https___www.medicalnewstoday.com_articles_dislocated-shoulder_utm_source_ReadNext.xml
http___forreststanley.com_170-bol-u-ramenom-i-kunom-zglobu.php_1.xml
1.1 1.2 2.1 3.1 3.2 4.1 4.2 5.1 6.1 7.1 7.2 8.1 8.2 9.1 9.2 10.1 11.1 12.1 13.1 14.1 15.1 15.2 16.1 17.1 18.1 18.2 19.1 19.2 20.1 21.1 22.1 23.1 24.1 25.1 26.1 27.1 28.1 29.1 30.1 31.1 32.1 33.1 34.1 35.1 36.1 37.1 38.1 39.1 39.2 40.1 41.1 42.1 42.2 43.1 43.2 44.1 44.2 45.1 46.1 46.2 46.3 47.1 48.1 48.2 48.3 49.1 50.1 51.1 51.2 52.1 52.2 53.1
A dislocated shoulder occurs when the top part of the upper arm bone partially or fully comes out of the socket. A dislocated shoulder is painful and results in temporary loss of mobility and function of the affected arm. A person with a dislocated shoulder should seek medical attention as soon as possible so that a healthcare professional can put the joint back into place. Joint reduction, or placing the joint back into its normal position, can significantly ease the severe pain associated with a dislocation. However, full healing may require the use of a sling, physical therapy, and, in more severe cases, surgical stabilization of the shoulder joint. This article looks at the causes, risk factors, and symptoms of a dislocated shoulder. It also discusses possible treatment. A shoulder dislocation occurs when the top of the upper arm bone, the humerus, comes partially or fully out of the shoulder socket bone called the glenoid. According to the American Academy of Orthopaedic Surgeons, the shoulder is the most mobile joint in the body and therefore the most commonly dislocated one. The shoulder can dislocate forward, backward, or downward. Forward dislocations, also called anterior dislocations, account for about An anterior dislocation usually occurs when the arm is out to the side and rotated backward, such as when throwing a ball, and then hit. As the bone exits the socket, it causes damage to the surrounding tissues that help stabilize the joint. When a person dislocates their shoulder, they often experience severe pain and loss of mobility in the shoulder. Sometimes, a change in the shape of the shoulder is also noticeable. A force placed on the shoulder joint when it is in a vulnerable position can result in a dislocated shoulder. Possible causes include: - a fall - a car accident - being hit during a contact sport Anyone can dislocate their shoulder. However, it is more common in certain groups of people, including: - younger people who participate in contact sports - older adults, particularly after a fall This is likely due to the fact that younger people participate in higher risk sports and activities. The more times that the shoulder dislocates, the more the tissues that stabilize the joint get stretched out. In a 2016 review, researchers found that younger males are at a higher risk of recurrent dislocations. However, the review also states that there is a need for additional studies in order to best determine risk factors for recurrent or initial dislocations. A fracture of the glenoid that sometimes occurs when the shoulder dislocates is also a risk factor for recurrent dislocations. Once the shoulder dislocates for the first time, a person may take some steps to help prevent recurrent dislocation, including: - undergoing physical therapy - doing strengthening exercises - stretching the muscles around the shoulders - avoiding high risk sports and activity People who experience a shoulder dislocation may report symptoms such as: - pain that comes on suddenly - a decrease in the shoulder range of motion - feeling the bone rolling out of the socket - a popping sensation in the shoulder - numbness or stinging in the arm - a change in the shape of the shoulder - bruising - muscle weakness - swelling around the shoulder If a person suspects that they have dislocated their shoulder, they should seek emergency medical attention. To put the shoulder back in place, a doctor will typically need an X-ray of the joint to determine the direction of the dislocation. A person should always seek immediate medical attention if the affected arm or hand starts to turn blue or if the person is experiencing swelling, worsening pain, or both in the arm, shoulder, or hand. In order to properly diagnose a dislocated shoulder, a doctor will likely start by asking about symptoms and medical history. They will then perform a physical examination. In some cases, doctors may be able to determine whether the shoulder is dislocated based on the examination and symptoms. However, they will usually obtain an X-ray image to help determine the direction of the dislocation and the maneuver needed to put the joint back in place correctly. There are several techniques doctors use to perform a shoulder joint reduction. The exact method of placing the shoulder joint back in its normal position can vary slightly depending on the doctor’s experience and the direction of the dislocation. Before a reduction, some doctors inject a local anesthetic into the joint to help reduce pain. Doctors will often choose intravenous sedation to allow the muscles surrounding the shoulder to relax. Following the reduction, a doctor will obtain new X-rays to ensure that the joint is in the right position. After a person wears a sling for a period of time, their doctor will often suggest a physical therapy to help regain the range of motion and strengthen the muscles around the shoulder. Additionally, the doctor may recommend a follow-up appointment with an orthopedic specialist. In some instances, a person may need surgery to stabilize the joint. Most first-time dislocations do not require surgery. However, it is necessary to operate on a shoulder that continues to dislocate, to prevent further dislocations and minimize the risk of other long-term problems, such as degenerative arthritis. In most cases, a shoulder dislocation requires medical attention to help reduce the risk of recurrence and minimize the likelihood of complications. While awaiting medical treatment, a person may take some steps to ease symptoms. For example, they can use the method known as RICE, which stands for rest, ice, compression, and elevation. This will help protect the joint and prevent swelling. They may also use over-the-counter medications, such as nonsteroidal anti-inflammatory drugs, to help ease inflammation and pain. However, it is still best to seek emergency medical care. The shoulder joint is the most frequently dislocated joint in the body. A force placed on the shoulder joint when it is in a vulnerable position, such as when a person throws a ball, can result in a dislocated shoulder. The dislocation is painful and can temporarily cause limited mobility. If a person does not receive proper treatment, recurrent dislocations and potential long-term problems, such as arthritis, may arise. If a person suspects that they have dislocated their shoulder, they should seek emergency medical attention.
