Fracture of the surgical neck of the shoulder( humerus)
Fracture of the surgical neck of the shoulder occurs due to a fall or any other physical impact on this area. Most often, such damage occurs in the female half of the population who are in old age. In this category of patients, various diseases of the musculoskeletal system develop over time, against which the bones become more fragile. They are damaged as a result of insignificant physical impact on the shoulder region, and when the upper limbs are held in an incorrectly chosen position for a long time.
Such fractures can be of the following types:
by adduction, occur when a person falls on a bent upper limb;
abduction, occur when falling on a limb taken to the side.
Shoulder fracture with bias
With a fracture of the surgical neck of the shoulder, a specialist can palpate the displaced bone fragments by palpation. In some cases, they can be seen visually, since they protrude from under the skin. Such patients almost instantly have a hematoma and severe edema in the area of injury. The strongest painful feelings cause painful suffering for the victims, so when they enter the medical institution they are immediately anesthetized. If there is a suspected fracture of the humerus with displacement, x-rays in several projections are mandatory, thanks to which the specialist will be able to determine the real picture of the problem and choose the correct treatment technique. Sometimes there are cases in which during a fracture of the surgical neck of the shoulder, bone fragments begin to exert pressure on the neuromuscular bundle.
This often results in severe complications:
with a strong swelling of the upper limb;
by the necrosis of the injured limb;
, the appearance of an aneurysm, etc.
Fracture of the shoulder without bias
To date, fracture of the surgical neck of the shoulder is not so common, in 7% of all cases of damage to the bones of the musculoskeletal system.
Patients may show a fracture in any part of the humerus:
in the distal;
in the middle;
in the proximal.
During a fracture of the humerus without displacement of debris, a hemorrhage occurs in patients in the area of injury. In all cases, without exception, there is edema, which over time increases greatly. In patients, the mobility of the injured upper limb is completely impaired, and with a slight movement, they begin to experience strong pain sensations. If the fracture is classified as punctured, the patient will be able to perform passive hand movements. On the background of such a trauma, deformity of the shoulder joint may occur, therefore, it is necessary to immediately seek medical help from a qualified specialist.
Treatment of the fracture of the surgical neck of the shoulder
The patient, who suffered a fracture of the surgical neck of the shoulder, experiences severe pain, and also observes loss of mobility of the upper limb. These symptoms force him to go to a medical facility for qualified help. At the reception specialist in the first place will conduct a personal examination of the patient, will collect an anamnesis of the disease.
To obtain a more accurate clinical picture, the physician will prescribe to the patient an additional examination, which provides for a number of diagnostic measures. In most cases, this category of patients is immediately directed to radiography, through which it is possible to determine the type of fracture.
If the X-ray did not give the doctor a complete picture of the disease, the patient is given computer or magnetic resonance imaging, which can detect damage to the muscular tissue in the area of the injured shoulder belt.
Patients can be treated on an outpatient basis if a fracture of the surgical neck of the shoulder is detected. The specialist chooses the method of treatment individually, depending on the complexity of the fracture. With the usual fracture, the upper limb of the patient is fixed in a certain position, after which a gypsum langette is superimposed on it and on the trunk. To wear such bandage from gypsum follows for 4-8 weeks, depending on the complexity of the fracture.
In the case when there is a displacement of bone debris at a fracture, the patient is repositioned in a hospital. This manipulation is accompanied by a strong pain syndrome, so patients are injected with local anesthesia. In very complex fractures, treatment is possible only surgically. During the surgical intervention, the patient is immersed in general anesthesia, after which he performs an open reposition and fixation of bone debris.
As a fixator surgeons use special designs made of special medical alloys that are not subjected to oxidation. Their main purpose is to bring together bone fragments( in which holes are pre-drilled) and their reliable fixation. With a qualitatively performed operation, the patient can do without external immobilization. All metal retainers are dismantled their bones 4 months after their installation.
Repeated surgical intervention is performed only when the specialist is satisfied that the splicing of the bone fragments has been successful. The functions of the injured shoulder and upper limb will be restored gradually, after the patient has completed the full course of rehabilitation.
Immobilization for shoulder fracture
For fracture of the shoulder, patients need complete immobilization, for which a thoracobronchial bandage is used, for the application of which specialists use the traditional technique:
. The patient should be on a hill in a sitting position( high stool or table can be used).
