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11.09.2014

Dislocated shoulder treatment, belly fat burning food - Try Out

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The shoulder has unique and complex anatomy that allows range of motion and coordination needed for reaching, lifting, throwing, and many other movements. With an anterior dislocation, the head of the humerus is driven forward from inside the glenoid cavity to a place under the coracoid process.
When the shoulder dislocates posteriorly, the head of the humerus moves backward behind the glenoid. Tears or ruptures of the rotator cuff are the most common injuries that lead to shoulder dislocation. Once the shoulder has been dislocated the first time, there is a high probability (90 per cent chance) of a second shoulder dislocation (recurrence). Most people with a shoulder dislocation experience sudden, severe pain in the shoulder after a fall, injury, or other traumatic event.
With an inferior dislocation, it is difficult (and sometimes impossible) to bring the arm down to the side.
One simple technique to reduce an anterior shoulder dislocation is done in the prone (face down) position. If passive positioning doesn't work for an anterior dislocation, then a general anesthetic is administered and traction is applied to the upper limb. Some patients who have recurrent dislocations know how to pop the joint back in place without help. Recurrent dislocation is the most common complication after dislocation, especially in young people. If the shoulder can't be reduced manually or if a sling and rehabilitation program does not control symptoms of instability, then surgery may be suggested.
There are many different ways to repair a chronically unstable shoulder following a first dislocation or after many recurrent shoulder dislocations.
Shoulder reconstruction surgery may be done with an open incision method or with the aid of an arthroscope. Older adults who have a fracture and shoulder dislocation may need a shoulder replacement instead of shoulder reconstructive surgery to reduce the dislocation and repair the fracture. As your symptoms ease and strength improves, you will be guided in specialized exercises to improve posture, shoulder stability, and normal motor control. You can return to your sporting activities when your muscles are back to nearly their full strength and control, you are not having swelling that comes and goes, and you aren't having problems with the shoulder popping out of the joint. Most doctors have their patients take part in formal physical therapy after shoulder reconstruction. 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.
A figure-eight strap is used for at least six weeks after closed reduction for a posterior dislocation of the SC joint.


Most dislocations are anterior (forward) but the shoulder can dislocate posteriorly (backwards).
The main shoulder joint, called the glenohumeral joint, is formed where the ball of the humerus fits into a shallow socket on the scapula.
The sternoclavicular (SC) joint supports the connection of the arms and shoulders to the main skeleton on the front of the chest. An inferior dislocation describes the position of the humeral head down below the glenoid cavity.
Forceful abduction, external rotation, and extension are the most common load resulting in shoulder dislocation. The force of the first dislocation dislodging the head of the humerus forward leaves a pocket formed by sagging soft tissues that the humeral head can slip back into. This type of apprehension is present when instability remains after the shoulder has been reduced (manually put back in place). Any of these injuries in the shoulder complex can lead to (and will be present along with) shoulder dislocation.
When there is a shoulder dislocation, the normal rounded contour of the shoulder and upper arm is lost. A positive apprehension test is very diagnostic of an unstable shoulder that might dislocate again after a first dislocation injury. Several views may be needed to reveal the exact direction of the dislocation and fracture lines when present. A log, thin scope with a tiny fiber-optic TV camera on the end is inserted into the shoulder joint, allowing the orthopedic surgeon to look at the structures inside the joint directly. The arm is held in a position of shoulder abduction (away from the body) while lateral (sideways) and backward pressure is applied to the head of the humerus. This is done to reduce swelling, strengthen the muscles, and stabilize the shoulder as much as possible before surgery.
Range-of-motion exercises should be started right away with the goal of helping you swiftly regain full movement in your shoulder. 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%. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. It takes a lot of force to cause a posterior dislocation due to the strength of the ligaments behind the joint.
The scapulothoracic joint is formed where the shoulder blade glides against the thorax (the rib cage). Posterior and inferior shoulder dislocations only account for about five to 10 per cent of all shoulder dislocations. Muscles, ligaments, and the bony anatomy of the shoulder all work together to maintain shoulder stability and prevent dislocation. A fall on an outstretched hand or directly on the posterolateral aspect (back and side) of the shoulder can cause an anterior dislocation.
Some people with very lax ligaments can dislocate the shoulder and reduce it over and over.


Many health care professionals (especially those trained in emergency procedures) know how to manipulate the shoulder back into the socket. When conservative care is unable to restore shoulder stability and normal function, then surgical intervention may be needed.
Restoring normal motion and function and preventing recurrent dislocations are important outcomes of surgical intervention.
The arthroscope is used to view the inside of the shoulder joint as the surgeon performs the work. Symptoms are addressed in the acute phase but restoring normal function rather than eliminating symptoms is the focus for chronic shoulder instability.
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. The specific type of dislocation is based on the position of the humeral head in relation to the glenoid (shoulder socket) at the time of the diagnosis.
This joint is important because it requires that the muscles surrounding the shoulder blade work together to keep the socket lined up during shoulder movements. In the shoulder, the joint capsule is formed by a group of ligaments that connect the humerus to the glenoid.
These muscles help raise the arm from the side and rotate the shoulder in the many directions.
Violent uncoordinated muscle contractions during a grand mal seizure can also cause shoulder dislocations. Under anesthesia, the shoulder is rotated outwardly and forward pressure is applied on the dislocated humeral head.
The soft tissues must be given enough time to heal and form scar tissue to support and stabilize the shoulder joint. 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.
After a second dislocation, frequent recurrence of shoulder dislocation can occur with less and less force, load, or stress. For example, instead of the greater tuberosity (bony bump along top of shoulder), there is a gap under the acromion. At that point, the test is considered positive for shoulder instability and therefore discontinued.
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.
The labrum creates a deeper cup for the ball of the humerus to fit into and helps prevent dislocation. The rotator cuff muscles and tendons also help keep the shoulder joint stable by holding the humeral head in the glenoid socket.
The head of the humerus may be observed and felt as a large bump in front or behind the shoulder. Sometimes, doctors use arm weights on the side of the dislocation to make it easier to extend these tight muscles.



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