Dr. Barik's Orthocare Clinic

Meet Our Doctor

Dr. Sanjay Barik

Orthopedic and Joint Replacement Surgeon

Dr. Barik's Orthocare Clinic

Dr. Sanjay Barik is an experienced Orthopedic Doctor in Ramdaspeth, Nagpur. He is a qualified MBBS Bachelor of Medicine and Bachelor of Surgery, MS – Orthopaedics.
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Shoulder Dislocation Treatment In Mancherial

Shoulder dislocation occurs when the upper arm bone (humerus) is forced out of its normal position within the shoulder joint. The shoulder is a ball-and-socket joint, and dislocations often result from traumatic events such as falls, collisions, or hard impacts. The most common form is anterior dislocation, where the humerus is pushed forward. Less common are posterior and inferior dislocations, where the humerus moves backwards or downwards. Symptoms include severe pain, swelling, visible deformity, and limited range of motion. To treat a shoulder dislocation, it is essential to seek immediate medical attention, and a medical professional will usually perform an operation to displace the joint, followed by rehabilitation to restore strength and prevent recurrence. 

Recurrent dislocations may require additional procedures, such as surgery to repair damaged ligaments and stabilize the shoulder joint. Prevention strategies include strengthening shoulder muscles, improving proprioception in the joint, and avoiding situations that can lead to injury, especially for people prone to repetitive dislocations. 

Types of Shoulder Dislocations

Health care professionals classify dislocations based on how much the bones within the joint move.

Complete dislocation (dislocation): A complete dislocation occurs when the bones within a joint are completely separated and forced out of place.

Subluxation: Subluxation is the medical term for partial dislocation. A subluxation is when something pulls a joint apart and the bones are still touching, but not quite as much as they normally would.

Anatomy of Shoulder Dislocation

The shoulder is a ball and socket joint made up of three bones.

The clavicle (clavicle) connects the shoulder to the body.

The head or ball of the upper arm bone (humerus) fits into the round socket of the scapula (scapula). This socket is called the glenoid fossa. The humerus and glenoid fossa have a very unique shape that allows the shoulder to move in all directions.

In addition to bones, there are other important structures that help stabilize the shoulder.

The labrum runs around the edge of the glenoid fossa of the shoulder. This acts as a buffer and helps keep the bones in the correct position.

Ligaments attached to bones also help prevent shoulder dislocation.

He has four muscles around the ball of his shoulder. These muscles are collectively known as the rotator cuff. Move your arm to push the humerus into the glenoid so that it stays in the socket.

Shoulder injuries or dislocations can affect some or all of these structures.

Causes of Shoulder Dislocation

1. Trauma or Fall: A direct impact to the outstretched arm or a fall can displace the shoulder joint from its normal position.

2. Sports Injuries: Participating in contact sports and activities where there is a high risk of falls, collisions, and tackles increases the likelihood of shoulder dislocation.

3. Car Accidents: Car accidents and other vehicle collisions can place significant forces on the shoulder, potentially causing dislocation.

4. Severe twisting or jerking movements: Sudden, forceful twisting or jerking movements of the arm, especially when raising or rotating the arm outward, can cause dislocation.

5. Repetitive Stress or Overuse: Chronic overuse or repetitive stress of the shoulder joint, common in certain sports and occupations, can cause instability and increase the risk of dislocation. .

6. Congenital Factors: Some people have congenital or developmental factors that make the shoulder unstable and increase the risk of dislocation.

7. Muscle Weakness or Imbalance: Weakness or strength imbalance in the muscles that support the shoulder can contribute to instability and make the joint more susceptible to dislocation.

8. Previous dislocations: People who have previously dislocated their shoulder may be at higher risk of re-dislocation due to ligament and tissue damage.

9. Ligament Looseness or Connective Tissue Disease: Conditions that affect ligament strength and stability, including: Other conditions, such as ligament laxity and connective tissue diseases, can also increase the risk of shoulder dislocation.

10. Age and Gender: Younger people, especially men, are more likely to experience shoulder dislocations due to their increased participation in high-impact activities.

11. Heavy Lifting: Lifting heavy objects or suddenly forcing your shoulder can cause a dislocation.

Risk Factor of Shoulder Dislocation 

Some people are born with lax ligaments. These people are at increased risk of shoulder dislocation.

People who have had a shoulder dislocation in the past are also at increased risk for future dislocations, which can occur even in the absence of injury. If you continue to dislocate your shoulder, you will develop a condition called chronic shoulder instability.