1.1 2.1 3.1 3.2 4.1 5.1 5.2 6.1 6.2 7.1 7.2 8.1 8.2 9.1 10.1 11.1 12.1 13.1 13.2 14.1 15.1 16.1 17.1 18.1 18.2 19.1 20.1 20.2 20.3 20.4 20.5 20.6 21.1 22.1 22.2 22.3 22.4 22.5 23.1 23.2 24.1 25.1 25.2 25.3 26.1 27.1 28.1 28.2 28.3 29.1 29.2 29.3 30.1 31.1 31.2 32.1 33.1 33.2 34.1 34.2 34.3 34.4 34.5
Bol u ramenom i kučnom zglobu Sadržaj Najveća ponuda fitness opreme, sprava za vježbanje te dodataka prehrani na jednom mjestu! Ekskluzivna ponuda Kreni s mršavljenjem danas Rameni zglob je spoj lopatice i nadlaktične kosti i najpokretljiviji je zglob ljudskog tijela. Kiropraktički tretman bolova u zglobovima ramena Zbog opsega pokreta koji se u ramenu može izvesti zglob je vrlo nestabilan. Rame je prilično podložno ozljedama zbog toga što je glava nadlaktične kosti dva do tri puta veća od zglobne čašice na lopatici u koju uliježe. Kako bi zadržalo stabilnost, rame je učvršćeno mišićima, tetivama i ligamentima. Neki od problema u ramenom zglobu javljaju se zbog oštećenja ovih mekih tkiva bol u ramenom i kučnom zglobu rezultat ozljede uzrokovane prekomjernim korištenjem ramena ili pak nedovoljnim korištenjem ramena. Drugi problemi javljaju se kupiti lijek za liječenje artroze degenerativnih procesa kod kojih meka tkiva stradavaju i ne funkcioniraju više dobro. Bol u ramenu može biti lokalizirana ili se može širiti na područja oko samog zgloba ili niz ruku. Fizioterapeut ili liječnik probleme ramenog zgloba najčešće dijagnosticiraju već nakon razgovora s pacijentom i nakon izvođenja specifičnih testova za dijagnosticiranje ozljeda. Da bol u ramenom i kučnom zglobu se neke od dijagnoza potvrdile radi se RTG, magnetska rezonanca ili artrografija. Najčešća bolna stanja Dislokacija iščašenje Rameni zglob je zglob u ljudskom tijelu koji je najčešće podložan dislokacijama. - Hrvoje Klobučardr. - Kosti i zglobovi - - Zglob se sastoji od tri glavne kosti: nadlaktična kost, ključna kost i lopatica. - Ozljede ramena - koja su najčešća bolna stanja ramena? | forreststanley.com - Kjerringråd protiv bolova u ramenom zglobu Odlučujemo donijeti neke savjete protiv bolova u ramenom zglobu. - Bolovi u zglobu prednje površine zgloba kuka - Savjeti žena protiv bolova u ramenom zglobu Odlučujemo donijeti neke savjete protiv bolova u ramenom zglobu. - Početna Savjeti Bolovi u kostima i zglobovima i kako si pomoći Bolovi u kostima i zglobovima i kako si pomoći U tipičnom slučaju dislokacije ramena, jaka sila koja vuče rame prema van ili ekstremna rotacija zgloba izbacuje glavu nadlaktične kosti iz ležišta na lopatici. Dislokacija često nastaje kad se ruka naglo i snažno povuče prema nazad, pa su mišići nespremni na akciju ili je sila vučenja prevelika. Bol poznatog uzroka Kad se dislokacije događaju učestalo, govorimo o nestabilnosti ramena. Djelomična dislokacija zgloba, kad glava nadlaktične kosti nije u cijelosti izvan svog ležišta na lopatici, naziva se subluksacija ramena. Rame može biti dislocirano prema naprijed, prema nazad i prema dolje. Dislocirano rame može izazvati vrlo jaku bol, koju pojačava mišićni spazam. Uz bol se pojavljuju i oticanje i slabost ruke. Uz dislokaciju se često vežu i rupture ligamenata i tetiva koje pojačavaju zglob, ozljede zglobne čahure i rjeđe ozljede