Shoulder Injury

Medicine1


The humeral girdle is formed by paired bones - a scapula, a clavicle, and also the muscles connecting the trunk with the upper limbs. One of the most common injuries of the shoulder girdle is a fracture of the clavicle. Usually a fracture occurs when it falls on the shoulder or an elongated arm. In newborns, fracture of the clavicle is the result of birth trauma. Unfortunately, it is not uncommon for a fracture to damage the nerves of the brachial plexus, which leads to paralysis of the hand.

Another common shoulder injury is a dislocation of the shoulder joint. It happens when you fall on an elongated and laid aside arm. Such a dislocation is very painful, but it is fairly easy to adjust without leaving consequences. Partial dislocation of the shoulder is observed in persons who previously had a traumatic dislocation, and it occurs quite often. Many people put it on their own.

The main cause of damage to the shoulder joint is its anatomical structure. The head of the humerus has a rounded shape, and the joint cavity is flat elliptical. This provides mobility of the joint, but it is not very stable. There are other injuries of the shoulder - bruises, sprains, dystrophy. Most of these injuries occur during sports, when doing hard physical work or in case of accidents. Fractures of clavicles occur more often than fractures of scapula. The scapula lies deep under the muscles and is suspended, attached to the muscles and connective tissues.

Symptoms

  • Pain in the shoulder.
  • Limited mobility of the joint.
  • Wrong position of the head of the humerus.

Causes

Among the most common causes of shoulder injuries can be identified mobile games and sports. The load on the ligaments increases, they become strained, and one sharp movement or shock is sufficient, leading to dislocation of the joint. These injuries are especially common in people who often have to raise their hands during work and keep them raised for a long time (painters, painters, plasterers, car mechanics, etc.). When the hand is in the raised state, the head of the humerus is especially weakly retained in the joint cavity.

Treatment

When diagnosing a dislocation of the shoulder joint, the doctor usually performs a simple procedure of correcting the dislocation. The slipped head of the humerus is returned to its place in the articular cavity. This procedure is short-lived, but it is rather painful. In exceptional cases, the doctor may administer pain medication. Then the hand, as with a dislocation of the shoulder joint, and with a fracture of the collarbone, it is necessary to immobilize. To do this, a special bandage is applied - the hand is suspended on a kerchief or is bandaged to the trunk, sometimes plaster (if the joint was injured before or the joint capsule is damaged). In severe injuries, an operation may be required in which the ligaments of the joints are shortened or replaced with artificial joints.

A person injured in the shoulder girdle experiences severe pain. In addition, the mobility of the hand is impaired. Therefore, the patient will soon have to consult a doctor.

If there is a dislocation of the joint, the doctor must take the necessary measures as soon as possible. Non-directional dislocation causes increased pain, limited mobility of the joint.

The doctor can easily diagnose a dislocation of the shoulder joint on the basis of characteristic symptoms. The injured shoulder is lengthened compared to the healthy one. In place of the head of the shoulder is defined as a wiggling, the head is palpated in the axilla.

Joint dislocation (especially if it happened in case of an accident, for example, when falling) can be accompanied by a fracture or a crack. Therefore, before fixing the shoulder or taking other measures, the doctor will take an X-ray.

Injuries to the shoulder are particularly painful. You need to take them seriously. They can cause arthrosis. In addition, the mobility of the joint sharply decreases.

 

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