Treatment for Shoulder Dislocation in Mancherial

Consider a dislocated shoulder an emergency injury.

The goal of immediate treatment of shoulder dislocation is to restore the elbow to its normal position. The long-term goal is to restore function to the arm.

Nonsurgical Treatment

Closed Reduction. Normal shoulder position can usually be restored in a hospital emergency room. Patients are usually given sedatives and painkillers beforehand. Restoring the shoulder to its original alignment is called closed reduction. This happens gently and slowly. If a shoulder dislocation occurs during a sporting event, medical personnel may be able to return the shoulder to the position at the time of injury.

Severe pain usually stops as soon as the shoulder joint returns to its normal position. Fixed. After the shoulder is returned to its correct position (reduction), a sling is placed on the shoulder to rest it. This protects your shoulders and prevents further injury. The splint must be worn until you see a doctor. When you see your doctor, they will examine your shoulder and determine if more information is needed. If so, a CT scan or MRI may be ordered at that time. Shoulder dislocations can be treated without surgery if the shoulder is not seriously injured.

Glaze. You can apply ice to the painful area three to four times a day to reduce swelling and pain. Do not apply ice directly to your skin. Use an ice pack or wrap the ice in a towel.

Painkillers. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, ibuprofen, and naproxen, can help reduce pain and swelling.

Rehabilitation. Physical therapy can help during this recovery period. Physical therapy can help restore shoulder mobility and strengthen the muscles. Rehabilitation can also help prevent future shoulder dislocations. Rehabilitation begins with gentle muscle-strengthening exercises. You can also add strength training later. Some people can be fully active again after dislocating their shoulder. Some people continue to feel like their shoulder is dislocated even after physical therapy. These patients may use a brace to protect their shoulder during certain activities.

Surgical Treatment

If the shoulder joint cannot be reinserted into the socket or has dislocated several times, surgery may be necessary. Shoulder dislocations often require surgery if there is damage to the muscles or bones that make up the shoulder.

Depending on the extent of the injury, surgery may include:

Tightening or repairing ligaments

Repairing labrum injuries

Closing bone gaps

Bone reconstruction

The type of surgery that is best for different people varies.

Some patients, especially young athletes, may wish to have surgery after their first dislocation to prevent recurrent dislocations (chronic shoulder instability). The surgeon will discuss and consider the risk factors for recurrent dislocation and the pros and cons of nonsurgical and surgical treatments.

Stiff shoulders may occur after surgery. Physical therapy after surgery is very important to restore mobility

Prevention from Shoulder Dislocation

Strength Training: Regularly perform strength training that focuses on the muscles around the shoulder joint, including the rotator cuff muscles. Strengthening these muscles improves joint stability.

Range of Motion Exercises: Improve shoulder flexibility and reduce shoulder stiffness with range of motion exercises. Dynamic stretching helps prepare your shoulders for different movements.

Balanced Muscle Development: Provides balanced muscle development around the shoulders, eliminating imbalances that cause instability. Work with a fitness professional or physical therapist if needed.

Proper Technique: Practice proper technique when playing sports or engaging in physical activity. Learning and maintaining proper form will help prevent awkward movements that can lead to dislocation.

Protective Equipment: Wear appropriate protective equipment, such as shoulder pads or braces, when participating in contact sports or activities with a high risk of shoulder injury.

Warm up and cool down: Always warm up before doing any physical activity to prepare your muscles and joints for movement. Incorporate dynamic stretching and gradually increase the intensity. A cooldown afterwards will speed up recovery.

Avoid High-Risk Activities: Use caution when participating in activities where there is a high risk of falls, collisions, or attacks. Assess potential risks and take necessary precautions to minimize injury.

Muscular Endurance: Develops muscle endurance to support the shoulders during prolonged or repetitive activities. Endurance training can increase muscle recovery.

Gradual ProgressionWhen starting a new exercise or activity, gradually progress in intensity and duration. Avoid sudden increases in load or intensity as this can put stress on your shoulders.

Regular Exams: Attend regular exams with a health care professional to assess and address underlying conditions or weaknesses that may contribute to shoulder instability.

Education and Training: Learn about proper body mechanics and lifting techniques, especially if your job involves lifting heavy loads. Proper mechanics training can reduce your risk of shoulder injury.

Injury Rehabilitation: If you dislocate your shoulder, follow the rehabilitation recommended by your medical professional. Completing a prescribed rehabilitation program will strengthen your shoulder and reduce the risk of recurrence.