Straighten shoulder

Dislocation of the shoulder joint refers to a painful injury that causes short-term disability – the movement of the hand becomes almost impossible until the joint is in place. Due to the fact that the shoulder joint is very mobile, the shoulders are subject to frequent dislocations. Also during the fall, people put out their arms outstretched, which is why the articular bone takes an unnatural position.

If a person has this injury, it is best to trust the reduction of dislocation of the shoulder to an experienced medical professional, but in emergency cases it is allowed to perform this task yourself. If the injured shoulder is not repaired in a timely manner, then the victim may need surgical intervention.

Independently carry out a shoulder reduction, it is possible if the patient does not have the opportunity to get to the emergency room and get specialist help in the coming hours.

But if there is the slightest chance to get qualified help within half a day, then it is better to wait and try to stop the discomfort with ice, painkillers and a bandage. If the expectation of medical care takes much longer or you can not do without shoulder mobility in order to get to the hospital, then in this case it is allowed to straighten the shoulder yourself.

But it should be remembered that the following complications may develop:

  • additional rupture of muscles, ligaments or tendons;
  • trauma to nerves, blood vessels;
  • bleeding;
  • severe pain, loss of consciousness.

In mild cases, a joint can be put in place with virtually no pain, especially if the doctor is performing this procedure. Treatment is preferably carried out after examination. Radiography is undesirable to ignore. With its help, you can see the degree of damage to the soft tissues and the presence of scrap.

As a rule, the victim suffers with anterior dislocation of the shoulder – the bone is shifted forward or into the armpit. And only in 2% of cases this displacement occurs backward.

Different methods are used in medicine for the treatment of shoulder dislocations. The choice depends on the type of injury, the age of the patient, the strength of his muscles, as well as the skill of the doctor. The four most common methods are:

  • shoulder reduction by the Hippocrates-Cooper method;
  • medical tactics according to Chaklin;
  • Kocher technique;
  • reduction of dislocation by the method of Janelidze.
Shishkevich Vladimir, orthopedic Shishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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The content of the article:
  1. How to correct shoulder dislocation
  2. Hippocrates – Cooper
  3. Kocher method
  4. According to Chaklin
  5. Methodology Janelidze
  6. How to correct the shoulder joint without the help of a specialist
  7. Treatment after reduction
  8. Rehabilitation
  9. First a >
  10. Types of dislocations
  11. Diagnostics and first aid
  12. symptomatology
  13. Waiting for a doctor
  14. How to straighten the shoulder joint yourself
  15. Methods of self-adjustment of the shoulder joint
  16. Circular rotation
  17. With the knee
  18. Direction of the shoulder joint with an assistant
  19. Joint recovery after dislocation
  20. conclusions
  21. How to correct the shoulder joint
  22. Dislocation Dislocation
  23. Shoulder dislocation
  24. First aid
  25. Reduction methods
  26. By Hippocrates-Cooper
  27. By Janelidze
  28. According to Chaklin
  29. According to Kocher
  30. How to straighten a dislocated shoulder
  31. When is help needed?
  32. Features of the reduction
  33. Janel >
  34. Kocher method
  35. Chaklin’s technique
  36. Hippocrates-Cooper Technique
  37. Rehabilitation
  38. First a >
  39. Types of dislocations
  40. Diagnostics and first aid
  41. symptomatology
  42. Waiting for a doctor
  43. How to straighten the shoulder joint yourself
  44. Methods of self-adjustment of the shoulder joint
  45. Circular rotation
  46. With the knee
  47. Direction of the shoulder joint with an assistant
  48. Joint recovery after dislocation
  49. conclusions
  50. Reduction and further treatment of dislocation of the shoulder joint. Symptoms Prophylaxis.
  51. The structure of the shoulder joint.
  52. Causes of dislocation.
  53. Types of dislocation of the shoulder joint.
  54. Habitual dislocation.
  55. Traumatic.
  56. Front dislocation.
  57. Lower.
  58. Anterior, posterior.
  59. The most traumatic sports
  60. Symptoms of a dislocation of the shoulder joint.
  61. First aid
  62. Diagnostics.
  63. Treatment of dislocation of the shoulder joint.
  64. Diagnostic arthroscopy of the shoulder joint.
  65. Rehabilitation after dislocation of the shoulder joint.
  66. Preventative measures.
  67. You might be interested in:

How to correct shoulder dislocation

Hippocrates – Cooper

The direction of the shoulder joint by this method is considered the simplest. One person can carry out the manipulation. The patient should take a position lying on his back, and the doctor sits by the injured limb. After that, he holds the patient’s hand with both hands and presses on the axillary zone with his bare foot, while stretching his arm. To reduce the risk of complications, both movement data must be performed as simultaneously as possible.

Kocher method

The direction of shoulder dislocation according to Kocher is prescribed if the victim is firmly complex and his pathology is uncomplicated. Reducing dislocation in this way requires a lot of effort and at least two people. Such treatment for dislocation is contraindicated in older people and those who suffer from osteoporosis.

The method is divided into four stages, the implementation of which is carried out in the following order:

  1. The doctor holds the lower part of the injured hand of the victim with one hand, and holds the elbow with the other, bending it at an angle of 90 degrees. Then he brings the elbow to the patient’s body and extends his arm along the axis, while the second doctor firmly fixes his forearm.
  2. The anatomical position should be returned to the joint until it becomes in place of the frontal plane. A loud, characteristic click means that the rotation was successful.
  3. At the next stage, the doctor carefully takes the forearm slightly forward and up. The elbow area, at this time, is firmly pressed to the body.
  4. In conclusion, the doctor, using sudden movements, sets the joint inward. Instead of leverage, the patient’s forearm is used. The victim’s hand is placed on the healthy shoulder area, and the forearm is pressed to the chest and fixed in this position.

