Habitual dislocation - that kind of attack you pursue?

January 1, 2013

  • Habitual dislocation - that kind of attack you pursue?
  • Shoulder injury

 recurred dislocation
 Sprains - is offset relative to each other of the articular surfaces of bones, which is accompanied by damage to the joint capsule and ligaments. The most common sprains are the result of damage, ie they are traumatic. Habitual dislocation - is a pathology in which the dislocation of the joint is repeated several times.

 Habitual dislocation - that kind of attack you pursue?

Why is there a habitual dislocation

The most common habitual dislocation of the shoulder. It is especially common among athletes who are engaged in judo, wrestling, jumping. Gymnastics, volleyball, basketball often lead to dislocation of the elbow joint. Occasionally there patellar dislocation Dislocation of the patella: a common knee injury  Dislocation of the patella: a common knee injury
 Which is common in motorcyclists at constant knee injury.

There are several reasons that lead to the formation of habitual dislocation. These include:

  • Later, seeking medical help;
  • Severe damage to the joint capsule and ligaments of muscles and tendons that surround it. In such situations, even after a full treatment of sprains in the joint can be repeated;
  • Damage to nerves and blood vessels that pass close to the injured joint;
  • Inadequate treatment of primary dislocation;
  • The absence of anesthesia during reposition the previous dislocations;
  • Application of rough ways reposition;
  • Lack of immobilization (creating stiffness in the joints) or a failure;
  • Early in the joint exercise.

The shoulder joint is thus movable in the human body. Its structure has a number of features that explain the frequent occurrence of dislocations in it:

  • Humeral head has a spherical shape and large size;
  • Partly glenoid cavity, which is located on the blade, slightly concave;
  • The forces of the muscles that surround the joint, is not enough to prevent frequent sprains;
  • Stretched joint capsule.

In the primary dislocation under the influence of the head of the humerus injury with great force presses the joint capsule, which is due to this significantly stretched. Humeral head out of the glenoid cavity on the blade. Sometimes the capsule is broken and the articular lip (cartilage, which is located on the edge of the glenoid cavity) comes off the bone. Such damage often leads to the formation of habitual dislocation.

When, during the injury to the edge of the glenoid cavity rests head on this part of the humerus is formed impression. It also contributes to frequent dislocations.

When habitual shoulder dislocation often occurs stretching or tearing of the biceps tendon. The articular surface of the bone degenerative changes occur. There is a tension of the axillary vessels and nerve damage, which are part of the brachial plexus. With each subsequent dislocation of all of these changes continue to progress.

 Habitual dislocation - that kind of attack you pursue?

Symptoms and Diagnosis

Most often, the disease manifests itself within six months after a traumatic dislocation was vpravlen. In some patients habitual dislocation occurs several times a year, while others - every day. Gradually, the time intervals between the dislocations become smaller as the pathological changes in the joint increase.

Pain is much weaker than in traumatic dislocation. Sometimes they may not even be.

Habitual dislocation occurs with minimal damage to the joints, and even when performing everyday activities. Weight lifting, sudden movements, grooming, putting on clothes can lead to a significant shift of the articular surfaces of bones relative to each other. Sometimes sprains occur during sleep Dreams: how to understand our dreams  Dreams: how to understand our dreams

In men, this disease occurs several times more often than women. Patients are usually able to reduce a dislocation themselves, and thus rarely go to the doctor. They protect the hand and try not to do such movements in which there is a pathological condition.

The diagnosis is usually made based on history (the story of man on how the illness). Extracts from history can also help detect abnormalities. These patients are in the hospital, where they reduce a previous sprains.

Sometimes, in the area of ​​the affected joint is reduced sensitivity. This is associated with damage to the nerve fibers. The muscles that surround the joint, may atrophy, i.e. decrease in volume. In this limb on the affected side looks thinner than healthy.

X-ray study provides a lot of useful information about the status of the joint. For example, with the usual shoulder dislocation Dislocated shoulder - do not try to put everything in place  Dislocated shoulder - do not try to put everything in place
   the picture you will notice a defect in the humeral head and damage to the articular cavity of the blade edge.

 Habitual dislocation - that kind of attack you pursue?


There are surgical and conservative treatment of habitual dislocation Dislocation - Prevention and Treatment  Dislocation - Prevention and Treatment
 . But treatment without surgery is usually ineffective. In some cases, if the dislocation was repeated two or three times, prescribe massage and physiotherapy. These measures are aimed at strengthening the muscles. During treatment, be sure to limit the movement in the joint.

In most cases, the usual sprains are treated surgically. All operations can be divided into five groups:

  • Operations reinforcing the joint capsule;
  • Operations in the muscles, ligaments and tendons, which are aimed at reducing the movement in the joint;
  • Operations on the creation of additional bundles of local tissue or grafts;
  • Operations on the bones. When these reduced bone defects or create additional protrusions, which limit a pathological displacement of the bones in the joint area;
  • Combined operation, which include several methods of surgery.

