Vállficam - Other than in Hollywood movies
Author Dr. Bálint Major | 2023.08.21.
In Hollywood films, you often see the protagonist dislocate his shoulder during his adventures. He may feel a little pain, but he immediately fixes it himself or a friend puts it back in place with a single movement and the adventure can go on... as if nothing had happened.
Unfortunately, in real life, there is nothing adventurous about shoulder fucking. In fact, it comes with a lot of pain.
And sometimes even doctors can only put a dislocated limb back in place with great effort or surgery.
How is a real shoulder fuck really different from what we see on the big screen?
What are the types and how can they be cured?
The BMM shoulder specialist, Dr. Bálint Major helps you pour clean water into the glass.
What is a shoulder fuck?
During shoulder dislocation, i.e. dislocation of the the head of the humerus protrudes from the vase. As the shoulder is the most complex and mobile joint in the body, it is prone to injury. Although these can vary, one of the most common problems is shoulder dislocation, especially among active athletes.
What types of sprains are there?
Several shifts of varying direction and severity are distinguished in terms of state failure. The displacement can be front-to-bottom and back-to-back.
The dislocations 95%-a front-bottom, which is most common in younger people and active athletes. The head of the humerus is actually dislocated by a strong rotation (twisting) of the arm or a fall.
A posterior shoulder sprains are very rare, can occur at any age, most often triggered by an epileptic seizure or electric shock.
A sprains may be complete, at which point the humerus in 100% leaves its place or semi-fucks it. In a hemiplegia, the head of the humerus does not quite leave the joint capsule.
During painful dislocation bone fractures may occur, this means that the head of the humerus breaks off a piece of bone from the rim of the socket during displacement.
How can a shoulder disorder be detected?
Anyone who has had a shoulder dislocation in their life knows the hellish pain it can cause.
There are strong and clear signs of a problem. The dislocation clearly visible to the eye and tactile. Also swelling and immobilisation of the arm, numbness up to the fingers. In addition the patient assumes a characteristic posture. He can't stand up straight for the most part, and any type of movement, even walking, increases the shoulder pain.
During a shoulder fracture, the diaphragm can be damaged in the same way as mentioned above, but often the surrounding tissue is also affected. Ligaments, tendons and the rotator cuff may be stretched or torn.
Can anyone put the shoulder back in place?
Only in the movies is it possible to move the arm from one minute to the next.
On arrival at the hospital, the doctor physical examination ends, then X-ray image about to be made. X-rays are necessary to see if there is any bone damage.
It is very important that the should be put in place as soon as possible. The process may vary:
- Repositioning, or putting the patient back in place, requires the patient to be relaxed so that the doctor can use the right movements to put the loose humerus back in place.
- If this fails, the patient is put to sleep. If a fracture or fracture of a bone occurs during the dislocation rotator cuff tear surgery is always required. The procedure is usually performed arthroscopically.
- Open surgery is only considered in cases of severe bone damage, but this is rare.
A repeat X-ray is also necessary after the repositioning.
Can the adventures continue immediately after a sprain?
Unfortunately, no. In real life, after a shoulder dislocation, the patient is completely out of it.
Even in the case of surgical reduction without surgery, there is a strong feeling of fatigue and weakness. Painkillers are the patient's good friend, and a good night's sleep to recover from the trauma is not a bad idea.
After the resettlement 3 weeks of arm restraints be worn (for 1 week in old age), then intensive physiotherapy next.
After possible surgery you should also wear an arm brace, but in this case the indications may vary from person to person. The length of time the brace is worn depends on the surgical technique and the severity of the injury.
However, the importance of physiotherapy and proper rehabilitation cannot be overemphasised, regardless of the type of repetition.
The recovery time is relatively long. Most mobility can be regained within 3 months after the dislocation. Certain types of sport can be done at this time, but 100% recovery 6 months after the incident.
Does muscle strengthening always help?
The answer is still no. In the case of traumatic shoulder injury, when the ligaments really do tear, surgery is the only solution. The ligaments cannot be tightened, so it is better to leave it to a shoulder specialist.
In the case of someone with a loose shoulder, who can move out in all directions, muscle strengthening is the best choice. In this case, it is also worth consulting a physiotherapist, because the stability of the shoulder can be achieved by special movements and training the appropriate muscle groups. Physiotherapists will teach you joint-sparing methods that, if followed, are guaranteed to achieve the right result without the risk of any other injury or repeated dislocation.
