It is very painful when the shoulder goes out of joint. The shaft can, for example, go out of joint if you fall sharply and receive it with your hand, or if the shaft is sharply turned.
Getting the shoulder out of joint is usually called luxation. The shoulder blade and upper arm meet in the shoulder joint. The shoulder blade protects the joint in the shoulder upwards and backwards. On the front of the shoulder, only the muscles prevent the shoulder from going out. For this reason, 95% of the luxations are so-called front luxations; the shoulder goes out of the way forward. The pain usually makes it feel best to hold the upper arm on the injured side next to the body and then back up with the other arm
Most people who happen to fall out of the shaft are restored. However, it is important to get the shoulder joint back in place as soon as possible as the tissue around the shoulder can be damaged. Once you have gotten the shoulder out of joint, the risk of it happening again increases, especially if it has gone out of joint when you were younger.
About the anatomy of the shoulders
The shoulder joint is the body’s most moving joint. It has a large range of motion and is largely made up of three legs: the shoulder blade, the clavicle and the upper leg. Only one quarter of the shaft joint head has contact with the hinge. This contributes to both the great possibility of movement and the fact that axles that go out of joint are such a common injury.
Causes that the shoulder goes out of joint
Some common causes of shaft dislocation are lack of stability and damage. It is more common to suffer from shoulder lesions if you are in contact sports. A common cause is that the shoulder is subject to trauma, such as a sports injury, and falls out of joint. This type of luxation is especially common among younger people affected
In patients over 40 years of age, a dislocated shoulder can cause other injuries, such as tendon injuries, nerve damage and skeletal injuries, which cause instability in the shoulder.
There are also those who suffer from congenital instability in the shoulders. In congenital instability, it is not uncommon for problems with both shoulders. The shoulder joint feels loose and like it slides away, for example when lifting things. It can cause pain and cause difficulties in everyday life.
The shaft can go out of the way in everyday movements such as scratching your neck or washing your hair. This is because the joint capsule and ligaments do not work properly. As a result, the shoulder joint is not held in place. Stabilizing strength training of the muscles around the shoulder joint can help over time.
Treatment of a dislocated shaft
The goal of the treatment is to carry out a so-called repositioning, to get the shoulder back in the joint. If you think that the shoulder has gone out, you should seek care directly at a health center or emergency room. If you cannot seek treatment directly, you should lie on your stomach with your arm hanging freely. In some cases, the joint in the shoulder may find its way back to the correct position by itself.
When you come to a doctor you usually get painkillers, and sometimes even muscle relaxants.
If this is the first time your shaft has gone out of joint, it usually x-rays to check that nothing has been broken. Then the joint in the shoulder is usually pulled back into the correct position. This usually goes reasonably easily since you have received pain relief before the action. If you are still in pain despite pain, you may become anesthetized when your shoulder is pulled back into position.
During the first days, you may need a supportive bandage, called a mitella. A new X-ray may also be needed to check that the shaft is in place correctly. After the shaft has gone out of joint and is back in place, you need to learn how to move it properly again. Therefore, you may need to meet a physiotherapist to get help with exercises.
Surgery may be needed if the stability of the shoulder does not return for a long time. This is especially relevant for those who have recurring problems with axes that go out of their way and those who participate in risky sports or professions.