živaca. Nedavno sam imao jednog pacijenta koji je često imao slične bolove u lijevoj i desnoj strani vrata i ramena. Dislokacija se najčešće dijagnosticira fizičkim pregledom, a RTG pretraga se koristi samo kao potvrda dijagnoze i da bi se vidjelo postoji li fraktura vezana za dislokaciju. Dislokacija se tretira reponiranjem glave nadlaktične kosti u zglobno ležište. Nakon toga se ruka imobilizira na nekoliko tjedana. Preporuča se upotreba leda tri do četiri puta dnevno na bolno mjesto. Nakon što se bol i oteklina stave pod kontrolu, pacijent se uključuje u program rehabilitacije koji se sastoji od vježbi za povratak prijašnjeg opsega pokreta i snaženja mišića kako bi se spriječile buduće dislokacije. Nakon provedenog tretmana i oporavka, prethodno dislocirano rame može postati podložnije ponovnom ozljeđivanju, posebnu kod mlađih, aktivnijih osoba. Ligamenti mogu biti istegnuti ili rupturirani, i rame ima tendenciju ponovnog dislociranja. Smrznuto rame Rame koje se dislocira često i snažno, ozljeđujući okolno tkivo i živce, obično zahtjeva operativni zahvat kojim se istegnuti ligamenti učvršćuju, a rupturirani ponovno spajaju. Tendinitis, bursitis i sindrom sraza Ova bolna stanja su međusobno povezana, a mogu se pojaviti samostalno ili u kombinacijama. Ako su rotatorna manžeta ili bursa iziritirani, upaljeni ili natečeni, mogu postati zgnječeni između glave nadlaktične kosti i akromiona. Ponavljajući pokreti rukama nakon dužeg vremena, mogu iritirati i istrošiti tetive, mišiće i okolne strukture. Bol u lijevom ramenu Tendinitis je upala tetive. Ozljeda može varirati od blage upale do zahvaćenosti cijele rotatorne manžete. Kad su tetive mišića rotatorne manžete upaljene, odebljaju i mogu ostati zarobljene ispod akromiona, a to stanje nazivamo sindromom sraza impingement syndrome. Tendinitis i sindrom sraza često su udruženi sa upalom burzalne vrećice koja štiti rame. Upala burse naziva se bursitisom. Najčešći uzroci iritacije tetiva mišićja rotatorne manžete i burse koji dovode do upale i sindroma sraza su sportovi i zanimanja koja koriste ponavljajuće pokrete rukom iznad glave. Kjerringråd protiv bolova u ramenom zglobu Prvi korak u tretiranju ovih stanja je smanjenje boli i upale izbjegavanjem aktivnosti koja je izazvala upalu, upotrebom leda i protuupalnih lijekova. Da bi se poboljšao krvotok i dubinski ugrijalo tkivo koristi se terapijski ultrazvuk. Nježne vježbe istezanja i snaženje dodaju se postupno. Prije i nakon vježbanja koristi se terapija ledom. Ukoliko se stanje ne poboljša, može se pristupiti injektiranju kortikosteroida, a ako ni to ne donese rezultate može se izvesti operativni zahvat kojim se oslobađa pritisak na tetive i bursu. Porin Perićdr. Brojni su razlozi koji mogu dovesti do takvog stanja, a klinička slika najčešće se manifestira na dva načina. U prvom slučaju bolovi u ramenima pojavljuju se naglo akutnouz ograničenje funkcije ramenog zgloba, koje je obično prolazno, a takvo stanje nazivamo akutno bolno rame. Drugo, vrlo često stanje počinje s manjim bolovima u ramenu i postupno sve većim ograničenjem pokretljivosti ramena, tako da u završnoj fazi gotovo nisu mogući pokreti u ramenom zglobu. Takvo stanje nazivamo smrznutim ramenom.