According to Chaklin

Chaklin’s method is used for complex injuries that are accompanied by fractures. This species is less traumatic for the tissues, but it gives severe pain to the victim. Therefore, the procedure is carried out using painkillers.

The patient lies on his back, and the doctor with one hand grabs the forearm at the elbow, extending his hand towards himself. With the other hand, presses into the armpit, trying to return the head of the humerus to its place.

Methodology Janelidze

When setting the damaged area of ​​the shoulder by the Dzhanelidze method, the patient lays on the table with the damaged side. At the same time, it is important that the extreme part of the table accurately fits into the armpit, and the injured limb hangs.

The victim’s head is on another table. In this state, he should remain for about fifteen minutes. This is necessary for maximum relaxation of the shoulder girdle. Further, the traumatologist firmly embraces the patient’s forearm and puts pressure on the place located near the elbow and also carries out gentle pressure on the shoulder joint, while doing circular movements. Reduction of dislocation of the shoulder according to the method of Janelidze is carried out as quickly as possible and without severe pain.

Next, it is necessary to immobilize this area – a specialized bandage is applied to the upper limb, with which the arm is firmly fixed on the chest. After these manipulations, it is necessary to conduct a repeated x-ray in order to fully verify the absence of any complications.

How to correct the shoulder joint without the help of a specialist

Quite often, a person asks a question – how to straighten a dislocated shoulder with your own hands? Quite often, damage to the shoulder girdle occurs when the victim is away from medical facilities – in the country or in nature. In this case, you can straighten the shoulder yourself, since a long incorrect position of the joint can be dangerous. In this case, a person must understand what consequences this may lead to.

There are various ways to reposition a dislocation of the shoulder on their own. It is easiest to carry out this manipulation to a physically strong person, since tense muscles will interfere with returning the joint into place. The victim needs to lean forward a little. In this position, the forearm drops slightly and the injured arm hangs freely.

The assistant should stand behind the patient, take his forearm and turn his hand palm forward. Then slowly begin to pull the hand away from you – down and at the same time lifting it up. Sudden movements must not be allowed. If severe pain occurs, stop the procedure.

It is much easier to adjust the joint when the victim is on his back, and the injured arm hangs down. The assistant grabs the wrist and pulls the hand along the axis of the shoulder towards himself. At the same time, an extension in the opposite direction should occur in the region of the shoulder joint. To do this, a large towel is pushed under the shoulder, and another person pulls at its ends.

Injury can occur when there is no one to help the patient. He may try to help himself on his own. But it is advisable to do this immediately after an injury. It is difficult to straighten the dislocated shoulder yourself, but it is possible.

To do this, it is better to lie on your stomach so that the damaged arm hangs down and take a load of 1 to 2 kg with it and wait. Under the influence of gravity, the shoulder will fall into place.

Other methods can also be applied:

  • The damaged limb is bent in the elbow and pulled forward to form a ninety degree angle between the forearm and the body.
  • The hand should be taken as far as the injury allows, and without changing the previous position of the forearm.
  • Raise the limb up so that the palm is exactly above your head. This manipulation must be done slowly, using the opportunity of the shoulder joint to the maximum.

Treatment after reduction

After the shoulder was adjusted on its own, it is necessary to get medical help – to do an x-ray or CT. This is necessary to assess tissue damage and the correctness of the procedure.

After the dislocation is repaired, a pressure bandage should be applied that will fix the joint and prevent its re-displacement. This immobilization lasts for a month. In old age, you should start moving your arm as early as possible, since prolonged immobilization can develop muscle atrophy and joint contracture.

In case of complicated injuries, when the dislocation is accompanied by a fracture or rupture of ligaments, gypsum is applied for up to 3-4 weeks. Remove this bandage after re-examination.

Then the doctor prescribes a rehabilitation course – physiotherapy, massage, physiotherapy exercises. All recovery methods, special exercises are selected individually and are aimed at returning the victim to his usual way of life.

Rehabilitation

Important! Successful independent reduction of dislocation does not relieve the victim from visiting a doctor. Compliance with all its requirements will significantly accelerate the recovery period, return the limbs to their previous working capacity, and also strengthen the shoulder joint.

Do not delay with the diagnosis and treatment of the disease!

First a >

Subluxation or dislocation of the shoulder joint is a very common household injury. Therefore, how to straighten your shoulder yourself or help the victim should know if not everyone, then as many people as possible. Often such injuries occur on vacation, away from medical centers, and you have to cope without doctors.

Types of dislocations

The shoulder joint is the third largest joint of the human skeleton, formed by the shoulder blade and head of the humerus.

Dislocations are of various nature and severity:

  1. Habitual – a dislocation that is repeated periodically due to an anatomical disorder, trauma at birth, or as a result of an unqualified reduction of a traumatic dislocation;
  2. Traumatic dislocation – occurs due to mechanical stress on the joint.

The severity of the injury is determined by:

  • Dislocation – when, when the head exits from the humerus, the ligaments, joint capsule, and often adjacent muscles of the shoulder are damaged;
  • Subluxation is a small departure of joint bones from each other with trauma to the ligament system, but without ruptures of soft tissues. The danger of subluxation lies in its apparent safety. Often it can be taken simply for a bruise and not seek timely help, which can subsequently affect the health of the joint.

