Eye ball shoulder
A shoulder joint dislocation is colloquially referred to as a “dislocated shoulder“. It is a dislocation of the shoulder joint. Approximately 50% of dislocations affect the shoulder, and it is a fairly common orthopedic clinical picture.
Due to the special anatomical conditions of the shoulder joint, a dislocation is very common here. The joint capsule is very wide and the ligaments of the joint are not particularly tight. This results in a very large freedom of movement.
In addition, the head of the upper arm is too large compared to the joint socket, which can easily lead to a dislocation. There are various forms of shoulder joint luxation, the most common of which is anterior/subcoacoid dislocation. Such a dislocation is very painful; affected persons hold their arm.
The arm can be repositioned without major complications. The patient receives painkillers and a light sedation to make the dislocation of the arm more comfortable. The dislocation of the arm is done by the doctor with simple movements. Afterwards, the patient’s motor skills and sensitivity are tested. If nerves or fractures are injured, or in young people with very frequent shoulder joint dislocations, an operation in which the capsule is tightened can help.
Inflammation of the shoulder joint
When talking about an inflammation of the shoulder, experts refer to the so-called periarthritis humeroscapularis or “frozen shoulder”. The “frozen shoulder” is an extensive joint stiffness with severe movement restrictions, which can sometimes be more or less painful. It is based on a chronic, inflammatory change in the area of the shoulder joint capsule.
The causes can be bursitis, tendinitis, ruptures or inflammation in the area of the rotator cuff (muscles of the shoulder) or impingement syndrome. The disease is diagnosed with the help of X-rays and sonography and can be treated conservatively or surgically. Conservative therapy includes oral administration of non-steroidal anti-inflammatory drugs and physiotherapy exercises.
After 6 months an anaesthetic mobilisation can be carried out under short anaesthesia if the symptoms have not decreased. The joint is moved in all directions. In the extreme case, an arthroscopy is performed. Other inflammations of the shoulder: omarthrosis, tendinosis calcarea
All articles in this series: