Yu dɔn ɛva fɔdɔm, hit yu sholda rili tranga wan, ɛn tink se, "Oh my god, mi sholda dɔn dislocated!"? I nɔ kin bi ‘dislocation’ lɛk aw yu tink, bɔt na ‘separated shoulder’ . Dat na difrɛn stori. Tide, wi go tɔk bɔt wetin na sɔl we separet, wetin mek i kin apin, wetin na di sayn dɛm, aw fɔ trit am, ɛn wetin yu kin du fɔ mek i nɔ apin igen.
Wetin na ‘shɔlda we separet’?
Fɔ tɔk am simpul wan, sɔl we separet na wan kɔndishɔn we kin apin na di akromioklavikul jɔyn na yu sholda. Dis jɔyn na di say we yu kɔlabɔn, we na di klavikul , de mit di pat we de ɔp na yu sholda blad, we na di akrɔmiɔn . Tink bɔt am lɛk brij.
Di impɔtant tin na dat, dis nɔto injuri to di men bɔl-ɛn-sɔkɛt jɔyn na yu sholda. No prɔblɛm nɔ de de. wetin de apin ya na dat di ligament dεm bitwin di klavikul εn di akromiכn – di bכnd dεm we de ol di jכint tכgeda – de strεch כ tכn . we dis apin, di kכnεkshכn bitwin di klavikul εn di sכlda bled kin lכs, εn di tu kin bigin fכ separet, כ muv apat. Na dat mek dɛn kɔl am sholda separeshɔn. Sɔm pipul dɛn kin kɔl am bak AC jɔyn separeshɔn.
Aw dis sik kin kɔmɔn?
I kɔmɔn pas aw yu tink. sכm stכdi dεm sho se lεk 40% pan כl di sכlda injuri dεm na akromioklavikulכr jכint injuri dεm! Dis kin apin mɔ pan pipul dɛn we kin ple spɔt dɛn we dɛn kin ple wit kɔlishin lɛk futbɔl, lakrɔs, ɛn ɔki. di AC joyn separeshכn dεm de mek 9% pan כl di injuri dεm na dεn sכpכt dεm ya.
Wetin na di sayn dɛm fɔ dis?
Di sayn dɛm wae de sho se yu sholda de kɔmɔt na yu bɔdi kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. I dipen pan aw di injuri bad. Sɔm pipul dɛn kin jɔs gɛt smɔl pen, ɛn ɔda wan dɛn kin gɛt bad bad pen ɛn ɔda sayn dɛn. Si if yu gɛt ɛni wan pan dɛn tin ya:
- wan pen rayt na di tכp pat pan di sכlda: rayt usay di kolabon de εnd.
- Lump na di tap pat pan di sholda, lɛk lump: Dis na di sayn we de sho se bɔku pipul dɛn kin si am. dis na wetin kin apin we di ligament dεm de te, we de mek di sכlda bled dכn dכn כnda di wet fכ yu an. Dɔn di tap pat pan di klavikul kin bulj kɔmɔt. I tan lɛk smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
- Nɔ ebul fɔ muv di sholda fayn fayn wan: I kin fil se i nɔ izi fɔ es ɔ rɔta di an.
- Swel ɛn pen we yu prɛs am: Di an kin fil pen ɛn swel.
- Brus: Sɔntɛnde i kin tɔn blu ɛn luk lɛk se i brus.
Wetin mek dɛn kin sheb dɛn sholda dɛn so?
Bɔku tɛm, dis kin apin we pɔsin fɔdɔm dairekt pan di bak pat na di sholda.If di fɔdɔm tu at, di ligamɛnt dɛn kin te. Imajin, yu fɔdɔm na yu baysikul, ɔ yu slip pan wan stɛp ɛn wund yu sholda, ɔ yu nak pɔsin we yu de ple spɔt ɛn yu sholda wund.
Fɔ ɛgzampul, if pɔsin we de ple futbɔl dayv fɔ kech bɔl ɛn nak in bak pat na in sholda ɛn slayv, dɛn kin pin in an dɔŋ ɛn mek i wund dis kayn we. Dis kin apin bak we motoka aksidɛnt apin.
Us prɔblɛm dɛn dis kin mek?
Pan ɔl we bɔku pipul dɛn kin wɛl kpatakpata afta dɛn dɔn trit dɛn, sɔntɛnde di lump kin stil de. Dɔn bak, sɔm pipul dɛn kin gɛt pen ɔltɛm, pan ɔl we i kin tan lɛk se dɛn dɔn wund smɔl. Dis kin bi bikɔs di bon dɛn de rɔb togɛda, at at sik, ɔ we di katilej we de wok lɛk kusɛn bitwin di bon dɛn we de na di shɔlda jɔyn dɔn pwɛl .
Aw dɔktɔ kin no dis?
We yu go to dɔktɔ, i go aks yu fɔs bɔt di sik dɛn we yu gɛt naw ɛn aw dis apin. Dɔn i go du wan ɛgzam pan in bɔdi . Di dɔktɔ kin aks yu fɔ ol smɔl wet na yu an. If yu du dis, yu kin si se di kɔlabon de kɔmɔt ɔp, we go ɛp fɔ kɔnfɔm di injuri.
