Op. Dr. Osman Lapcin said that recurring shoulder dislocations are seen mostly in young people compared to the elderly. Emphasizing that they predict that a dislocation caused by trauma before the age of 20 will be repeated at a high rate, Orthopedics and Traumatology Specialist Osman Lapçın, “This risk decreases gradually in advanced ages. The risk of recurrent dislocations after the first dislocation after the age of 45-50 is lower compared to the fact that the initial dislocation occurred at an early age. “ he said.
Orthopedics and Traumatology Specialist Osman Lapçın made important statements about recurrent shoulder dislocation problem. Stating that the dislocated patients came to them in a very painful manner and the shoulder was stuck in a position according to the direction of the dislocation, Osman Lapçın stated that a diagnosis of shoulder dislocation was made with the X-ray taken with these complaints. Kiss. Dr. Osman Lapçın added that they had been treating by following the arm sling for about a month after they placed the shoulder in place at the first dislocation, usually closed.
Underlining that they recommend patients with surgery and closed surgery in recurrent shoulder dislocations, Lapcin said, “Before 20 years of age, we begin to re-trap off the traumatic shoulder dislocations (maneuver for relocating a dislocation or revealing slipped broken ends) and we state that the risk of recurrence is very high. We recommend the patient to have an arthroscopic (imaging and repair of the joint with a camera using small incisions of one centimeter) after the treatment process is completed, to repair the tear in this capsule. “ he said.
Emphasizing the importance of age in the shoulder dislocation, Osman Lapçın said, “We can predict that a shoulder dislocation that occurs as a result of trauma before the age of 20 will repeat at a high rate. The risk decreases gradually in advanced ages. The risk of recurrent dislocations after the first dislocation after the age of 45-50 is lower compared to the fact that the initial dislocation occurred at an early age. However, after developing a second dislocation in any age group, the probability of dislocation increases, and in these cases we recommend surgical intervention to patients. ”Explained.
Op, which indicates the most common shoulder dislocation as forward shoulder dislocation. Dr. Osman Lapçın said, “In this way, he can repeat the dislocation by forcing the shoulder again. Therefore, forcing to repeat the compulsive movement after recovery will increase the risk. ” said.
Orthopedics and Traumatology Specialist Osman Lapçın, who states that permanent nerve injuries may occur as a result of injuries of the nerves during dislocation, said, “It can also develop in the fracture along with the dislocation in the shoulder. In this case, fracture treatment is also performed with dislocation. “He said.
Treatment should be very precise and careful
Pointing out that if the shoulder dislocation treatment is left undetected precisely in sufficient time, Lapcin said that the rupture in the capsule formed during the dislocation in the shoulder will not heal or will heal loose, and this situation may cause recurrent shoulder dislocation.
Stating that the risk of shoulder dislocation will decrease in people who have performed the surgery carefully, who do the exercises and strengthening exercises at the appropriate time, and who are sensitive enough to rehabilitation, Lapçın explained the operation process as follows: “It can take about 1 hour depending on the shape of the rupture and the difficulty level. We follow the shoulder in the arm sling for a month after the surgery. At the end of this period, the shoulder movement exercises to regain the range of motion
Here we go. In the third month, we move on to strengthening exercises. Patients can maintain their daily lives after removing the shoulder arm sling at the end of the first month and starting the shoulder movements. ”
It is more common in men than women
Saying that recurrent shoulder dislocation is more common in men than women, Osman Lapçın said, “Sports is a risk factor in this regard. It is repeated more frequently in those who do heavy sports activities and contact sports. At the same time, dislocations with the fracture can repeat more. In case we call hyperlaxicity (in people whose connective tissues are somewhat looser), this risk increases when non-compliance with dislocation treatment is shown. If the rehabilitation program is not sufficiently followed and the rotator cuff group around the shoulder is accompanied by a rupture, the risk is high. “He said.
Stating that the patients can be discharged the next day after the operation, but they can stay in the hospital for 2-3 days depending on the pain status of the patients, “When the patient can tolerate pain, he can be discharged. ” said.
Kiss. Dr. Osman Lapçın talked about the rehabilitation process after repeated shoulder dislocation surgery: “We expect the patient to stick and boil this area we repair. After a while, exercises are started by gaining the range of motion. In the third month, exercises that will strengthen the muscles around the shoulder are started. During this period, the patient should not trigger the mechanism that will repeat the dislocation. Again, he should stay away from the activities he would be traumatized. “
The recovery process of athletes is faster
Osman Lapçın, who stated that patients should apply to the doctors who perform their surgery without wasting time in a painful condition that develops a rash, temperature increase or suddenly in the operating area: “Sports is a risk increasing factor in the shoulder dislocation. Shoulder dislocation can be encountered more frequently, especially in contact sports. For example, heavy and contact sports such as volleyball, basketball, football and skiing are risk factors. The healing process is a bit faster for the athletes. “