The shoulder dislocation shoulder joint is a dynamic and highly mobile joint located between the arm and the body. The ability to move at wide angles in many directions reduces the stability of the joint. Since the socket of the ball joint has a very shallow structure, the shoulder joint can be dislodged much more easily than other joints. In this case, which is called shoulder dislocation, the surrounding tissues supporting the shoulder joint can also be stretched and torn. More than half of the patients admitted to the emergency departments with a diagnosis of dislocation of a large joint have shoulder dislocation. In addition, 1.7 out of 100 people have shoulder dislocations. In the case of shoulder dislocation, permanent damage and pain may occur in the joints as a result of incorrect interventions. Therefore, in the case of shoulder dislocation, emergency services should be applied without any intervention.
What is a shoulder dislocation?
The arm bone is placed in a cup-like socket on the shoulder of the body, forming the shoulder joint. Since it is a mobile joint that can move in many directions, it is common to encounter shoulder dislocation in cases of reverse movements, accidents, and similar situations. Since it is the most mobile joint of the body, the most common type of dislocation in the shoulder joint, which is prone to dislocations, is anterior dislocation, also called Antero.
Recovery time is approximately 12-16 weeks after the raised shoulder is placed in its place. The most common cause of shoulder dislocation is that the shoulder is stretched sideways and is forced outward. In advanced age, individuals with bone and joint disease may take quite a long time to heal dislocations.
What are the symptoms of a shoulder dislocation?
The round head of the arm bone protrudes from its socket in the dislocated shoulder. This condition manifests itself with obvious symptoms.
Symptoms of shoulder dislocation include:
- Inability to move the arm
- Feeling severe pain when trying to move the arm
- The round appearance on the shoulder is replaced by a square-like angular appearance
- The upper arm bone causes a lump or swelling under the skin in front of the shoulder
- Bruising and swelling in the shoulder
- Numbness and tingling
Patients experiencing these symptoms should immediately contact the emergency services and state the problem they are experiencing. The raised shoulder should never be tried to be settled by the patient or their relatives. This condition can cause serious damage to the tissues around the joints, nerves, and blood vessels. While medical assistance is awaited, the upper arm should not be moved as much as possible. A soft object such as a pillow or folded blanket can be placed in the space between the arm and chest edge. If possible, the elbow should be bent at a right angle, using a simple sling to hold the lower arm on the chest.
What are the causes of a shoulder dislocation?
In order for the bone to dislodge, a sudden blow or strong force must be applied to the shoulder. Excessive rotation of the shoulder joint can push the rounded end of the upper arm bone out of the shoulder socket. There may also be partial shoulder dislocations where the upper arm bone is partially removed from the shoulder socket.
Causes of shoulder dislocation include:
- Contact sports activities such as football, hockey, rugby, and sports with falling risk such as downhill skiing, volleyball, and gymnastics
- A hard blow to the shoulder due to accidents or similar reasons
- Hitting the shoulder for reasons such as falling from a ladder, tripping over an object, etc.
Young people in their twenties who tend to be physically active are in the risk group for shoulder arching. However, elderly individuals are not frequently involved in movements that may cause shoulder dislocation, but the recovery time in a possible shoulder dislocation is much longer than young individuals. Therefore, individuals in this age group should be very careful about fractures and dislocations. In order to prevent shoulder dislocation, first of all, care should be taken, besides, individuals who are interested in contact sports should wear protective clothing, and all individuals should exercise regularly in order to strengthen joints and muscles. After a dislocation of the shoulder joint, the joint may become more prone to dislocations. For the management of this condition called shoulder instability, exercises to strengthen the shoulder muscles and joints may be recommended by the physician. The application of these exercises significantly reduces the risk of recurrence.
How is a shoulder dislocation diagnosed?
X-ray examination must be performed before the first intervention is performed in patients who apply to emergency services with history and symptoms indicating shoulder dislocation. After the shoulder dislocation is fully diagnosed after the x-ray is taken, the direction of the dislocation can be determined and it can be determined whether there is a fracture. The shoulder joint can be easily replaced by the physician. After this procedure, if there is severe pain in the patient, the shoulder area should be examined in detail by magnetic resonance (MRI) examination after the treatment applications are performed. Whether there is any injury to the bone, soft tissues, ligaments, and tendons can be seen in this way. Damage to the shoulder joint or surrounding nerves and blood vessels may occur due to a dislocation in the shoulder.
What are the treatment methods for shoulder dislocation?
In shoulder dislocations, after the joint, which is removed by the method called reduction, is slowly placed in its place, the shoulder area is evaluated with the help of medical imaging methods. If there are fractures in the bones, surgical operations and orthopedic care may be required in some cases for their treatment. It can also be confirmed whether the bone is at the required angle after the reduction procedure. In some people, as a result of shoulder dislocation, tears may occur in the ligaments, tendons, and tissues around the joint. Surgical operations may also be required for the repair of such tissue damage. Surgical treatment practices in patients with tissue damage also help prevent recurrence of shoulder dislocation. Surgical requirements for the repair of tissues in the shoulder are performed under general anesthesia. Usually, small incisions are opened and the operation is performed using a thin tube with a light and camera at the end. In a small number of operations, especially if there is a possibility of repetitive dislocation, an open operation is preferred and the bones are moved as desired. If the tissues are excessively developed but are not torn, non-surgical treatment can be provided by doing strengthening exercises.
After the shoulder is in place, it may need to be suspended for several days. Pain medication can be used to relieve pain. Generally, a control appointment is made after a certain period of time and the shoulder joint is checked again in this examination. Physical therapy applications may be required in certain cases. After the treatment, it takes 12 to 14 weeks for the shoulder to recover completely and return to its old form. Most physical activities can be done 2 weeks after treatment. However, a period of 6 weeks to 3 months should be waited to start heavy lifting and sports activities. The necessary information about these periods is provided by the treating physician. It may take up to 4 weeks for physically employed people to return to work.
If you also have symptoms of shoulder dislocation or if you have recurrent shoulder dislocation problems, you can apply to a healthcare institution and have the necessary examination and diagnostic tests and protect your health.
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