What to do if “shoulder dislocation” becomes a habit

  Xiao Zhang loves sports, 3 years ago when he fell down after playing soccer, his right shoulder joint was dislocated, at that time he went to the hospital for reset treatment, after a period of rest his shoulder did not hurt, and his daily activities were not affected, but what distressed him was that when he rejoined some upper limb sports, his shoulder joint would still be dislocated, at first it still appeared when he exerted special force, later as long as the arm waving action He felt that his shoulder joint was like a part of a robot that could be “disassembled” at any time. Ms. Liu is a housewife, 2 years ago by bus hand pulling the lever when encountering emergency brake dislocation of the left shoulder joint, then in the hospital for reset treatment, but later also like Zhang appeared “habitual shoulder joint dislocation”, gradually like drying clothes, lifting heavy things such as work can only be given to others to do. The shoulder joint is the most vulnerable joint in the human body, said Professor Wang Weiming of the Department of Orthopaedics at Zhongshan Hospital of Dalian University, who said that the shoulder joint is the most mobile joint in the human body and can meet the different needs of human life and sports. However, it is also the most unstable joint in the human body and is prone to dislocation due to the lack of strong enough protection. Among all joint dislocations in the human body, shoulder dislocation has the highest percentage. Dislocation often occurs during contact sports, such as soccer, basketball, judo, wrestling, etc., and is also common in traffic accidents. The vast majority of traumatic shoulder dislocations occur in people between the ages of 14 and 34, and because this group is more active, the recurrence rate is high after the first dislocation. 90% of patients abroad report “habitual dislocation or instability”. In other words, dislocation is triggered when the shoulder joint is in a specific position, such as basketball “shooting”, volleyball “dunking”, tennis “serving”, backstroke stroke, etc.; there are also Dislocation can also occur when the handrail is pulled when riding on a bus and the brake is applied sharply. “Habitual shoulder dislocation seriously affects the function of the affected limb and greatly interferes with the patient’s normal work and life. Many patients have certain psychological barriers due to fear of dislocation and are afraid to exercise and raise their hands above their heads.  Can I get rid of “habitual shoulder dislocation” completely?  Do patients with “habitual shoulder dislocation” have to accept this “bad habit”? Besides helping to reset the joint when it is dislocated, what else can doctors do to help patients get rid of this “bad habit” so that the “shoulder dislocation” can be treated fundamentally?  Professor Wang Weiming of the Department of Orthopaedic Surgery said that modern medicine has confirmed that trauma-induced “habitual shoulder dislocation” is caused by the tearing of the shoulder capsule ligament and glenoid lip during dislocation, and since this tear is difficult to heal through conservative treatment, the dislocation occurs repeatedly and eventually becomes a “habit”. “The subluxation occurs repeatedly and eventually becomes a habit. If the dislocation is not effectively treated for a long period of time, the repeated occurrence of the dislocation will cause damage to the associated cartilage and bony structures in addition to the aforementioned avulsion injury, making treatment more difficult. Repeated dislocations, in turn, can significantly exacerbate the degenerative changes in the affected shoulder, making osteoarthritis of the shoulder joint appear earlier. Therefore, the international sports medicine community and the Shoulder Joint Specialists Society are calling for early surgical repair of torn shoulder capsule ligaments and glenoid labrum in patients who have suffered a shoulder dislocation due to trauma before the age of 30, in order to effectively prevent “habitual dislocation” from occurring.  Arthroscopic surgery for “habitual shoulder dislocation” The reporter learned that there are “traditional open surgery” and “minimally invasive arthroscopic surgery” for the surgical treatment of shoulder dislocation. In recent years, with the rapid development of arthroscopic technology and surgical instruments, arthroscopic application of suture anchor technique to close the avulsed shoulder capsule ligament and glenoid labrum has achieved very satisfactory results. The treatment group led by Professor Wang Weiming of the Department of Orthopaedics, Zhongshan Hospital, Dalian University, has successfully performed arthroscopic surgery on more than one hundred patients with habitual shoulder dislocation. The arthroscopic shoulder repair technique has significant advantages such as less trauma, faster recovery, better efficacy and shorter hospital stay. The 10 cm wound of traditional surgery is replaced by three or four small 0.5 cm incisions, which are aesthetically pleasing and less invasive. Of course, not all “habitual shoulder dislocations” can be treated by arthroscopic surgery. For patients with bony glenoid labral injuries, open surgery may be more appropriate.  Therefore, patients with shoulder dislocations caused by sports injuries, car accidents and other traumas should go to a sports medicine doctor as soon as possible to receive professional treatment to prevent “habitual shoulder dislocations” and get rid of this “bad habit” as soon as possible. This is to prevent “habitual shoulder dislocation” and get rid of this “bad habit” as soon as possible.