Injured upper limb should be set in a certain position:
at an angle of 70-80 degrees - with fractures of the upper third of the humerus;
at an angle of 45 degrees - with fractures of the lower third of the humerus.
The damaged shoulder must be bent( the angle should not be in the range of 45 to 80 degrees).
A cotton wool is placed around the body of the patient( the area of the shoulder, on the crests of the iliac bones, as well as the elbow, shoulder, wrist joint), which is fixed by bandage or gauze.
On the sides of the trunk and injured limb, plaster langets are superimposed, while the healthy shoulder is not fixed at all and remains completely free and movable.
To prevent damage to the corset between it and the plastered upper limb, a special spacer is installed, the functions of which can be performed by an ordinary wooden stick.
In complex( abduction) fractures, accompanied by the displacement of bone fragments, the patients, after repositioning, are superimposed with the Whitman-Gromov dressing. In the event that a fracture occurred in the lower third of the humerus, a plaster bandage is applied to the injury site, which covers the upper limb of the patient as a trough.
LFK with fracture of the shoulder
For fractures of the surgical neck of the humerus, patients are prescribed a course of therapeutic physical training. The patient will be able to perform special exercises for 2-3 days from the moment of receiving such an injury.
This course of exercise therapy is divided into several periods:
The first period of curative physical training( lasts for 2 weeks) includes a set of exercises that patients must perform by tilting the trunk toward the injured upper limb. All exercises are based on flexion and extension of the hands, performing various movements.
The second period of of physical therapy( on average, it lasts 4 weeks) includes exercises that involve the torso of the trunk, various movements of the upper limbs( mahi, breeding, etc.), the use of sports equipment, etc. The third period of exercise therapylasts for 3-4 weeks. During the implementation of the complex of exercises, patients use various sports equipment and shells: balls, dumbbells, maces, sticks, etc. For such a category of patients, it is very useful for occupational therapy, during which they can do household chores, work in the garden,
The third course of LFK includes exercises, during which the patients make mahi, flexion and extension of hands, and strength exercises. Patients are advised to visit the swimming pool, as water procedures have a positive effect on the musculoskeletal system in general and help to restore the body after injuries. After performing each approach, the patient must relax the muscles and do respiratory gymnastics. Thanks to a specially developed complex of exercises in patients who have suffered a fracture of the surgical neck of the humerus, the amplitude of movements is fully restored and they can lead an active lifestyle. Muscular tissues in the area of the injured limb come in a tone and can function fully as before.
On the topic: 12 folk methods for home treatment
Rehabilitation for shoulder neck fracture
After carrying out a constructive treatment of fracture of the neck of the shoulder, patients need a fairly long rehabilitation. The program of rehabilitation measures begins with the restoration of physical activity of patients. For them a special set of exercises is developed, separately for the upper and lower extremities.
It is mandatory for this category of patients to perform:
complex of exercises for fingers;
movement of the upper limbs in different planes;
strain the muscles of the shoulder girdle, etc.
Patients can go through rehabilitation both at home and in medical institutions, where there are specially equipped classrooms for study. Each exercise should be repeated 8-10 times, while carefully listening to your own body and immediately stopping your workout if pain occurs. The complex of physical exercises must be performed daily. It is recommended to do 3-4 approaches, each of which lasts at least 15 minutes.
In addition to physical education, rehabilitation includes a complex of physiotherapeutic procedures, which can be described as:
visiting the swimming pool, etc.
Massage of this category of patients should be carried out by well-trained professionals who use modern techniques in their work, based on intermittent vibrations. For these purposes, the masseur uses either fingers or a wooden hammer, the purpose of which is to perform light taps on the plaster bandage of the patient, in the area of the fracture.
Over time, patients are advised to increase physical activity, especially in the area of the injured shoulder. Daily exercises, the time which should be increased to 40 minutes, the patient should perform only after a thorough warm-up, during which all joints of the upper limbs and shoulder girdle are worked and heated. After the first course of exercise, you should perform a set of breathing exercises, the purpose of which is to relax the muscles.
The final phase of rehabilitation includes a complex of more complex exercises aimed at restoring the coordination, strength and dexterity of the patient. The daily physical education course includes throws and catching the ball, transferring it to a partner, etc. After completing the rehabilitation, patients completely restore their professional and household activities.
Author of the article: Kaplan Alexander Sergeevich, Trauma Physician, orthopedist
Shoulder joint fracture: treatment and rehabilitation procedures
Any of these anatomical formations can be damaged, which leads to fracture. Fracture of the shoulder joint, as a rule, is characterized by a violation of the bone integrity of the head, neck or tubercle of the humerus.
