such events:
- Do not take any action to adjust the joint by yourself without a specialist;
- fix a painful arm with a bandage;
- To apply to the injured part a cold, only if the dislocation occurred without open wounds;
- if an open wound is present, it must be treated with an antiseptic;
- if the pain is unbearable, the patient should take pain medication to relieve the condition, in other cases it is necessary to wait for the arrival of an ambulance;
- deliver the victim to the trauma department of the hospital.
Important to remember! When transporting a patient to a hospital, you should provide him with maximum peace!
Classification of shoulder dislocations
Depending on the cause of the appearance of shoulder injury, they are distinguished by their types:
- Traumatic dislocation. It is observed as a result of certain injuries: a fall or a blow. Damage factor leads to rupture of the joint bag.
- Primary shoulder dislocation. Based on the name, such a trauma occurs for the first time in life. However, its cause does not really matter.
- Old-aged dislocation. By this term is meant a trauma received more than 1 month. Usually observed with improper or inadequate treatment.
- A habitual dislocation of the shoulder. It is characterized by regular injuries of the shoulder joint, as well as incorrect treatment of the primary injury.
- Open joint trauma. In such situations, the skin is prone to rupture over the joint. Such a dislocation is eliminated exclusively through surgical intervention, which is aimed at the restoration of these tissues.
- Pathological dislocation. It is observed when a disease or inflammation of the connective tissue. Trauma in this case can be obtained even with minor loads on the shoulder, which a healthy person will suffer absolutely without consequences.
- Arbitrary dislocation. The cause of this injury is the instability of the shoulder joint.
- Chronic pathological dislocation. It develops as a result of damage to the joint tissue, which is chronic.
Important to remember! Regardless of the type of injury, you need to seek help from a traumatologist! This pathology does not pass by itself.
Diagnosis of injury
How to identify a dislocation? Visual signs may raise doubts about the diagnosis of the diagnosis. After all, only an expert can accurately determine the pathology. To do this, a traumatologist conducts a patient interview, performs a detailed examination of the joint. After this, he sends to the radiograph to determine all the nuances of the injury. Based on the studies, the doctor appoints the most effective and safe therapy in each individual case.
Direction of dislocation
The first action, which is aimed at treating shoulder trauma, is the repositioning. There are several ways of such therapy. They should be carried out exclusively under local anesthesia, since such actions cause unbearable, painful pain. Methods of correction:
- Direction of shoulder dislocation according to Kocher. This procedure is performed in the supine position of the patient. The method is used for severe chronic dislocations.
- Direction of shoulder dislocation in Dzhanelidze. It is one of the safest methods of correction, it is used for primary injuries.
- Method Hippocrates-Cooper. It is rarely used, as it is required in especially severe cases.
- The Chaklin Method. One of the most traumatic ways.
The correction of the shoulder joint dislocation is required for normal tissue fusion without pathological changes. After the procedure, complex treatment is prescribed.
Treatment after adjustment
After correcting the dislocation, it is required to begin therapy, which will help restore the function of the joint. Treatment without surgery is the use of pain medication, as well as local anesthesia. Most often, Novokain is used for this.
With the timely application of professional help, the prognosis of injury is favorable. If the qualified help has not been rendered, then various complications can develop which can only be removed surgically. Also, surgical intervention is required for severe dislocations with rupture of tendons, blood vessels and nerve endings.
After that, immobilization of the injured limb is done in order for the ruptured tissues to coalesce. It is a fixation of the shoulder joint. To do this, use a bandage, which firmly presses the joint of the joint to the joint surface of the humerus. How long does the treatment last? Wearing the bandage is about 3 weeks.
Rehabilitation after dislocation
The rehabilitation period is an integral part on the way to full recovery. To bring the shoulder joint into a normal state, it is required to carry out the following measures:
- Physiotherapy. At present, such types of effects are used: magnetotherapy, ultrasound treatment, phonophoresis, electrophoresis, laser therapy, and massage.
- Therapeutic exercises. LFK is aimed at strengthening the muscular structures of the shoulder, as well as restoring the mobility of the shoulder joint.
- The course of massage. His passage helps to bring the muscles into tone, the painful sensations gradually subside.
- Wearing a bandage. To ensure that the tissues are properly fused, it is required to make them immobile. This will help use the bandage.
- Treatment at home. It is the use of prescriptions for alternative medicine, which are aimed at removing painful feelings during the recovery period.
Important to remember! The strict fulfillment of all the prescriptions of the attending physician will help to bring the joint tissues back to normal as quickly as possible and avoid the stiff joint stiffness!
Dislocation of the shoulder joint and army
Are they taken to the army after the trauma? Many young people are concerned about this issue. There are many nuances about this, namely:
- If a young man has a primary dislocation of the shoulder joint, then he is given a respite for 6 months. After that, he must undergo a medical commission, which will assess the expediency of serving in the army.
- A habitual dislocation is the basis for exemption from military service.
- If a young man has a dislocation at least 3 times a year, then in this situation he also does not enter the army.
That is, if the trauma can be observed as a result of moderate physical exertion, the young man is enlisted in the reserve, he receives a military ticket.
Consequences of shoulder injury
Inadequate or insufficient treatment of this pathology usually leads to unpleasant consequences, namely:
- inflammation of the composite bag;
- inflammation of the joint;
- deformation of the head of the humerus.
This can lead to permanent dislocations of the shoulder, even with minor physical exertion. Therefore, it is very important to pay due attention to your health during the rehabilitation period, and also to regularly visit the attending physician who will monitor the recovery process.