The shoulder joint is the connection between the head of the humerus and the glenoid cavity of the scapula. Congenital (birth) shoulder dislocations and acquired dislocations are distinguished. The latter includes traumatic dislocations (simple and complicated by fractures, with injury to nerves, vessels, tendons). Acquired dislocations can also be non-traumatic in nature – chronic and voluntary.
Causes
The causes of dislocation are mainly indirect – prolonged tense stay of the shoulder in one position, falling on an arm that is extended back or to the side.
Symptoms of Shoulder Dislocation
The patient complains of post-traumatic pain in the shoulder joint area and inability to move the arm, while holding the injured arm slightly extended forward.
Diagnosis of Shoulder Dislocation in Israel
In Israel, the doctor first clarifies the symptoms of the disease and the circumstances of the injury. During a routine examination, the surgeon determines the degree of damage in the dislocation, palpates the position of the head of the humerus, and checks the motor function at the site of injury. After the examination, the patient is required to undergo an X-ray of the shoulder joint, which will help exclude a fracture of the scapula or humerus.
Treatment of Shoulder Dislocation in Israel
Once the diagnosis is established, the joint is first put back in place. In Israel, there are many methods for reducing the joint, which are divided into lever methods, physiological methods (most commonly used in practice, based on stretching the arm), and thrust methods (rarely used, based on gradually pushing the head of the humerus into the joint cavity). The specialist's task is to choose the most effective method with minimal trauma for joint reduction in each specific case. Not all dislocations can be corrected using classical methods. In cases of tendon damage, muscle, and bone injuries, surgical treatment is required. During the operation, damaged tissues are restored, and the joint is returned to its original position. After all types of reduction, the patient is fitted with a splint from the forearm of the healthy arm to the wrist of the injured arm. During the rehabilitation period, patients are prescribed therapeutic exercises aimed at restoring joint mobility.
Prevention
To avoid shoulder dislocation, it is necessary to try to change the position of the arm when it has been in one position for a long time, and not to extend the arm when falling.