Diagnostics and first aid

Dislocation of any joint is extremely painful and leads to complete immobilization of the limb. Reduction of the dislocation must be done very quickly, literally in the first 5-10 minutes after the head falls out, otherwise the edema and muscle spasm will not allow us to provide the necessary assistance and surgical intervention may be required in the future.

symptomatology

Violation of the shoulder anatomy occurs after a sharp push of an outstretched arm or a strong blow to the back in the joint. After the characteristic clap with which the bone leaves its place, the victim feels a sharp piercing pain.

  • Deformation;
  • Hematomas;
  • Hollow on the delto >

Waiting for a doctor

If it is possible to entrust the reduction of shoulder dislocation to specialists within 12 hours, then do not try to do this complicated procedure, it is better to provide first aid to the victim.

  1. Fix the hand motionlessly bent at right angles with a bandage. Any improvised means can be a bandage – scarves, belts, clothes, bedding. The forearm and elbow are conveniently located inside the bandage, the ends of which are fixed on the neck so that the forearm is at chest level. This will avoid involuntary movements, fraught with severe pain; and undesirable consequences in case of nerve rupture, vascular damage or bone fracture;
  2. Apply cold – ice, frozen food, or a damp cloth to the injured area. Due to the narrowing of blood vessels, cooling inhibits inflammatory processes, reduces bleeding and relieves pain. Ice should be crushed for a better fit to the surface, sprinkled in a plastic bag and wrapped in a soft, dry cloth so as not to harm the skin. Keep the compress on dislocation for 15-20 minutes per hour;
  3. Unbearable pain caused by trauma and muscle spasm can lead to pain shock, so you need to offer the victim a painkiller or muscle relaxant. When choosing a drug, the nature of the injury should be considered. In case of open or internal bleeding, determined by bruising and hematomas, Naproxen and Ibuprofen should be discarded. These drugs anesthetize well, but thin the blood, increasing bleeding. Also, do not mix several drugs without knowing their compatibility.

If the circumstances are such that “the salvation of drowning people is the work of the drowning people themselves” and there is no place to wait for help, it’s quite worthwhile to know how to straighten your shoulder yourself. But such knowledge should be applied only in the most emergency situations.

How to straighten the shoulder joint yourself

There is a stereotype that the reduction of dislocations is performed by sharp shaking and jerking. This is wrong and dangerous. Even a correctly done procedure can be complicated by additional ruptures of tendons, ligaments, muscle tissue, damage to blood vessels, nerves, life-threatening bleeding and a long loss of consciousness. What can we say about the sharp force impact, which will do more harm than the dislocation itself.

Methods of self-adjustment of the shoulder joint

Before you take up the reduction of the joint, you need to anesthetize it and cool it well, otherwise you risk losing consciousness without completing the procedure.

Circular rotation

Do in a sitting or standing position.

  1. Arm bent at the elbow, raise to chest level;
  2. Without unbending, take to the limit to the side;
  3. From this position, lift up so that the palm is above the head.

The movements should be smooth and non-stop.

With the knee

  1. Sit on a horizontal platform;
  2. Bend your knees and press to the body;
  3. Weave fingers in the lock and lead them over the knees;
  4. Slowly leaning back and straightening the knees, try to pull the head of the joint into place.

Either an epic hero or a person put in a hopeless position can perform such a manipulation. More often around the incident there are other people and the opportunity to receive or provide all possible assistance.

Direction of the shoulder joint with an assistant

When you render assistance to someone and are not sure of the correctness of your actions, you should contact the emergency officer by phone to clarify the algorithm of actions. Be sure to obtain the consent of the person whom you are going to help, warning him that you are not a health care provider and cannot be held responsible for unqualified actions.

If you need help, you must try to persuade a person nearby to help. There are not so many people who have managed to straighten someone’s hand and, most likely, this proposal will not cause much enthusiasm. It is necessary to reassure a person, take all responsibility on himself and lead the process.

The victim should be laid on his back, put his foot on the armpit of the injured arm, and pull the arm itself gently with increasing effort to pull on itself. Holding the scapular bone with your foot, and extending your arm at an angle of 60-90 degrees, you should feel how the head of the humerus, having rounded the scapula, stands in its natural position.

If the procedure has ended successfully, a bandage must be applied to fix the unstable joint and deliver the patient to the nearest medical facility. In case of failure, similarly. You only need to get to the hospital even faster, until the soft tissue densification has led to the obligatory surgical operation.

For those who suffer from the usual form of dislocation, an open surgery to restore the proper functionality of the joint is recommended. Such an operation will help to find out and eliminate the internal causes of regular dislocations, in order to get rid of them forever and feel a new quality of life.

Joint recovery after dislocation

Successful placement of the joint in its former place, this is not the end, but only the beginning of a long rehabilitation, which can take from three months to six months. After 2-4 weeks of drug therapy, the patient is prescribed:

  • Physiotherapy
  • Massages
  • Therapeutic gymnastics
  • Swimming and other procedures

Promoting a speedy recovery, as well as aimed at the general development and strengthening of the joint anatomy in order to avoid relapses in the future. Statistics provide evidence that after a traumatic dislocation of the shoulder joint, the risk of developing a habitual dislocation significantly increases, therefore it is necessary to faithfully follow all medical recommendations.

The recovery process is regulated by the doctor based on the individual condition of the patient. Basically, the adjusted and treated shoulder is fully restored, providing normal mobility of the arm.

conclusions

  1. Never try to straighten your shoulder dislocation yourself, unless this is due to emergency;
  2. If the situation forced you to make such a decision, perform the procedure as quickly as possible in the first 5-15 minutes after the injury;
  3. When you are afraid of the consequences, think about what will happen if you do not correct the dislocation. By comparing risks, it’s easier to choose a less dangerous option.

