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03.09.2014

Dislocated shoulder pain, benefits of soy protein - PDF Review

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In the shoulder joint, the head of the humerus (upper arm bone) sits in the glenoid fossa, an extension of the scapula, or shoulder blade. Dislocations of the shoulder occur when the head of the humerus is forcibly removed from its socket in the glenoid fossa. In some cases, a shoulder is dislocated when the arm is pulled or twisted with extreme force in an outward, upward or backward direction. Anterior dislocation — The top of the humerus is displaced forward, toward the front of the body. Shoulder dislocations are the most common joint dislocation seen by emergency room doctors, accounting for more than 50% of all dislocations treated in hospitals. A distortion in the contour of the shoulder — In an anterior dislocation, the side silhouette of the shoulder has an abnormal squared-off appearance instead of its typical sloping, rounded contour. A hard knob under the skin near the shoulder — This knob is the top of the humerus that has popped out of its socket. The doctor will examine both shoulders, comparing your injured shoulder with your uninjured one. If the results of your physical examination suggest that that you have a dislocated shoulder, your doctor will order shoulder X-rays to confirm the diagnosis.
Once your displaced humerus is slipped back into its socket, your ability to move your shoulder probably will improve immediately, and the full range of motion should return fully within six to eight weeks if you faithfully follow an exercise program. If you have had a dislocated shoulder, you may be able to prevent a repeat injury by doing shoulder strengthening exercises recommended by your doctor or physical therapist. When the arm bone is forced out of its socket, it remains attached to the muscles of the shoulder blade and upper chest. Once your shoulder joint is back in its normal position, you will rest your arm in a sling for one to four weeks. If you continue to have severe shoulder pain after closed reduction or if your injured shoulder is loose and unstable in spite of physical therapy, you may need surgery to repair the fibrous tissues that support your shoulder joint. Call your doctor immediately if you cannot move your shoulder after a fall or other traumatic injury or if your shoulder is painful, swollen, tender or unusually shaped.
The outlook depends on many factors, including the severity of your shoulder injury, your age and your participation in athletic activity.
If you are an adult and have an uncomplicated shoulder dislocation, your risk of a second dislocation is low, with repeat dislocations occurring only about 25% of the time for people in their 30s and even less often for older age groups.
Disclaimer: This content should not be considered complete and should not be used in place of a call or visit to a health professional. The shoulder is made up of three bones: the scapula (shoulder blade), the humerus (upper arm bone,) and the clavicle (collarbone).


The most common method for surgically stabilizing a shoulder that is prone to anterior dislocations is the Bankart repair. Because the glenoid fossa (fossa = shallow depression) is so shallow, other structures within and surrounding the shoulder joint are needed to maintain its stability. Ninety percent or more of shoulder dislocations are anterior dislocations, meaning that the humeral head has been moved to a position in front of the joint. Even in these cases, however, there still needs to be some force applied to the shoulder joint to make it dislocate. On occasion, this type of dislocation can occur with minimal injury in the elderly, and because X-rays may not easily show a posterior dislocation, the diagnosis is often missed should the patient present for evaluation of shoulder pain. The ball is the rounded top of the bone in the upper arm (humerus), which fits into the socket — the cup-shaped outer part of the shoulder blade. This is the most common type of shoulder dislocation, accounting for more than 95% of cases. Posterior dislocations account for 2% to 4% of all shoulder dislocations and are the type most likely to be related to seizures and electric shock. This type of shoulder dislocation is the rarest, occurring in only one out of every 200 cases.
Young adult men and older women tend to be the groups with the highest rate of shoulder dislocations. Occasionally, the dislocation occurs after ordinarily harmless motions, such as raising an arm or rolling over in bed.
The doctor will check for swelling, shape changes, abrasions, bruising, pain when you move, tenderness and limited motion at the shoulder joint. Although most shoulder strength usually returns within three months, regaining full strength may take up to one year.
Once you have dislocated your shoulder, you are more likely to dislocate it again, particularly if you play a contact sport.
These muscles pull the arm bone against the shoulder and chest, even when the bone is out of its socket and off center.
For example, if you are a teenaged athlete and you play contact sports, such as football or hockey, after a shoulder dislocation, your overall risk of a second shoulder dislocation may be as high as 90%. Nearly all dislocations are anterior dislocations, meaning that the humerus slips out of the front of the glenoid.
Posterior dislocations are those in which the humeral head has moved backward toward the shoulder blade. When the top of the humerus moves out of its usual location in the shoulder joint, the shoulder is said to be dislocated.


In other cases, a shoulder dislocation is the result of a fall on an outstretched arm, a direct forceful blow to the shoulder, a seizure or a severe electric shock.
Posterior dislocations also can happen because of a fall on an outstretched arm or a blow to the front of the shoulder.
In these mysterious cases, the real cause may be that the shoulder ligaments are abnormally loose. The doctor will gently press and feel the area around your shoulder to locate the displaced head of the humerus under the skin. You also will begin a physical therapy program to restore the normal strength and range of motion in your shoulder joint. Repeat injury may make your shoulder unstable enough that it needs to be repaired with surgery.
Other rare types of dislocations include luxatio erecta, an inferior dislocation below the joint, and intrathoracic, in which the humeral head gets stuck between the ribs. A related injury called a shoulder subluxation occurs when the top of the humerus is only partially displaced and not totally out of its socket. Seizures and shock can cause shoulder dislocations because they produce extreme, unbalanced muscle contractions that can wrench the humerus out of place.
Loose ligaments are sometimes due to an inherited condition that can increase a person's risk of dislocation in other body joints as well. In addition, because many important blood vessels and nerves travel through your shoulder area, your doctor will check the strength of the pulses at your wrist and elbow and check your muscle strength and your response to touch on your arm, hand and fingers. Surgery usually restores the shoulder's stability and reduces the risk of future dislocation to 5% or less.
The rotator cuff muscles and the tendons that move the shoulder provide a significant amount of protection for the shoulder joint. In particular, your doctor will look for numbness on the outside of your upper arm, a sign of injury to the axillary nerve, which is vulnerable to injury in a shoulder dislocation. Sometimes, doctors use arm weights on the side of the dislocation to make it easier to extend these tight muscles.



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