Traumatology >>>> Habitual dislocation of the shoulder

Habitual dislocation of the shoulder.

Habitual dislocation of the shoulder is a pathology that often occurs after the treatment of a traumatic dislocation of the shoulder or dislocation resulting from inflammatory processes occurring in the joint during infectious diseases, tumors, osteomyelitis, osteochondropathy or other rheumatic diseases, and associated with insufficient restoration of the articular mechanism and the development of its instability. Joint tissues: the ligamentous apparatus, muscles, capsule during the healing period experience tension, which leads to an imbalance in the mechanism of the joint and further provokes dislocation in the most common situations not related to trauma.

Any abduction of the arm back at the moment of throwing, throwing the arm back during sleep, or other similar situations lead to a displacement of the articular head. Often, patients on their own or with the help of strangers cope with the reduction of the usual dislocation of the shoulder.

Treatment of a habitual shoulder dislocation requires surgery. There are several of the most common surgical treatments for recurrent shoulder dislocations:

Joint capsule suturing operation,
Artificial creation of additional ligaments that fix the articular head,
Bone surgery to create additional bone margins to restrict the path of movement of the articular head of the humerus,
An operation to change the length of muscle tissue, which allows limiting movements that cause the articular head to go beyond its normal path of movement,
Combinations of several surgical options.

The choice of surgical method depends on possible damage to the tendons, joint capsule or bone structures of the joint.

Of great importance in correcting dislocation of the shoulder joint is the period of rehabilitation of the patient after surgery. It is during this period that the regeneration processes form the injured tissues of tendons, muscles, capsules (without scars or with scarring), which will affect the mobility of the joint in the future.

Shoulder rehabilitation and recovery steps include:

immobilization of the shoulder joint for a period of up to 7-10 days,
anti-inflammatory therapy and cool compresses to relieve swelling,
light warm-up exercises to restore joint mobility,
restriction in the sets of movements performed (do not simultaneously pull the arm back or to the side and move the shoulder),
gradual transition to more complex movements in the shoulder joint,
limiting the stress on the joint in the form of lifting weights or supporting the arm.

The methodical implementation of rehabilitation measures allows you to restore the correct movements in the shoulder joint and avoid the resumption of its dislocation in the future.