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Shoulder dislocation is a condition in which the upper arm bone exits from its protective bowl. In some cases, the surrounding tissue may be attracted to hard or tear.
The bullet joints on the shoulder are in a small protective socket (socket). This makes our shoulders move freely in all directions, but at the same time also make its position becomes unstable so easily dislocated.
Shoulder dislocations generally occur on the anterior (front), where most cases occur in elderly people who fall with the arm position away from the body (abduction). Under these conditions, the humerus head (long arm bone) is pulled forward so that it exits the glenohumeral joint (the joint between the shoulder and upper arm). This shoulder dislocation can also be accompanied by fractures of the humerus bone simultaneously.
In addition to the elderly, shoulder dislocation experienced by many men aged 20 who tend to be active in physical activity. This condition also often occurs in people who (e.g in cases of joint hyper-mobility).
To establish a diagnosis of shoulder dislocation, the doctor will usually start with a physical examination and perform an X-ray or x-ray examination. This is done to see the dislocations that occur, the possibility of fractures, or damage to the joints of other shoulders.
In addition, the examination also aims to determine the treatment to be performed. Shoulder dislocation treatment depends on the severity of the shoulder dislocation. Shoulder dislocation requires at least 3 to 4 months to fully recover after treatment.
Signs and symptoms of shoulder dislocation are mostly noticeable. Symptoms include:
- Shoulders change shape. Shoulders tend to look more like boxes, not round as they should be.
- The presence of a lump or a protruding part of the upper arm bone or under the skin in front of the shoulder.
- A very strong pain
- Shoulder joints can not be moved.
- Swelling or bruising.
- The shoulder muscles become tense (spasm). This can further add to the shoulder pain.
In addition, a shoulder dislocation may also cause the area around the point of injury (eg, arm and neck) to become weak, numb, or tingling.
Shoulder Dislocation Treatments
Shoulder dislocation treatments include:
Closed reduction (shoulder position improvement). The doctor will help restore the shoulder bone to the proper position with slow motion. This is done by considering the level of pain and swelling experienced by the patient. If it feels very painful, it should be given sedatives or anesthesia before the repair position is done.
Operation. This action may be performed if the patient has a weak shoulder or ligament joint. Here the doctor will make a small wedge and insert the arthroscope (small hose equipped with camera and light)
Drugs. Doctors will give painkillers or muscle relaxants so that patients feel comfortable when the shoulder is still in the process of healing.
Arm sling. The length of use of a buffer depends on post-dislocation shoulder condition, usually about usually two to three weeks. But total shoulder recovery can take twelve to sixteen weeks.
Rehabilitation. After the shoulder support is released, the rehabilitation program begins to restore the range of movement, strength, and stability of the shoulder joint. If a mild shoulder dislocation without tissue or nerve damage, restoration of the shoulder joint can be achieved within a few weeks.
In addition to treatment from doctors, several ways we can do independently to relieve pain and speed healing, including:
Complications of Shoulder Dislocation
If shoulder dislocation not treated properly, shoulder dislocation can lead to more severe complications, including:
- Muscles, ligaments, and tendons that strengthen the shoulder joints become torn.
- Damage to the nerves or blood vessels inside the shoulder and around the shoulder joint.
- Shoulders become unstable, especially after severe dislocations or recurrent dislocations. This makes the shoulder vulnerable to injury again.