After surgery, the patient's limb is fixed in position by means of special dressings. It is applied for about one month.

To the period of rehabilitation proceeded favorably, the doctor physical therapist recommends specific exercises. To increase the mobility in the joint during the first weeks after the operation can be performed only passive motion. A month later, the patient needs to be done and active exercises to increase strength and muscle elasticity.

Massage and physiotherapy - essential components of rehabilitation. The load on the joint is fully permitted only six months after surgery.

If dislocations in any joint occur too often, you need to seek medical help. Habitual dislocation successfully treated by surgery, allowing patients to continue to maintain a normal life.

How to get rid of heel spurs - conservative and operative treatment

December 2, 2014

 how to get rid of heel spurs
 To learn how to get rid of the heel spur, a doctor may recommend an orthopedic trauma. The fact is that at different stages of the disease, there are different methods of treatment. Provides treatment of heel spurs Treatment of heel spurs - Only a doctor  Treatment of heel spurs - Only a doctor
   alone makes no sense - can only exacerbate the situation.


Why is the treatment of heel spurs should only doctor

Heel spur - a bony growth on the bottom surface of the heel bone, where the heel rests on a hard surface walking. Spur has a wide base, coming from the heel bone and the cusp facing in the opposite direction - it is pushed to the heel and soft tissue injures them, causing severe pain.

In order to help the patient, the physician should understand the causes of heel spurs. It can result from long-term injury, poor blood supply to the calcaneus, amid flat feet, prolonged standing during the workday, obesity and so on. All these factors can cause overgrowth of bone tissue with the formation of the heel spur.

Patients with heel spurs are suffering, and sometimes they are completely unable to walk because of severe pain. To help in this case, you can only eliminate the cause of the spur. This weight reduction in obesity, wearing orthopedic shoes for flat feet, shift work, if it requires a long standing and so on. All these measures will stop the progression of the disease.

In order to relieve the pain caused by soft tissue injuries, there are various methods of conservative treatment. Traditional methods of conservative treatment are also generally helps eliminate swelling and inflammation of the injured soft tissue. Conservative with ultrasound can even remove a small spur. But if these methods do not help get rid of the spur will be with the help of surgery.


Conservative treatment of heel spurs

First of all, these methods are aimed at reducing pain when walking. Orthopedic surgeon can advise on how to use special insoles can reduce or even eliminate the pain. To do this, cut out the two insoles for the left and right legs of thick soft material, and one of them cut a hole in the form spurs. Spur gets when walking into the hole and does not injure the tissues - walking becomes much easier. Over time, the inflammation of the soft tissues, caused by long-term injury, will take place, and the disease will not progress.

When the heel spur on a background of flat feet need to wear special orthopedic shoes - it will help you choose a podiatrist. It also slows the growth of bone tissue.

The structure of the complex treatment includes also anti-inflammatory therapy: nonsteroidal anti-inflammatory drugs (NSAIDs - diclofenac, nimesulide, ibuprofen, etc.), drugs that improve blood circulation and metabolism Improves metabolism and losing weight without dieting  Improves metabolism and losing weight without dieting
 , Strengthens blood vessels, physiotherapy (paraffin wax, mineral wax, ultrasound therapy, magnetic therapy, water and mud). To remove severe pain topically administered novocaine. With the same purpose applications overlap with Dimexidum. Sometimes the inflammation and pain possible to remove only by glucocorticoid hormones.

With shock wave therapy can get rid of a small spur - the bone is destroyed and crushed under the influence of ultrasonic waves. Shock wave therapy also helps restore blood circulation in the spurs and reduces sensitivity to pain.


Surgical treatment of heel spurs

If using conservative methods to get rid of heel spurs is not obtained, and the patient concerned about severe pain, get rid of heel spurs can be achieved by surgery. The operation is carried out after a thorough examination and clarify the location of the spurs with the help of X-ray.

Depending on the heel spur, the general condition of the patient and his sensitivity to the pain of the surgery is performed under general or local anesthesia. On the heels of the skin in the area of ​​the intended location of the heel spur cut through the skin and soft tissues, expose the heel bone, using a special tool remove heel spurs and injured soft tissue, sutures, sterile bandage and plaster. The cast is removed after 10-14 days. After that, should gradually train the leg, trying to gradually increase the load on a daily basis.


Preventing the recurrence of heel spurs

The disadvantage of surgery is that heel spurs can appear again. To this did not happen, you need to comply with certain conditions. This absence of strenuous exercise, getting rid of excess body weight, wearing comfortable or orthopedic shoes, timely treatment of orthopedic diseases (eg, flat), diseases associated with the violation of the peripheral circulation. Be sure to establish the correct healthy diet Healthy eating - do not limit yourself to eating  Healthy eating - do not limit yourself to eating
 , Helps to improve metabolism Metabolism: The basis of life of all living things  Metabolism: The basis of life of all living things

How to get rid of heel spurs? Only through long-term care under the supervision of a podiatrist.

Galina Romanenko

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