Treatment
How Kocher KOCHER 's maneuver
1.
Discourage the facility and take the arm away from the body.
2.
Lift the annex to this situation firmly and slowly away.
3.
When the doctor felt that the shoulder muscles begin rotation of the humerus shake out.
4.
Then puts the annex Side chest with the Department of the humerus into the inside front of the chest and to reach out to the other shoulder.
5.
The patient re-entry of detailed location and the pain disappears suddenly and the patient feels comfortable.
6.
Maintains this position with ties for a period of four weeks.
7.
X-rays taken to make sure the detailed return to normal.
Surgical treatment
1.
In the case of any break open a wound compound dislocation.
2.
In the case of a fractured bone or part Bamufsal twitch.
3.
In the case of lack of success of conservative treatment for any reason.
4.
If there are problems with blood circulation to the upper side.
5.
In the case of treatment can not be directly due to the presence of other problems such as coma.
Removing the shoulder joint Dislocation of the shoulder
Complications complication
Removing Hdot repeated bouts of chronic recurrent dislocation
Removing the shoulder recurrent Recurrent shoulder dislocation
Spared this case after Hdot Removing the shoulder joint the first time and failure to maintain the shoulder in the rewind mode for four weeks for there is no opportunity for the capsule and ligaments and muscles to heal and return to a normal situation remains the tissues in the case of coalesced flawed and of making it easier to break loose once again to shoulder for trivial reasons. With a recurrence of the jaw to the shoulder increased tissue laxity and lose Hacep joint pain due to nerve injury occurs the jaw to the shoulder joint, even in the field of natural movement of the joint.
The most frequent causes of Jaw
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Failing to maintain and install the shoulder joint for a period of four weeks.
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Not strengthen the muscles surrounding Bamufsal physiotherapy.
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Agent Age: The younger the patient is less than twenty-jaw more likely to be repeated.
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Way for injury and the degree of lacerations and fractures associated with.
Surgical treatment
By the failure of conservative treatment in many surgeons resort to surgical treatment, and if not examine each case separately, the failure of a good surgical result will be a work time.
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The goal of surgery is to prevent the exit of the head to the front of the arm bone abrasion-THE GLENOID - and identify the area of the external rotation of the joint.
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Hedda can be done by shortening the cover of the detailed and strengthen muscles and shortening of the neighbor inside.
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Must re-lips itch-HE GLENOID LABRUM - in place to restore the natural property of the suction friction. Thus increasing the success rate of surgical work.
Surgery
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Process PUTTI-PLATT
Removing the shoulder recurrent Recurrent shoulder dislocation
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Process BANKART 's prosedure
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Process BRISTOW OPERATION
Removing the shoulder recurrent Recurrent shoulder dislocation
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Process NICOLA OPERATION
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Process MAGNUSON - STACK OPERATION
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