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Shoulder Separation (AC Dislocation) Acromioclavicular joint (AC joint) dislocation or shoulder separation is one of the most common injuries of the upper arm. It involves the separation of the AC joint and injury to the ligaments that support the joint. The AC joint forms where the clavicle (collarbone) meets the shoulder blade (acromion). Causes: It commonly occurs in young athletes and can result from a fall on the shoulder. A mild shoulder separation can occur when there is an AC ligament sprain that does not displace the collarbone. In more serious injuries, the AC ligament tears and the coracoclavicular (CC) ligament sprains or tears slightly causing misalignment in the collarbone. In the most severe shoulder separation injury, both the AC and CC ligaments get torn and the AC joint moves completely out of its position. Symptoms: Symptoms of a separated shoulder may include shoulder pain, bruising, swelling and limited shoulder movement. Diagnosis: The diagnosis of shoulder separation is made through your medical history, a physical exam and an X-ray. Conservative treatment options: Conservative treatment options include rest, cold packs, medications and physical therapy. Surgery: Surgery may be an option if pain persists or if you have a severe separation. Anatomic reconstruction: Of late, research has been focused on improving surgical techniques used to reconstruct the severely separated AC joint. The novel reconstruction technique that has been designed to reconstruct the AC joint in an anatomic manner is known as anatomic reconstruction. Anatomic reconstruction of the AC joint ensures static and safe fixation and stable joint functions. Nevertheless, a functional reconstruction is attempted through reconstruction of the ligaments. This technique is done through an arthroscopically-assisted procedure. A small open incision will be made to place the graft. This surgery involves replacement of the torn CC ligaments by utilising allograft tissue. The graft tissue is placed at the precise location where the ligaments have torn and fixed using bio-compatible screws. The new ligaments gradually heal and help restore the normal anatomy of the shoulder. Postoperative rehabilitation includes the use of a shoulder sling for 6 weeks, followed by physical therapy exercises for 3 months. This helps restore movements and improve strength. You may return to sports only after 5-6 months of surgery.
Shoulder Dislocation Playing more overhead sports activities and repeated use of the shoulder the t workplace may lead to sliding of the upper arm bone, the ball portion, from the glenoid, the socket portion of the shoulder. The dislocation might be a partial dislocation (subluxation) or a complete dislocation, causing pain and shoulder joint instability. The shoulder joint often dislocates in the forward direction (anterior instability) and may also dislocate in the backward or downward direction (posterior instability). Most common symptoms of shoulder dislocation include pain and shoulder joint instability. Other symptoms such as swelling, numbness and bruising may occur. At times, it may cause tears in the ligaments or tendons of the shoulder and nerve damage. Your doctor will examine your shoulder and may order an X-ray to confirm the diagnosis. The condition is treated by a process called closed reduction, which involves placing the ball of the upper arm back into the socket. Following this, the shoulder will be immobilised using a sling for several weeks. Ice may be applied over the area 3-4 times a day. Rehabilitation exercises may be started to restore range of motion, once the pain and swelling decrease.
Clavicle Fracture The clavicle is a bone that connects your sternum or breastbone to your shoulder. Clavicle fracture, also called broken collarbone, is a very common sports injury seen in people who are involved in contact sports such as football and martial arts, as well as impact sports such as motor racing. Causes: A broken collarbone normally occurs after a fall onto the shoulder or a motor vehicle accident. The most common sports associated with clavicle fractures include football, hockey and skiing. Symptoms: A broken collarbone most often causes pain, swelling and bruising over the collarbone. Pain increases with shoulder movement. Your shoulder may be slumped downward and forward. You may also have a bump around the area of the break. You may hear a grinding sound when you try to raise your arm. Diagnosis: To diagnose a broken collarbone, your doctor will take a brief history, about the injury, and perform a physical examination of your shoulder. An X-ray of the clavicle is taken to identify the location of the fracture. Your doctor may also recommend a computerised tomography (CT) scan in some cases. Surgery: Surgery may be required in cases of displaced fractures. Surgery is performed to re-align the fractured ends and stabilise them during healing. Surgery often involves the use of pins or plates, and screws to maintain proper positioning of the bone during healing. Plates and screws fixation: During this surgical procedure, your surgeon will reposition the broken bone ends into normal position and then uses special screws or metal plates to hold the bone fragments in place. These plates and screws are usually left in the bone. If they cause any irritation, they can be removed after fracture healing is complete. Pins: Placement of pins may also be considered to hold the fracture in position. The incision required is also smaller. They often cause irritation in the skin at the site of insertion and have to be removed once the fracture heals.
Arthroscopy may be recommended for shoulder problems such as: Evaluation and treatment of instability A torn or damaged cartilage ring (labrum) or biceps tendon A torn rotator cuff Stiffness of the shoulder Subacromial decompression Arthritis of the end of the clavicle Treatment of frozen shoulder Removal of loose bodies Debridement / drainage of shoulder joint infection Contact: OM Surgical Hospital & Trauma Centre
REVERSE SHOULDER REPLACEMENT IN NAGPUR. THOTANGE SHOULDER REPLACEMENT IN NAGPUR. Best Orthopedic Surgeon in Nagpur.
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