The worst case scenario is when alcohol, as an anesthetic, was taken by the uninjured person, and the one who provides assistance and after the procedure no one turned to the doctors.

How to correct the shoulder joint

The shoulder joint is one of the largest joints in the human body. He is subjected to heavy loads, so a rather frequent injury is his dislocation. This can happen after hitting the back of the shoulder or falling on an outstretched arm. But in children and the elderly, shoulder dislocation can occur even with a sharp unsuccessful movement. After such an injury, the mobility of the hand is severely limited and severe pain occurs. It does not pass until the bones that make up the joint are in place.

It is recommended to do this in a medical institution, but it is not always possible to immediately deliver the victim to a doctor. Therefore, everyone needs to know how to help with such an injury. The ability to restore the joint and its mobility will depend on this.

Dislocation Dislocation

Dislocation – this is such an injury, which is characterized by displacement from its place of the bones that make up the joint. Any joint is a movable joint of two or more bones. They are fastened by ligaments and tendons, covered with a joint capsule. In addition, the joint includes many more nerve endings and blood vessels.

Most often, when a dislocation occurs, the displaced bone damages or even ruptures the joint capsule. In the area of ​​a dislocated joint, nerves or blood vessels can also be damaged. Therefore, there is swelling, sometimes hemorrhage.

A limb becomes an unnatural position, it becomes impossible to move it. Well, of course, there is severe pain.

Due to discomfort, and also because a displaced bone can squeeze soft tissues and disrupt blood circulation, it is necessary to straighten the joint as soon as possible. The sooner this is done, the less complications will develop and the mobility of the limb will recover faster. But the reduction of dislocations is a complex procedure, it should be carried out by a professional. It is advisable to take an X-ray before this to determine what damage is present, whether there is a bone fracture.

Shoulder dislocation

In the area of ​​the shoulder joint, a similar trauma happens quite often. A dislocation can result in a fall, a severe blow to the shoulder, as well as non-compliance with safety rules during heavy physical work or playing sports. Often, small children and the elderly are prone to such injuries.

The shoulder joint has a complex structure, so such an injury is often accompanied by damage to the capsule or rupture of the ligaments. Sometimes a fracture of the bones that make up the joint also occurs. Therefore, do not rush to immediately straighten your shoulder. To help the victim, you need to determine that this is really a dislocation.

The following symptoms indicate this injury:

  • sharp and severe pain after a fall or blow, sometimes it is accompanied by a clap;
  • the shoulder drops, the hand may take an unnatural position;
  • when you try to move the limb, the pain intensifies;
  • swelling develops quickly, bruising may appear;
  • numbness, tingling or cooling in the hand, muscle weakness, blanching of the skin may occur.

First aid

Dislocation of the shoulder will not go away on its own, the victim must always provide medical assistance. This will help to avoid complications and damage to nerve endings that can atrophy with prolonged compression. Moreover, putting a bone in place must be a professional. Some people do not suspect what will happen if the dislocation is corrected correctly. Therefore, they do not always immediately consult a doctor, trying to cope with the problem on their own.

But this should not be done, since only after minor injuries can such a reduction pass without complications. Usually, dislocation of the shoulder is accompanied by damage to the soft tissues, blood vessels, compression of the nerves, and in 25% also a fracture of the bones. In addition, this joint is very large, it is surrounded by fairly strong muscles, which are cramped after an injury. Therefore, without the help of a professional, and often without special preparations, it will not be possible to put the bone in place.

But assistance should be provided to the victim as soon as possible. It must be delivered to a medical institution, but before that it is important to alleviate its condition. To do this, the arm is fixed so that no further bone displacement occurs and careless movement does not lead to increased pain. You can make a bandage from any materials at hand. Any folded piece of tissue is placed under the arm, the arm is bent at the elbow and pressed to the chest. After that, it is hung on a kerchief bandage, and then bandaged to the body.

At home, pain can also be alleviated. To do this, immediately apply ice to the site of injury. It is wrapped in a thin towel so as not to cause frostbite. Ice should be applied every hour, but keep no longer than 15 minutes. In addition, the victim needs to drink pain medication. It is best to use non-steroidal anti-inflammatory drugs, as they will also help prevent swelling. But in the presence of a hematoma, which indicates internal bleeding, Ibuprofen, Aspirin or Naproxen should not be drunk, as they dilute the blood. Better to take Ketanov, Tayleinol or Tempalgin.

It is not recommended to try to straighten the joint yourself, massage and touch the damaged area. It is necessary to deliver the patient to the doctor as soon as possible. Moreover, it is advisable to do this within 12 hours after the injury. Then, increasing edema and spasmodic muscles make it very difficult to carry out the procedure, and often it will be possible to put the bone in place only surgically.

Reduction methods

In a medical facility, the victim will be X-rayed, anesthetized. Only after this begins the reduction of dislocation of the shoulder. Light injuries are sometimes treated even without local anesthesia. But often you need not only anesthesia, but also the use of muscle relaxants, since in many people the shoulder muscles are very strong and interfere with the reduction.

Most often, a shoulder dislocation occurs forward, and only in 2% of cases the humerus is displaced backward. Depending on this, there are several basic shoulder reduction techniques. Which doctor will choose depends on the severity of the damage, the physical fitness of the patient, as well as other factors. Most often, one of 4 methods is used, named after the name of the doctor who first applied this procedure.