Fractures and cracks in the joint
Such injuries usually result from the application of force from the outside. However, most often this force is significant in the event that the bone tissue has already been pathologically altered. For example, the presence of osteoporosis on the background of hormonal changes, inadequate intake and assimilation of calcium, etc. That is why fractures most often occur in the elderly.
Depending on the point of application of the external force, various anatomical structures of the humerus can be damaged. It looks like this:
- Fracture of the neck of the shoulder joint occurs when it falls on the withdrawn arm, shoulder, or elbow;
- Injuries of the shoulder of the shoulder joint usually occur in the case of a sharp and severe contraction of the muscle, which is attached to these tubercles;
- Fracture of the humerus body occurs when falling on the arm or as a result of a direct stroke.
Fractures are classified into different species. The main provisions of this classification are as follows:
- Indication of the location of the fracture;
- Breach of the axis of the location of bone fragments - a fracture of the shoulder joint with and without bias;
- Presence or absence of complications - damage to nearby neuromuscular bundles.
Depending on the specific type of fracture, further tactics of treatment and management of the patient will be determined. Therefore, setting the most complete and correct diagnosis is half the success.
Clinical manifestations( Symptoms)
The main clinical signs of fractures are:
- Pain that increases with active and passive movements in the shoulder joint;
- Swelling in place of injury;
- The presence of bruising in the same place;
- Violation of the function of the upper limb - the inability to perform movements in the shoulder joint.
The final diagnosis is only made after an X-ray examination has been performed. On the roentgenogram, it is easy to identify the fracture line and the violation of the ratio of bones to each other. Also, an X-ray examination will help to distinguish a fracture from a dislocation of the shoulder joint, which happen much more often and are treated easier.
Treatment and rehabilitation procedures
Treatment of shoulder injuries can be divided into three stages:
- Provision of emergency medical care;
- Specialized treatment by a trauma doctor;
- Rehabilitation stage, which is intended for the final restoration of the function of the hand.
Emergency assistance is to apply a tire that provides immobility in the place of damage, as well as to enter painkillers.they will help prevent the development of pain shock. After this, the patient is taken to the emergency room. If there is a displacement of the bone fragments, then in the beginning they perform their closed reposition. In the case when it is unsuccessful, then the operation( open reposition) is shown. After this, plaster is usually applied for 3-4 weeks to ensure a steady state of bone fragments.
After the removal of gypsum, rehabilitation processes are started, aimed at the speedy restoration of the functionality of the hand. To this end, the metered physical exercises( exercise therapy for fracture of the shoulder joint), massage, as well as physiotherapy procedures are shown.
As a result of such an integrated approach, the joint after the damage functions as before, that is, without the loss of any movement. Usually, the development of the shoulder joint after a fracture lasts an average of one month, but it can sometimes last up to 3-6 months.
In conclusion, it should be noted that fractures of the articular part of the shoulder arise as a result of the application of various external forces. As a result, this leads to damage to one or another anatomical formation of the humerus. As a rule, the diagnosis of this condition does not cause difficulties. After the diagnosis is made, the first aid should be rendered immediately to the victim. The main thing in this process is immobilization and anesthesia. Then the final treatment is performed depending on the type of fracture. After the healing of the fracture, the time of the rehabilitation phase comes. As a result, the function of the hand is completely restored. In dogonku I will give one more video, concerning rehabilitation exercises. Exercises start at 3.45.Pleasant viewing and do not be ill.
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Types of fractures of the humerus and principles of treatment
The humerus is long enough, and a fracture can occur on any part of it:
- anatomical neck of the shoulder( intraarticular fracture);
- surgical neck of the shoulder( extraarticular fracture);
- diaphysis of the shoulder( the main part of the bone);
- distal part( closer to the elbow).
The fractures of the surgical neck of the humerus are especially dangerous, since they can lead to damage to the neurovascular bundle, and hence to hemorrhage and possible paresis in the future.
Treatment of fracture of the humerus is usually conservative( reposition of fragments, plastering and observation), but in some cases, surgical intervention may be required. The beginning of treatment usually coincides with the rehabilitation period.
The main goal of rehabilitation is to restore the full amplitude of movements. The complex of exercises is adjusted by the attending physician and the physician of physiotherapy exercises individually for each patient. LFK promotes muscle relaxation, correct comparison of bone fragments, reduces pain syndrome, activates regeneration and adaptation processes.
