As with many injuries, the Shoulder joint dislocation a conservative or operational Procedure possible. The decision depends on the severity of the Shoulder joint dislocation, the complaints and the level of activity of the patient.
At Rockwood I or. Tossy I injuries is always treated conservatively, since the capsule / ligament apparatus has not been torn.
In therapy, the Shoulder joint dislocation the need-based, short-term, pain-relieving and anti-inflammatory use of non-steroidal anti-inflammatory drugs (NSAIDse.g. Diclofenac or Ibuprofen) in combination with a local, also pain reliever Ice treatment (Cryotherapy) of the shoulder joint.
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In the case of severe pain when moving, the shoulder joint can also be immobilized in a shoulder arm bandage (e.g. Gilchrist bandage) for a few days.
The therapy recommendation for Rockwood II or. Tossy II injuries is controversial. While some use the conservative approach as described above, possibly with a somewhat longer immobilization in the shoulder arm bandage (1-2 weeks) and subsequent physiotherapy (physiotherapy), with reference to the good functional therapy results, others recommend the operation of the Shoulder joint dislocationbecause they believe that the remaining malalignment leads to the development of osteoarthritis of the shoulder joint.
In our opinion, a decision should be made with the patient on a case-by-case basis after weighing the pros and cons. Neither one nor the other approach would be fundamentally wrong.
There is agreement about the indication for an operation of an ankle joint dislocation from Rockwood III or Tossy III injuries above all. with younger, active patients or patients who frequently have to work overhead in their job. In these cases, a conservative approach would lead to functional limitations of the shoulder.
$config[ads_text2] not foundIn order not to risk surgical complications, conservative therapy is definitely recommended for older patients.
There are some surgical procedures that are used for an ankle joint dislocation. They differ in the type of shoulder joint stabilization. All of them have their advantages and disadvantages.
The reconstruction of the capsule / ligament apparatus is optional. The trend is to allow the torn structures to heal themselves. In the opinion of many, disadvantages for the stability of the shoulder joint should not be expected.
Others prefer the suture of the capsule / ligament apparatus.
Read more on this topic at: Ankle joint dislocation operation
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$config[ads_text3] not foundWho am I?
My name is Carmen Heinz. I am a specialist in orthopedics and trauma surgery in the specialist team of .
The shoulder joint is one of the most complicated joints in the human body.
The treatment of the shoulder (rotator cuff, impingement syndrome, calcified shoulder (tendinosis calcarea, biceps tendon, etc.) therefore requires a lot of experience.
I treat a wide variety of shoulder diseases in a conservative way.
The aim of any therapy is treatment with full recovery without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.
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The shoulder movement exercises begin in the days following the operation Shoulder joint dislocation under physiotherapy guidance. Movements above the horizontal should be for 4-6 weeks be omitted.
Rockwood I and Tossy I injuries usually heal without consequences.
Also the prognosis for conservatively cared for Rockwood II and Tossy II injuries is good. If the shoulder girdle is heavily used at work (Overhead work) or exercise can become a painful later Shoulder joint arthrosis form.
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The forecast for all surgically treated ankle joint dislocations are also good, but depend on the achieved shoulder joint stability, the loss of reduction and the stress on the shoulder girdle in everyday life. Physiotherapy exercise treatments should be carried out until full shoulder joint mobility has been achieved. Remaining shoulder joint instabilities can lead to a loss of function and chronic shoulder discomfort.
However, an ACG explosion is also surgically treated a risk factor for an ACG arthrosis