By Hippocrates-Cooper

This is the easiest way that even a layman can apply. One person can do this. The injured person lies on his back, the doctor stands on the side of the injured arm and takes on his wrist. Bare foot should be pressed into the armpit of the victim on the head of the humerus. At the same time, slowly pull a straight hand towards yourself, trying not to make sudden movements. Sometimes it takes several minutes for the bone to snap into place.

By Janelidze

It is possible to repair the joint with this method without the help of a professional, but only as a last resort. It must be remembered that such a reduction causes severe pain, therefore, it should be carried out under local anesthesia. The victim should lie on his side so that the edge of the table falls on the armpit. The diseased arm hangs down. So that a person can completely relax, he needs to substitute something under his head.

In this position, the patient lies for 15–20 minutes until the muscles relax. Only then can reduction be carried out. To do this, take a hand on the forearm and bend it at the elbow. Then press on the forearm near the elbow, while turning the arm in the shoulder. You can gently press with your other hand on the shoulder, massaging it in a circular motion.

According to Chaklin

This method is sometimes used to adjust the shoulder joint in the presence of a fracture. The procedure is performed under local or general anesthesia, as it is very painful. The patient lies on his back, the doctor becomes his head. The sick hand needs to be raised and pulled over. In this case, you need to press on the shoulder with the second hand, trying to put the humerus in place.

According to Kocher

If a shoulder dislocation occurs in a person with strong muscles, then two people are corrected according to the Kocher method. For the procedure, the victim lays on his back so that his shoulder hangs down. The doctor holds the wrist and elbow of the patient, the assistant fixes the shoulder girdle. Reduction is carried out by rotation of the humerus. This is difficult, so only a professional can use this method.

How to straighten a dislocated shoulder

How to straighten your shoulder? This question often arises in patients who have experienced such an injury as a dislocation. There are several techniques for reducing dislocation. Which way to prefer is decided by the attending physician, after preliminary diagnosis and examination of the victim.

When is help needed?

Dislocation of the shoulder joint is a rather complex injury, which is accompanied by rupture of the joint capsule. A dislocated shoulder is very painful, in addition, the victim has symptoms such as swelling, articular deformation, impaired motor activity and basic joint functions.

In such situations, it is important to correctly provide first aid to the patient, applying cold to the damaged area, giving a tablet of analgesic. It is necessary to provide rest to the victim and to immobilize the injured arm with a bandage. After that, you need to deliver the victim to a medical institution as soon as possible.

Only a qualified specialist will be able to exclude the presence of a fracture and other associated injuries, determine the severity of the injury and correct the dislocation after a preliminary examination and radiographic examination.

Features of the reduction

Reducing dislocations is a rather painful procedure. Therefore, first of all, the specialist conducts anesthesia. This is one of the important reasons why it is best to go to the emergency room with such injuries rather than trying to fix it yourself. The absence of anesthesia, the incorrectly selected technique and inept actions can cause serious harm to the patient, up to the development of concomitant complications, pain shock, and disability. Therefore, self-medication in such cases is strongly discouraged.

If the patient’s condition is not too serious, then the shoulder is adjusted under the influence of local anesthesia. For these purposes, the doctor first injects the patient with a one percent solution of promedol or a milliliter of morphine, and then uses novocaine to directly anesthetize the shoulder joint. The traumatologist or surgeon selects the optimal method of adjustment at his discretion, depending on the condition of the patient and the characteristics of a particular clinical case.

The patient is usually explained what will happen next. Since doctors have extensive experience, the procedure is quick and almost does not cause pain. The main task of the patient is to relax and not to interfere with the doctor. Shoulder joint reposition can be performed using several techniques.

Janel >

Direction of shoulder dislocation according to Janelidze is one of the most popular methods. Reduction is carried out in a lying position. The patient lies on the injured side, the sore arm hangs down, while the edge of the table on which the victim is located falls on the armpit. The victim’s head is neatly laid on another table. In this position, the patient lies for about 20 minutes, which is necessary for maximum relaxation of the shoulder girdle.

In the next step, the doctor:

  • Takes the victim for the forearm;
  • Sharp pressure on the area located next to the elbow joint;
  • Soft rotational movements affect the shoulder joint.

This procedure is quick and almost painless. Finally, control x-rays are taken.

Kocher method

The method of repositioning the dislocation according to Kocher is used somewhat less frequently than the previous one. This method is very effective, but it is suitable exclusively for patients with uncomplicated anterior dislocation, as well as having a fairly strong physique.

Kocher’s technique is contraindicated for the elderly and patients with diagnosed osteoporosis!

How to correct the shoulder joint?

After anesthesia, the victim is asked to lie on his back, so that the injured arm extends beyond the edges of the bunk.

  1. With one hand, the doctor takes the lower part of the victim’s limb, with the other hand holds him by the elbow joint, gently bending. The elbow is smoothly brought to the patient’s body, and his arm is extended. It is important that the forearm is well fixed when performing these manipulations!
  2. After this, the patient’s shoulder is rotated until it enters the frontal plane, at which point the shoulder joint is reduced.
  3. At the next stage, the forearm is bent upward and leans forward slightly, the elbow is pressed to the body.
  4. At the end of the procedure, the patient’s hand is fixed with a bandage.

In this case, the forearm is located on the chest area, and the hand is placed in the region of a healthy shoulder.

Chaklin’s technique

Reduction according to the Chaklin method is characterized by soreness, and therefore is carried out only under the influence of general anesthesia. Doctors use this method only in especially severe cases complicated by a fracture. The procedure goes as follows: the doctor with one hand takes the head of the shoulder, and with the other stretches it in length.