Immobilization stage( first 3 weeks after fracture)
The whole complex should be performed 6-8 times a day for 30 minutes( 6-10 repetitions for each exercise).The starting position is standing with the inclination forward.
- Respiratory gymnastics.
- The hand should always be in a bandage( except for occupations).
- Active movements( rotation, flexion / extension, pronation / supination) in the elbow, wrist joints, brushes stimulate blood circulation in the hand, reducing edema and reducing the risk of thrombus formation.
- Rotations by hand clockwise and counterclockwise.
- Pendulum movements by hands. This exercise perfectly helps to remove pain syndrome at any time. It is enough to take the sick arm out of the bandage and in the standing position with a forward tilt make a few pendulum swings with a relaxed limb.
- Drawing and bringing the arm or just the elbow to the torso.
- Cotton in front of the chest, and then behind.
- Cross arms in front of the chest.
- Torso rotations with hands locked into the lock in front of the chest.
Physiotherapy procedures include cryotherapy for reducing pain syndrome, reducing edema and inflammation.
The patient receives a list of exercises at the time of discharge. Continue to study it is necessary, otherwise it will be impossible to restore the mobility of the hand.
Functional stage( 3-6 weeks)
During this period, the fracture is already considered fused, which is confirmed by X-rays. The purpose of rehabilitation at this stage is to restore the former volume of passive and active movements. The complex of exercises expands, the original position remains the same. The patient should strive for a gradual extension and performing the exercises without standing forward. The frequency of exercise is 4-6 times a day up to 6-10 repetitions.
- Raising a straight hand in front of you.
- Active use of block simulators: lifting and lowering of the diseased limb, raising the arms to the sides.
- Makhi hands forward, back, to the sides. The starting position is standing with a slight inclination forward.
- Drawing the arms behind the back with the blades. The starting position - the arms in front of the chest are bent at the elbows.
- Water procedures. While visiting the pool, you should perform exercises that simulate swimming with breaststroke and freestyle, crossing your arms in front of your chest, various movements of your limbs. Staying in water gives an additional load on the muscles, which improves blood circulation in them, increases the effectiveness of training.
Physiotherapy procedures include magnet, massage, balneotherapy. Courses for 10-12 procedures.
Training stage( 7-8 weeks)
It is believed that by this time the patient almost completely restored the functionality of the injured arm and shoulder. Exercises are carried out to strengthen the muscles, complete recovery of the amplitude of movements. Training should be held 3-4 times a day for 10-12 repetitions.
- Raising a straight hand in front of you. The starting position is standing straight.
- Exercises for the withdrawal, reduction, pronation, supination, rotation of the hand. Vis on the crossbar or the Swedish wall, resting on the hands and push-ups, manipulation with medbola and dumbbell weighing not more than 5 kg. Continue exercise is necessary to strengthen the deltoid muscle and the rotator cuff, which are the muscular framework for the shoulder joint. It should be borne in mind that exercises that require heavy workload should not be prescribed to elderly patients.
- Stretching exercises."Walking" with your fingers on the wall up and to the sides, the establishment of a towel or gymnastic sticks behind your back. The above manipulations can achieve a complete restoration of mobility in all directions.
- Swimming pool - swimming with a comfortable style.
Physiotherapy still includes a magnet, massage, balneotherapy.
With a rationally chosen scheme of rehabilitation, a full recovery of the patient occurs after 2-3 months. Only after this, it is necessary to perform exercises designed to develop physical strength, stretching, endurance. It is necessary to take vitamin complexes and special supplements, and also to ensure that there is enough calcium in the food( dairy products).
Video "Rehabilitation after a fracture of the humerus"
A fracture of the humerus is a serious enough injury. A person immediately faces the question: how to develop a hand after a fracture of the humerus quickly? After all, usually treatment and rehabilitation take a long time, and a person temporarily loses efficiency, and it is difficult to serve oneself with one hand. If such a fracture is not difficult, closed and without bias, then treatment and rehabilitation are faster. But when the bones moved, there was a rupture of ligaments and muscles, in this case, treatment and rehabilitation become longer;sometimes months pass before the hand begins to work at full strength.
A fracture of the humerus with displacement is a serious injury. But correctly performed treatment plays a big role in further successful rehabilitation. The process of developing a hand is also extremely important. From the timely begun measures to restore muscle activity and the development of the joint itself depends on the period of rehabilitation itself.
