关键词: geometry glenohumeral articulation latarjet procedure pain recurrent shoulder dislocation

来  源:   DOI:10.7759/cureus.32804   PDF(Pubmed)

Abstract:
Recurrent shoulder dislocation is often induced as a result of a traumatic situation that results in structural disease; however, a small subset of individuals suffer symptomatic recurrent shoulder instability without trauma. The glenohumeral articulation geometry offers a lot of flexibility at the sacrifice of inherent stability. The commonly dislocated joint is the shoulder joint as it has intrinsic instability that can lead to repeated dislocations. The procedure is designed to minimize the probability of problems. Physiotherapy is essential for regaining patients\' mobility and enhancing their quality of life. A 36-year-old patient visited Acharya Vinoba Bhave Rural Hospital with complaints of pain graded 7/10 on the numerical pain rating scale and injury to the right shoulder joint after which there was repeated shoulder dislocation after a fall because of epilepsy five years back. The patient was diagnosed with recurrent shoulder dislocation which occurred approximately 50 times in a year as of January 24, 2022. The patient was managed with a Latarjet procedure on January 28, 2022. A well-planned physical therapy intervention significantly improved their overall status of health along with their ability to perform daily activities efficiently in post-operative patients with recurrent shoulder dislocation.
摘要:
复发性肩关节脱位通常是由于创伤情况导致结构性疾病而引起的;然而,一小部分人在没有创伤的情况下遭受症状性复发性肩关节不稳定。肱骨关节几何结构在牺牲固有稳定性的情况下提供了很大的灵活性。通常脱位的关节是肩关节,因为它具有可导致反复脱位的内在不稳定性。该过程旨在最大程度地减少出现问题的可能性。物理治疗对于恢复患者的活动能力和提高他们的生活质量至关重要。一名36岁的患者在AcharyaVinobaBave农村医院就诊,抱怨疼痛数字评分为7/10级,右肩关节受伤,之后因癫痫发作而跌倒后反复出现肩关节脱位。患者被诊断为复发性肩关节脱位,截至2022年1月24日,每年约发生50次。2022年1月28日,患者接受了Latarjet手术。精心计划的物理治疗干预显着改善了他们的整体健康状况,以及他们在术后复发性肩关节脱位患者中有效执行日常活动的能力。
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