Hippocrates-Cooper Technique

The Hippocrates-Cooper method is quite complex, but very effective. The patient is laid on his back, the doctor grabs his hands with his hands, and with his foot presses on the armpit, where the head of the damaged shoulder joint is located. The arm is pulled along the axis.

All manipulations must be performed harmoniously and simultaneously! Then the risks of developing possible complications are reduced to minimal indicators, and the head of the shoulder joint quickly returns to the area of ​​the articular cavity.

Rehabilitation

After the reduction, the patient’s shoulder joint is immobilized with a special bandage. Such a bandage should be worn from several days to one and a half weeks, depending on the instructions of the attending physician. After a week, the rehabilitation period begins, including physiotherapeutic procedures (magnetotherapy, electrophoresis), massage and exercise therapy.

Also, patients can be prescribed painkillers, anti-inflammatory drugs, chondroprotectors, vitamin and mineral complexes. During this period, it is important to minimize any load, to refrain from sharp movements of the hand, lifting weights, etc. On average, the duration of the rehabilitation period after a dislocation of the shoulder takes about a month. The result is a complete restoration of the motor activity of the shoulder and articular functions.

How to correct a shoulder dislocation – the best way for the injured person will be selected by a qualified specialist surgeon or traumatologist. Independent attempts can cause severe pain to the patient, provoke the development of a number of complications and undesirable consequences. Therefore, with a shoulder dislocation, after first aid, try to take the victim to the hospital as soon as possible and transfer him to the reliable hands of professionals!

First a >

Subluxation or dislocation of the shoulder joint is a very common household injury. Therefore, how to straighten your shoulder yourself or help the victim should know if not everyone, then as many people as possible. Often such injuries occur on vacation, away from medical centers, and you have to cope without doctors.

Types of dislocations

The shoulder joint is the third largest joint of the human skeleton, formed by the shoulder blade and head of the humerus.

Dislocations are of various nature and severity:

  1. Habitual – a dislocation that is repeated periodically due to an anatomical disorder, trauma at birth, or as a result of an unqualified reduction of a traumatic dislocation;
  2. Traumatic dislocation – occurs due to mechanical stress on the joint.

The severity of the injury is determined by:

  • Dislocation – when, when the head exits from the humerus, the ligaments, joint capsule, and often adjacent muscles of the shoulder are damaged;
  • Subluxation is a small departure of joint bones from each other with trauma to the ligament system, but without ruptures of soft tissues. The danger of subluxation lies in its apparent safety. Often it can be taken simply for a bruise and not seek timely help, which can subsequently affect the health of the joint.

Diagnostics and first aid

Dislocation of any joint is extremely painful and leads to complete immobilization of the limb. Reduction of the dislocation must be done very quickly, literally in the first 5-10 minutes after the head falls out, otherwise the edema and muscle spasm will not allow us to provide the necessary assistance and surgical intervention may be required in the future.

symptomatology

Violation of the shoulder anatomy occurs after a sharp push of an outstretched arm or a strong blow to the back in the joint. After the characteristic clap with which the bone leaves its place, the victim feels a sharp piercing pain.

  • Deformation;
  • Hematomas;
  • Hollow on the delto >

Waiting for a doctor

If it is possible to entrust the reduction of shoulder dislocation to specialists within 12 hours, then do not try to do this complicated procedure, it is better to provide first aid to the victim.

  1. Fix the hand motionlessly bent at right angles with a bandage. Any improvised means can be a bandage – scarves, belts, clothes, bedding. The forearm and elbow are conveniently located inside the bandage, the ends of which are fixed on the neck so that the forearm is at chest level. This will avoid involuntary movements, fraught with severe pain; and undesirable consequences in case of nerve rupture, vascular damage or bone fracture;
  2. Apply cold – ice, frozen food, or a damp cloth to the injured area. Due to the narrowing of blood vessels, cooling inhibits inflammatory processes, reduces bleeding and relieves pain. Ice should be crushed for a better fit to the surface, sprinkled in a plastic bag and wrapped in a soft, dry cloth so as not to harm the skin. Keep the compress on dislocation for 15-20 minutes per hour;
  3. Unbearable pain caused by trauma and muscle spasm can lead to pain shock, so you need to offer the victim a painkiller or muscle relaxant. When choosing a drug, the nature of the injury should be considered. In case of open or internal bleeding, determined by bruising and hematomas, Naproxen and Ibuprofen should be discarded. These drugs anesthetize well, but thin the blood, increasing bleeding. Also, do not mix several drugs without knowing their compatibility.

If the circumstances are such that “the salvation of drowning people is the work of the drowning people themselves” and there is no place to wait for help, it’s quite worthwhile to know how to straighten your shoulder yourself. But such knowledge should be applied only in the most emergency situations.

How to straighten the shoulder joint yourself

There is a stereotype that the reduction of dislocations is performed by sharp shaking and jerking. This is wrong and dangerous. Even a correctly done procedure can be complicated by additional ruptures of tendons, ligaments, muscle tissue, damage to blood vessels, nerves, life-threatening bleeding and a long loss of consciousness. What can we say about the sharp force impact, which will do more harm than the dislocation itself.

Methods of self-adjustment of the shoulder joint

Before you take up the reduction of the joint, you need to anesthetize it and cool it well, otherwise you risk losing consciousness without completing the procedure.

Circular rotation

Do in a sitting or standing position.

  1. Arm bent at the elbow, raise to chest level;
  2. Without unbending, take to the limit to the side;
  3. From this position, lift up so that the palm is above the head.

The movements should be smooth and non-stop.