Treatment before rehabilitation depends on the severity of the fracture of the humerus. In the case of fracture of the anatomical neck of the joint, there is no bone bias, so surgical intervention is not required and recovery is rapid. If the bones of the shoulder have shifted, then a muscle or ligament rupture( or both) may occur. In this case, we can not do without surgery. The treatment process will be slow, the joint will be deprived of mobility for a longer time, rehabilitation will be long.
Ways to develop a hand after fracture
After performing the necessary fracture treatment, the doctor usually prescribes the first rehabilitation procedures.
After a long fixation of a broken arm with a plaster bandage, the hand loses mobility, the muscles are atrophied, even the mobility of the fingers is lost.
First of all, it is necessary to restore the motor activity to the fingers. In this case, simple exercises are used to develop the muscles: you need to make the fingers actively contract and unclench for 10-15 minutes several times a day. Gradually, you can increase this load on the brush to half an hour 5-6 times a day. For such training, such items are perfectly suited, which easily undergo compression and quickly assume their usual form. They should fit freely in the hand and be moderately elastic. The initial burden on the injured arm should be moderate, so it is better to start similar exercises with a sponge. Then you can go to the expander, which is a special simulator for the hands.
Such exercises for fingers can be done at any free time. Do not forget that the hand only begins to recover from a fracture of the humerus, so long-term loads for it are harmful. As soon as a feeling of fatigue arises in the hand, the exercise should be stopped for a while. However, with a fracture of the shoulder joint, there is often a situation where the fingers simply do not obey and can not be developed. In this case, it is better not to start therapeutic physical training temporarily. To get your fingers moving, a massage course is assigned. And the entire brush is rubbed, and also each of the fingers. Massage allows you to restore blood circulation in the hand, and the rehabilitation of the brush will be faster.
In this case, you can develop fingers in a different way. Put your hands on the table and, without taking your fingers off the surface, move them to the sides of each other, and then put them all together. Such an exercise must first be done a couple of times, but gradually increase the number of such exercises. A number of other finger development exercises are also recommended. They can be bent and unbent so that they touch the palm of your hand. You can connect your fingers to each other in turn. When it becomes possible, you need to squeeze your fingers into a fist and unclench. Such finger training is best done in water, the bathtub is suitable for this, and the liquid must necessarily be warm.
With a fracture of the shoulder joint, it is most difficult to return the mobility to the fingers of the injured hand. Therefore, most of the therapeutic exercises are aimed precisely at making the development of the hand and fingers efficient.
There are a number of exercises for the fingers, with which you can return the brush to the former activity. You can put your hand on the table and simulate the game on the piano with your fingers on the table top. Then you can slightly complicate the task and, lifting your hand over the table, drum your fingers in the air. This exercise should be done for several hours during the day.Back to index
Physiotherapy exercises for any fractures of the shoulder joint
The course of exercise therapy for any type of shoulder joint begins after the plaster is removed. Massage can be started in the same period, but it should be sparing for the first few days to prevent a second fracture.
If the fracture was in the radius, then before the beginning of the course of exercise therapy, the injured joint must be prepared, the arm should be bent and unbent at the elbow joint for several days. Pain syndrome in the area of bone coagulation can still for a long time remind of a fracture. Therefore, gentle massage is usually done with the use of analgesic ointments or gels.
The curative physical training courses aimed at restoring the shoulder joint may be different depending on the severity of the fracture, so the instructor necessarily takes into account the necessary strain on the damaged joint at different stages of the rehabilitation period.
At the first stage, the injured person's hand is usually supported in a semi-bent position with a special kerchief. The initial position when performing a cycle of sparing exercises during the first time is as follows: with the foot that corresponds to the injured arm, they make a step forward, and the trunk is inclined toward the diseased joint.
It is in this position that you can get a patient with a healthy arm from a supporting bandage. All the exercises described below do not exceed ten times each. If you feel tired in the injured joint, then the gym should be interrupted.
Features of the exercises
- The first exercise. The PI is described above. A patient hand makes accurate movements forward and backward.
- IP is the same. The patient's arm moves in a circle first in one direction, then in the opposite direction. These movements must be done only in a horizontal position, do not lift the arm up.
- IP does not change. The hand with a small force is thrown to the side of the abdomen, then the same movement is repeated back, behind the back.
