Shoulder Dislocation or dislocation is a very common injury in different sports. In most cases, the head of the humerus (top of shoulder) “fall” forward when the arm is folded and placed aside. This so-called front form dislocation, which occurs in approximately in 90% of cases.
Dislocation may also be rear, bottom, upper or chest, although they are very rare, but can cause a number of serious complications and extensive damage to surrounding tissue and organs: muscles, tendons and nerve endings. Posterior dislocation is the second most common form of dislocation, although it accounts for only 3% of all cases. Such injury may occur during epileptic seizures or when falling on an outstretched hand.
Shoulder joint especially prone to dislocation due to its high mobility. For example, dislocations of the elbow, knee, fingers and wrist are much more rare, because the amplitude of their movements is much less.
Some believe that a dislocated shoulder is a minor and completely reversible injury, however, in many cases, there are serious damage to labrum. This ring of cartilage, which is a deepening of the glenoid fossa and acts as a Cup, in which the humerus rests. Damage may result to injury is known as damage Bancaria or even destruction of the adjacent bone (bone damage Bankart). There may also be damage to the surrounding ligaments, tendons, nerves, blood vessels and fractures of other bones.
Isolated habitual shoulder dislocation is a condition in which the shoulder joint is highly unstable and dislocation occurs even at low loads. Primary traumatic shoulder dislocation, inappropriate treatment and rehabilitation can lead to habitual dislocation.
Causes of dislocation of shoulder
The main causes of shoulder dislocations is a direct or indirect impact in the area of the shoulder joint, or more commonly, a fall on an outstretched arm or rotational movement of the hand with application of force. Traumatic dislocation of the shoulder occurs in bodybuilding and powerlifting is pretty rare, however, luxation may present significant problems in strength training. So, the usual loss of the humeral head can occur when you perform presses, pullups and other exercises that involve the shoulder joint.
Symptoms of dislocated shoulder
- the main symptom is sudden onset of pain, and feeling like the shoulder is out of place.
- shoulder joint differently and look different from the other side, usually no still smooth and rounded contour (see photo).
- the patient usually holds the arm against the body, preventing careless driving.
- if the nerve is affected or there is damage to the blood vessels, you may experience stabbing pains and numbness in his hand and a bruise in the joint.
Treatment of dislocation of shoulder
First aid for sprain
Measures and treatments that are performed independently:
- will Cease any movement of the shoulder
- Contact your doctor (immediately call an ambulance)
- Apply ice immediately after injury for 15 minutes
- do Not attempt to reduce the shoulder
- If you relocate the arm in the near future is not possible, then is fixing the garter to eliminate the load and movement in the joint.
Medical care for dislocated shoulder joint
The reduction of dislocation of shoulder is performed only by a qualified technician under anesthesia or anesthesia, sometimes with the use of muscle relaxants. Never attempt to do it yourself, as this may cause serious damage to the joints! Contact your doctor, even if there was a spontaneous reduction, it is necessary to inspect and to exclude a fracture.
Diagnosis of dislocation of shoulder
Ideally, immediately after admission to emergency room is a snapshot x-ray to rule out fracture and to determine the type of shoulder dislocation. If this is not possible, then after returning to the shoulder joint, it is necessary to take this shot.
What to do after reduction of shoulder
After reduction it is recommended that:
- Rest and lack of movement in the shoulder joint within 5-7 days, this is achieved by applying a retentive bandages or splints.
- If there are complications, such as fractures or soft tissue disorders – may need immobilization for a longer period.
- May require the appointment not steroid anti-inflammatory drugs such as ibuprofen or Ketanov for pain relief and elimination of inflammation.
- After a period of complete immobilization is necessary to gradually integrate the shoulder into the work.
- it is Necessary to strengthen the ligaments that support the shoulder joint to prevent repeated dislocation.
- Exercise using light weight dumbbell and expander will fit perfectly on the early stages of rehabilitation treatment of shoulder dislocation.
- Use supplements for joints and ligaments and warming ointment
Surgery for a dislocated shoulder
Surgical intervention is sometimes required in order to prevent subsequent dislocation of the shoulder, or if there was serious damage to muscles, tendons, nerve endings, blood vessels or joints. The operation is normally performed in the shortest possible time after the injury.
In the case of habitual dislocation of the shoulder, surgery may be suggested in an attempt to stabilize the joints by strengthening the ligaments of the joint. There are a number of operational methods that can be proposed for these purposes. The decision as to which of them will be executed, depends on the patient’s lifestyle and its activities. Some procedures result in the decreased mobility of the shoulder, therefore not suitable for athletes participating in those sports where you have to throw a projectile or racket, since this procedure will affect athletic performance.
After surgery sporting activities have to be postponed until full recovery and beyond not to overload the damaged joint.
Rehabilitation after shoulder dislocation
Step 1: After reduction headband type Det.
Purpose: Immobilization (immobilization) to prevent further damage and reduce pain and inflammation, creating conditions of scarring.
- Duration: after the initial dislocation is 4-5 weeks.
- Perform wrist movement and the wrist: rotating the fingers and clenching of hands into a fist to prevent stiffness and to maintain the normal flow of blood in a fixed area,isometric exercises for muscles of shoulder, with emphasis on the deltoid muscle.
- to continue to apply ice regularly to reduce the pain and swelling.
- If prescribed by your doctor, take anti-inflammatory or pain medications.
Purpose: After the cessation of immobilization. The first movements of the shoulder.
- Duration: 2-3 weeks
- Needs to start exercises to strengthen the muscles of the shoulder and shoulder girdle. The range of motion small, painless. The allowable load on the shoulder joint should not cause pain.
- Starting position when doing the exercises should include shoulder support. Avoid combined movements, such as abduction hands to the sides or rotating the shoulder outward, as they can lead to repeated failure.
- Make the motion only if the pain is absent.
- Continue to wear a soft support bandage to the upper limb, and 2 weeks after cessation of immobilization.
- Apply ice after exercise if swelling appears
Purpose: Further strengthening of the shoulder muscles and shoulder girdle.
- Duration: up to 3 months.
- Shows active exercises to restore muscle function of the flexors of the shoulder, adduction of humerus and rotators.
- I. P. supporting and protecting the shoulder joint capsule from rastyagivanie.
- Not in a hurry to restore full range of motion.
- range of motion in fully restored-on-year since the injury.
- Start to give up wearing headbands.
- to Do the exercises with weights and resistance.
Purpose: Return to competitive pressures.
- Duration: 6 months. up to 1 year.
- weight gain the dumbbells and other weights used to strengthen the periarticular muscles of the shoulder joint.
- Start to perform “lead-in” exercises specific to your sport: throws, pushes, simulating shock etc.
- Load increase gradually, controlling the technique of execution exercises. Enter complex coordinated exercises. Avoid stretching of the joint capsule, jerks, loss of movement coordination.