With the knee

  1. Sit on a horizontal platform;
  2. Bend your knees and press to the body;
  3. Weave fingers in the lock and lead them over the knees;
  4. Slowly leaning back and straightening the knees, try to pull the head of the joint into place.

Either an epic hero or a person put in a hopeless position can perform such a manipulation. More often around the incident there are other people and the opportunity to receive or provide all possible assistance.

Direction of the shoulder joint with an assistant

When you render assistance to someone and are not sure of the correctness of your actions, you should contact the emergency officer by phone to clarify the algorithm of actions. Be sure to obtain the consent of the person whom you are going to help, warning him that you are not a health care provider and cannot be held responsible for unqualified actions.

If you need help, you must try to persuade a person nearby to help. There are not so many people who have managed to straighten someone’s hand and, most likely, this proposal will not cause much enthusiasm. It is necessary to reassure a person, take all responsibility on himself and lead the process.

The victim should be laid on his back, put his foot on the armpit of the injured arm, and pull the arm itself gently with increasing effort to pull on itself. Holding the scapular bone with your foot, and extending your arm at an angle of 60-90 degrees, you should feel how the head of the humerus, having rounded the scapula, stands in its natural position.

If the procedure has ended successfully, a bandage must be applied to fix the unstable joint and deliver the patient to the nearest medical facility. In case of failure, similarly. You only need to get to the hospital even faster, until the soft tissue densification has led to the obligatory surgical operation.

For those who suffer from the usual form of dislocation, an open surgery to restore the proper functionality of the joint is recommended. Such an operation will help to find out and eliminate the internal causes of regular dislocations, in order to get rid of them forever and feel a new quality of life.

Joint recovery after dislocation

Successful placement of the joint in its former place, this is not the end, but only the beginning of a long rehabilitation, which can take from three months to six months. After 2-4 weeks of drug therapy, the patient is prescribed:

  • Physiotherapy
  • Massages
  • Therapeutic gymnastics
  • Swimming and other procedures

Promoting a speedy recovery, as well as aimed at the general development and strengthening of the joint anatomy in order to avoid relapses in the future. Statistics provide evidence that after a traumatic dislocation of the shoulder joint, the risk of developing a habitual dislocation significantly increases, therefore it is necessary to faithfully follow all medical recommendations.

The recovery process is regulated by the doctor based on the individual condition of the patient. Basically, the adjusted and treated shoulder is fully restored, providing normal mobility of the arm.

conclusions

  1. Never try to straighten your shoulder dislocation yourself, unless this is due to emergency;
  2. If the situation forced you to make such a decision, perform the procedure as quickly as possible in the first 5-15 minutes after the injury;
  3. When you are afraid of the consequences, think about what will happen if you do not correct the dislocation. By comparing risks, it’s easier to choose a less dangerous option.

The worst case scenario is when alcohol, as an anesthetic, was taken by the uninjured person, and the one who provides assistance and after the procedure no one turned to the doctors.

Reduction and further treatment of dislocation of the shoulder joint. Symptoms Prophylaxis.

The structure of the shoulder joint.

The shoulder joint, one of the most mobile in the human body, is formed by the connection of the head of the humerus, scapular cavity and clavicle.

The humerus is the connection of the humerus and scapula. It consists of a rotational cuff, articular lip, ligaments and articular bag.

Mobility, cushioning and protection against friction between the bones is provided by articular cartilage and synovial fluid – a viscous mass that fills the inter-articular space and nourishes the cartilage tissue.

Envelop the articular surface – ligaments – fibrous tissue that supports the connection.

Causes of dislocation.

This injury is extremely painful, it is accompanied by a shift in the endings of the bone tissue and causes a loss of shoulder functionality (due to loss of connection between the articular elements). Separately, subluxation can be distinguished – with it, the connection does not disappear, but the movements are also completely blocked.

In most cases, they occur in people involved in sports, either during traffic accidents, that is, when a person falls sharply / hits the outside of the arm, or falls on it from an unusual condition.

The deformation is traumatic and causes displacement of the surfaces of the joint, as well as rupture of the joint capsule (in some situations, complete, and in some – partial). Depending on the type of displacement, the types of dislocation are also distinguished.

In addition, a dislocation can be a consequence of:

  • Bankrupt damage – the articular lip detaches from the scapular bone and the shoulder loses its stability.
  • SLAP damage.
  • Deformations of the head of the humerus, the so-called Hill Sachs violations.

Damage to a bankrupt is a detachment of the articular lip. It is the cause of instability and further dislocations of the shoulder joint.

Types of dislocation of the shoulder joint.

First of all, it is customary to distinguish:

Habitual dislocation.

Obtained as a result of shoulder instability. As a rule, the root cause is the presence of pathologies, chronic injuries.

Traumatic.

It makes up more than half of all cases and is accompanied by damage to nerve endings. Although sometimes it proceeds without complications.

According to the type of bone displacement, there are:

Front dislocation.

It occurs most often, occupies about 96%. It happens with a blow from behind, or that occurred at the time of flexion, extension of the shoulder. In this case, the bone head is advanced. In the chronic form, with congenital damage to the connective matter, such dislocations can occur regularly.

The humerus is displaced backward relative to the scapula. It occupies the second place in frequency – it occurs when falling on the arms extended forward, as well as when striking from the front or, when the place of impact falls on the forearm, elbow.

With anterior dislocation, the head of the humerus falls out of the cavity, moving forward. With the back – respectively, closer to the back.

Lower.

Occurs when the shoulder is excessively laid back. At this moment, a person catches a blow – and the head falls down from the scapular cavity. Due to the nature of the incident, the hand should be fixed in a vertical position above the body.

Anterior, posterior.