- IP previous. The fingers of the injured hand are alternately unclenched and compressed, with the thumb of the hand being inside the fist or outside. This exercise stimulates the process of blood circulation in the damaged joint.
- IP has not changed. The arm is bent at the elbow joint, but always on the weight. Then it must be straightened.
- IP is the same. The painful hand is again removed into the supporting bandage, bending it at the elbow at an angle of 90 degrees. And this hand starts moving back and forth, left-right.
- IP does not change. The painful limb holds the bandage around the neck, and the elbow performs the following movements: then forward, then to the trunk.
- the former. The sick hand is still in the supporting scarf. The trunk is straightened, only the shoulders are lowered and raised, then it is necessary to reduce and dilate the shoulder blades.
https: //www.youtube.com/ watch? V = I8JE1bvPc5s
This gymnastics is fully done at least 8 times a day.
In the second stage, the complex described above becomes somewhat more complex, now all exercises are performed simultaneously with both hands. It is necessary for the damaged shoulder joint to restore active motor capacity in different directions.
In the third stage, with the help of physiotherapy exercises, all the functions of the injured joint are practically restored.
In addition, in the final stage of the rehabilitation period, it is recommended to introduce a set of exercises in the pool along with the usual exercises.
In addition to massage and physiotherapy, the physician prescribes physiotherapy procedures that also help to restore the injured limb as soon as possible.
Physiotherapy exercises for the shoulder joint. Rotations. Video.Details Posted on 10.05.2012 13:34 Views: 1473
This article is intended solely for comprehensive information about the disease and about the tactics of its treatment. Remember that self-medication can harm your health. Consult a physician.
The shoulder joint is the most mobile joint of the human body. It allows you to raise your hand, to lead it behind your back, to reach your own neck. It is believed that it is through labor and his hands that man has become a man, but it is no exaggeration to say that the entire diversity of the function of the human hand is based on the tremendous mobility of the shoulder joint. Movement in the shoulder joint is carried out in all three planes, but for increasing the volume of movements in the joint, we have to pay for a decrease in its stability. The area of contact between the head of the humerus and the joint of the scapula is relatively small, even considering the cartilaginous lip that surrounds it and increases the area of contact of the joint surfaces and the stability of the joint. Anatomical structure of a normal shoulder joint.
The shoulder joint is formed by three bones: the head of the humerus, the articular cavity of the scapula and the clavicle, not connected to the joint anatomically, but significantly affecting its function. The head of the humerus corresponds to the shape of the articular cavity of the scapula, also called the glenoidal cavity( from the Latin term cavitas glenoidalis - articular cavity).At the edge of the articular cavity of the scapula there is an articular lip - a cartilaginous cushion that holds the head of the humerus in the joint.
The sturdy connective tissue that forms the capsule of the shoulder joint is essentially a system of ligaments of the shoulder joint, which helps the head of the humerus to remain in the correct position relative to the articular cavity of the shoulder blade. The ligaments are firmly fused with the thin capsule of the joint. These include the coracoid-brachial and articular-brachial ligament( has three bundles: upper, middle and lower).Also, the shoulder joint is surrounded by powerful muscles and tendons, which actively ensure its stability through its efforts. These include the supraspinous, subacute, small round and subscapular muscles, which form a rotational cuff.
What is a dislocation in the shoulder joint?
The head of the humerus lies in the joint cavity of the scapula like a basketball on a plate. Having received a large volume of movements, the shoulder joint sacrificed stability. It is characterized by subluxations, dislocations, ruptures of the joint capsule. The stability of the joint is understood as the ability of the head of the humerus to stay in the right place and not dislocate, that is, do not move relative to the articular cavity of the scapula under the influence of external force. Accordingly, instability of the shoulder joint is understood as a condition in which the head of the humerus can come out of the articular cavity of the scapula when applying an external force or with any movements.
Dislocations in the shoulder joint( it is more correct to call them dislocations of the humerus in the shoulder joint or dislocations of the head of the humerus) are front, back and bottom, depending on where the head of the humerus has shifted( material taken from the site http: // travmaorto.ru The author of the article is Sereda Andrey Petrovich ).
Next, a video is posted with the exercises for joint rehabilitation after the main treatment, i.e.you can already give the joint movement! This small set of exercises will help the joint to recover after a dislocation or other trauma, if it has not caused damage that has severely reduced the mobility of the shoulder joint, and also works well as a preventive agent, using it several times a week, you can insure against possible dislocations anddisplacements in the shoulder joint!