Dislocation of the shoulder: treatment, self-diagnosis, first aid, physician involvement

Dislocation of the shoulder due to the large number of functions of the upper limb, as well as the presence of vulnerabilities in the fixing apparatus is observed quite often. In this case, it is most often observed traumatic dislocation of the shoulder, accompanied by rupture of the capsule and cartilaginous lip.

In this case, with the treatment of dislocation it is worth hurrying, because even with a simple rupture of the capsule of the joint without damage to the cartilaginous lip there is edema and an inflammatory reaction 3-4 hours after the injury is received. In this case, the dislocation can not be quickly corrected, therefore, the need for surgical intervention is increasingly dictated. Therefore, practically everything that is done with a shoulder dislocation is the responsibility of medical personnel and depends on its qualification.

Features of treatment tactics

For such a pathology as a shoulder dislocation treatment is carried out in several stages. The aim of the treatment is to restore the anatomical position of the head of the humerus, as well as the fixation of the limb, the connection of fragments with a dislocation, combined with a fracture.

The first step in getting the damage is fixation: the bandage with a dislocated shoulder is kerchief and is designed to support the limb and reduce its mobility. The patient experiences severe pain, and therefore no adjustments without anesthesia and detailed damage should not be carried out, especially without the participation of a specialist.

Therefore, the victim needs to call an ambulance. The task of a doctor or paramedic on arrival is anesthesia, correct fixation and transportation to the waiting room, because treatment of a shoulder dislocation is necessary in a medical hospital.

In the waiting room, the traumatologist should diagnose a shoulder dislocation, the symptoms of which are the most characteristic signs for diagnosing. At the same time, the conclusion needs to be detailed, having carried out radiographic diagnostics and evaluating the pictures. The position of the humerus, as well as the presence of fragments of the articular cartilaginous lip, is important on them.

Also a snapshot allows you to orient the specialist in relation to the chosen tactics of correction. After its carrying out the limb is fixed with a plaster bandage, the rehabilitation period is carried out. Also, the diagnosis can be made by evaluating the signs of shoulder dislocation.

Shoulder dislocation tactics

This stage of injury treatment has many variations, depending on the position of the head of the humerus. Therefore, how to fix the dislocation of the shoulder, completely depends on the type of dislocation, and also on the qualification of the trauma specialist. The purpose of this stage is to restore the anatomical position of the head in relation to the joint capsule, as well as prevent the development of complications and nerve damage.

The direction of shoulder dislocation is optimally performed under general anesthesia with the use of muscle relaxant succinylcholine. Relaxing the muscles, you can achieve more efficient repositioning, which is much easier than with the preservation of muscle tone.

Anesthesia can be administered either locally or injectively. With local anesthesia, the solution of novocaine is injected into the joint capsule, whereas the essence of general anesthesia is the introduction of omepon or promedol intramuscularly.

All types of repositories, of which there are about 50, are divided into three types: leverage, jogging, and also physiological, based on muscle fatigue. At the same time, this division is conditional, because modern techniques are used in combination of these methods. The classic way is to direct the shoulder dislocation along Kocher, which is completely leverage.

The technique of repositioning is as follows: the patient sits on a chair, the doctor is at the back, covering the elbow joint with a towel that is twisted by a eight. The second hand of the doctor fixes the limb in a bent at right angles state.

Further the limb is stretched axially, it is brought to the trunk, after which the rotation( rotation of the head) is performed by deflecting the forearm outwards. The next step is moving the shoulder fixed at the elbow, forwards and backwards until the elbow joint reaches the center line of the trunk. The final stage - the rotation of the shoulder inside turning the forearm and moving the brush to a healthy shoulder-strap.

Finiteness, if the head has returned to the articular cavity, is fixed with the help of the Deso plaster bandage. It is superimposed on 2-3 weeks in the elderly and 3-4 weeks in young patients. If there is damage to the cartilaginous lip, the dressing can be applied for 6-7 weeks, which is required to prevent the development of the habitual dislocation of the shoulder.

Rehabilitation as a stage of treatment for

For such a pathology as shoulder dislocation, rehabilitation must necessarily be performed by young and elderly patients, which is caused by the performance of a multitude of functions by the upper limb. As soon as soft tissue swelling subsides and there is no pain in the joint, exercises can also be performed with a dislocated shoulder.

Their complex is a exercise therapy, which is prescribed by a doctor. The goal of rehabilitation and exercise therapy is to restore the usual range of muscle contractions, as well as the specific prevention of repeated dislocations.

LFK with a dislocation of the shoulder includes light training, after which, if there are indications and permission from the doctor, the patient should proceed to perform exercises with weights. In this case, the patient should understand that accelerating the transition to more severe exercises is harmful because of the probability of a repeated dislocation. Therefore, it is impossible to accelerate the process, because the harm caused to health can cause the impossibility of performing professional activities.