The shoulder joint is one of the most moving parts of the human body. Thanks to this joint, a person is able to do many different movements. Therefore, it is susceptible to various damages. One of them is a dislocation of the shoulder joint, which is observed in many patients, what this pathology is and how to treat it should be considered in more detail. The code for the ICD 10 of this disease is S43.
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Dislocation of the shoulder: symptoms
Trauma of this nature is always accompanied by acute pain in the joint site. Also, the victim can feel such ailments:
- 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 place of displacement of the head of the head.
It's important to remember! In case of trauma of this nature, the victim needs urgent medical attention!
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. With the injured, it is required to conduct such measures:
- do not take any actions to reposition the joint by themselves without a specialist;
- fix the patient arm with a bandage;
- apply to the injured part of the cold, only if the dislocation occurred without open wounds;
- if an open wound is present, it is necessary to treat it with an antiseptic;
- patient should take pain medication to ease the condition;
- deliver the victim to the trauma department of the hospital.
It's important to remember! When transporting a patient to a hospital, you should provide him with maximum peace!
Classification of shoulder dislocation
Depending on the cause of shoulder injury, the following types are distinguished:
- Traumatic dislocation. It is observed as a result of certain injuries: a fall or a blow. The damaging factor promotes rupture of the joint tissue.
- Primary shoulder dislocation. Based on the name, such a trauma occurs for the first time in life. However, its cause does not really matter.
- Sphased dislocation. By this term is meant a trauma received more than 1 month. Usually observed with improper or inadequate treatment.
- 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, blood vessels, nerve endings and tendons are susceptible to rupture. Such a dislocation is eliminated exclusively through surgical intervention, which is aimed at the restoration of these tissues.
- Pathological dislocation. It is observed with a certain disease or inflammation of the connective tissue. Trauma in this case can be obtained even with minor shoulder strain.
- 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.
It's 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 determine the dislocation? Visual signs may raise doubts about the diagnosis. After all, only an expert can accurately determine the pathology. To do this, a traumatologist conducts a patient interview, makes a detailed examination of the shoulder area. 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.
Dislocation of dislocation
The first action that 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 bring unbearable painful pain. Correction methods:
- Direction of shoulder dislocation along 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 of Hippocrates-Cooper. It is rarely used, as it is required in especially severe cases.
- Method of Chaklin. One of the most traumatic ways, therefore, is used for a dislocation, which is accompanied by a fracture of the humerus.
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 repositioning
After correcting the dislocation, it is required to begin effective therapy that will help restore the normal functioning of this part of the body. 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 the inflammatory process can begin, which can be eliminated only by surgical method. Also, surgical intervention is required for extremely severe dislocations with rupture of tendons, blood vessels and nerve endings.
Then immobilization of the injured part is done, which is a fusion of ruptured tissue and restoration of the joint lip. It is a fixation of the shoulder joint. To do this, use a bandage, which firmly presses the joint of the joint to the surface of the desired bone. How long does the treatment last? Wearing the bandage is about 3 weeks.
Rehabilitation after dislocation of
The rehabilitation period is an integral part on the way to full recovery. To bring the shoulder joint into a normal state, it is necessary to carry out the following measures:
- Physiotherapy. In modern times, these kinds of effects are used: magnetotherapy, ultrasound treatment, phonophoresis, electrophoresis, laser therapy, and massage.
- Therapeutic exercises. LFK is aimed at strengthening the muscular tissues 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.
It's important to remember! The strict fulfillment of all the prescriptions of the attending physician will help to restore as quickly as possible the head of the puppy joint!
Shoulder joint dislocation and army
Are they taken to the army after a 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 pass a commission, which will assess the expediency of serving in the army.
- Dislocations of a chronic nature provide for exemption from service.
- If a young person 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:
- bone tissue damage;
- inflammation of the joint;
- deformation of the head of the humerus.
This leads 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, as well as to regularly visit the attending physician who will monitor this process.
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