Such forms are combinations of the above violations and occur extremely rarely.

The most traumatic sports

Dislocation is a fairly common injury among athletes. Violation can occur during active training, during a fall, and during a responsible performance / game. Especially often provoke injury:

  • Hockey;
  • Volleyball;
  • Handball;
  • Alpine skiing, snowboarding;
  • Ski jumping and similar.

Football is also a traumatic sport for the shoulder joint.

Symptoms of a dislocation of the shoulder joint.

The main external manifestations of this pathology include:

  • Sharp pain;
  • Loss of mobility;
  • The appearance of edema;
  • Bruising, bruising;
  • Numbness of the limb;
  • Visible deformation;
  • Loss of skin elasticity;
  • Decreased sensitivity in the affected area;
  • Seals.

With dislocation of the shoulder joint, the main external manifestation is deformation of the shoulder.

It is much easier to identify the primary dislocation by the symptoms. Some patients report the onset of high fever, as well as excruciating pain, sometimes leading to fainting. Sometimes an unconsciously patient tries to move his hand and this worsens the condition.

First aid

First of all, what needs to be done to maximize the clinical picture is to provide the patient with complete rest and call an ambulance.

You can’t try to straighten your shoulder yourself, even if it seems like it’s not at all difficult. With a front dislocation, you need to fix a special roller in the armpit that can be twisted out of clothes, bend your arm at the elbow and bandage it to the body – this will help stabilize and fix the joint and avoid deterioration.

In addition, a cold compress is applied to the sore spot.

Diagnostics.

The diagnostic process consists of several main measures – this, of course, examining a specialist, conducting the prescribed tests, palpation, and taking an anamnesis. It is very important to tell the attending physician exactly how the injury occurred, so that he accurately compiles the picture of what happened and the type of stroke.

If you suspect a dislocation, radiography or other specialized studies are prescribed – for example, magnetic resonance imaging (MRI), computed tomography (CT). What kind of appointment to check, the doctor determines – it depends on the characteristics of the injury.

Sometimes the problem can be exacerbated by the presence of a fracture – as a rule, this is easily determined, but sometimes additional studies are required.

Treatment of dislocation of the shoulder joint.

Sometimes such a violation is treated through the classic setting. There are several rules that must be followed when performing this procedure:

  • Screening for fracture. Upon detection, a completely different approach to solving the problem will be required – the usual reduction will only increase the complexity of the injury. To exclude a fracture, CT and MRI are prescribed, which will also help assess the degree of damage to the capsule and blood vessels.
  • Check for pinched nerves. As a rule, for this, a contrast preparation is introduced into the cavity, after which an x-ray is performed.
  • Pain relief. Editing a shoulder without anesthesia may simply not be possible – because of a strong painful syndrome, a muscle spasm may appear that will not allow the shoulder to straighten.
  • The need to relax the muscles. For this, a local anesthetic is injected into the shoulder joint or directly into the vein.
  • Repeated X-ray. After the limb is set, it will be necessary to carry out a control radiography to determine further recovery measures.

The method of reduction of the shoulder joint depends on the type of deformation and associated injuries, therefore it should be performed only by a doctor after a comprehensive examination of the affected area.

Diagnostic arthroscopy of the shoulder joint.

This method is resorted to if the editing did not produce the desired result, as well as if the initial tests showed that there were any complications. Arthroscopy is a minimally invasive method of surgery and allows simultaneous diagnosis and treatment of the shoulder.

The method excludes the full opening of the joint cavity – in order to carry out the operation, the doctor makes two miniature incisions through which a special tube with a camera at the end (arthroscope) is inserted and the surgical instruments necessary to rinse the cavity and remove bone fragments, install implants and other things. During the process, the contents of the articular element are displayed on the screen in real time, and the doctor gets the opportunity to examine the damage in detail.

Arthroscopy is a modern way of treating instability of the shoulder joint caused by internal tissue breaks.

Arthroscopy is a gentle surgery; it does not require after itself such a long and complicated recovery as classical operations. It is important that it makes it possible to determine the type of ailment and cure it in one session.

Before the appointment of the operation, the patient must pass all the necessary tests and undergo a preoperative examination.

You can learn more about arthroscopic surgery in the section “Arthroscopy of the shoulder joint”.

Rehabilitation after dislocation of the shoulder joint.

After surgery, as well as reduction, a whole range of rehabilitation measures is required. The procedures that may be required include massage, magnetotherapy, physiotherapy, etc. It is worth noting that therapeutic gymnastics – exercise therapy, which is prescribed by a doctor taking into account the individual characteristics of the body, plays a very important role in effective recovery.

In the recovery process, shoulder braces are recommended for shoulder fixation.

At first, it is carried out in a hospital under the supervision of a specialist, then it can be carried out independently.

Preventative measures.

It is impossible to prepare in advance for a traumatic dislocation – it can happen unexpectedly. But if you regularly or professionally engage in sports, then for the prevention of dislocation, we recommend using elastic bandages or kinesiotape.

Kinesiotherapy is a very common way among athletes to prevent dislocation of the shoulder and other joints.

Particular attention should be paid if similar problems have already occurred. In this situation, it is indicated to periodically undergo a diagnostic examination and treat even minor injuries in a timely manner.

You might be interested in:

Areas of arthroscopy. Surgical instruments used in arthroscopic surgery. History. Benefits.

Morozov Georgiy

Rheumatologist. For more than 20 years, he has been involved in the diagnosis, treatment and prevention of joint diseases. Specialization: diagnosis, treatment and prevention of diseases and deformations of the musculoskeletal system.

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