Di dɔktɔ kin ɔda bak fɔ mek dɛn du sɔm tɛst dɛn we dɛn kin du fɔ mek dɛn tek pikchɔ dɛn , i kin dipen pan di kayn sik we pɔsin gɛt . Dɛn tin ya na:
- X-ray fɔ sholda
- Ultrasound egzamin
- MRI (Magnetik Rizɔnans Imej) tɛst
Dɛn kin aks yu bak fɔ ol wan wet na yu an we yu de du dɛn tɛst ya, so dat yu go si di injuri klia wan na di pikchɔ dɛn.
Afta dɛn tɛst ya, yu dɔktɔ kin sɛn yu to dɔktɔ we de mɛn ɔtpidik . Dis spɛshal pɔsin kin no aw yu sholda kin kɔmɔt. Dɛn de yuz wan klasification system we dɛn kɔl di Rockwood klasification of AC joint injuries. dis de klas di injuri frכm Tayp I (sכm sכm damej to di AC ligament, usay di jכint stil intakt) to Tayp VI (kכmplit tear fכ di ligament, usay di jכint de kכmplit wan). Dis klasification go sho di tritmɛnt, if dɛn nid fɔ du ɔpreshɔn, aw lɔng di tritmɛnt go las, ɛn wetin di ifɛkt dɛn go bi fɔ lɔng tɛm.
Difrɛn gred dɛn fɔ separet di sɔl
Sɔlda dislɔkeshɔn kin kɔmɔt frɔm smɔl to rili siriɔs. dכkta dεn kin klas dεn ``Acromioclavicular joint`` dislokeshכn dεm ya bay di εkstenshכn fכ di injuri εn כl di ligament dεm we dεn dכn pwεl. Di ``Rockwood classification`` we wi bin dɔn tɔk bɔt na in dɛn kin yuz mɔ. Lɛ wi luk sɔm pan di tin dɛn we de insay de:
- Tayp I: .if dis kes, yu akromioklavikul (AC) ligament dεm kin strεch sכmtεm כ tכn. כltu, di כda ligament dεm we de εp fכ mek yu klavikul stebul, di kכrakoklavikul (CC) ligament dεm, nכ de damej. Yu kin gɛt sɔm swɛlin ɛn sɔri-at. Dis fɔ dɔn fɔ insɛf insay sɔm wiks.
- Tayp II: Na ya yu AC ligament dεm dכn tכn kכmplit, εn yu CC ligament dεm dεn strεch כ sכmtεm tכn. I kin gɛt bɔku swɛlin wit smɔl tayt.
- Tayp III: insay dis kes, di tu AC ligament dεm εn di CC ligament dεm de kכmplit wan. Yu AC jɔyn kin tan lɛk big lump ɛn i kin rili swel. di CC jכint kin fil pen bak we dεn prεs am.
- Tayp IV: Dis na di say we di ligament de tכn, we de mek yu kכlabon de push bak εn stכk bihayn di akromioklavikulכr jכint. Dis na injuri we rili siriɔs ɛn i kin nid fɔ du ɔpreshɔn .
- Tayp V: di ligament dεn tכn, εn dεn de pul di εnd pan di klavikul (klavikul bon) insay wan mכsul we de oba di akromioklavikul jכint. Dis na siriɔs tin bak ɛn i kin nid fɔ du ɔpreshɔn.
- Tayp VI: di ligament dεn tכn, εn di klavikul dεn de push dכn εn trכp כnda di kכrakoyd, we na pat pan yu sכlda bled. Dis na wan sik wae nɔr kin bɔrku bɔt wae kin rili siriɔs. Dɛn nid fɔ du ɔpreshɔn pan am.
Aw dɛn kin trit dis?
Di gud nyus na dat bɔku pipul dɛn kin wɛl we dɛn separet dɛn sholda insay tu to twɛlv wik we dɛn nɔ gɛt ɔpreshɔn. Di tritmɛnt dɛn we nɔto ɔpreshɔn na:
- Yuz sling: Dis kin ɛp fɔ kip di sholda na wan ples te i wɛl.
- Ays pak ɛn mɛrɛsin fɔ mek yu fil pen: Yu dɔktɔ kin tɛl yu fɔ yuz NSAID (Nonsteroidal anti-inflammatory drugs) , lɛk Ibuprofen ɛn Naproxen , ɔ aspirin ɔ acetaminophen, fɔ mek yu nɔ gɛt pen.
- Fizik tritmɛnt ɔ ɛksesaiz program: We yu sholda dɔn wɛl, dɛn tin ya kin ɛp fɔ mek di mɔsul ɛn ligamɛnt dɛn na yu sholda strɔng. Bɔt yu fɔ gɛt aprɔval frɔm yu ɔtpidik spɛshal pɔsin bifo yu bigin fɔ du rihabiliteshɔn program.
- Nɔ es di wet fɔ 8 to 12 wik afta di injuri dɔn wɛl.
Sɔm bad bad kes dɛm (lɛk Rɔkwɔd gred IV, V, ɛn VI), ɔ if tritmɛnt dɛm we nɔto ɔpreshɔn nɔ gi di rizɔlt we dɛn want, i kin nid fɔ du ɔpreshɔn. If yu finga dɛn nɔ gɛt bɛtɛ trɛnk, fil kol, yu an mɔsul dɛn wik, ɔ yu sholda nɔ fayn, dis kin sho se yu gɛt mɔ sik. Di tritmɛnt dɛn we dɛn kin du fɔ ɔpreshɔn kin inklud:
- fכ kכt di εnd pan di klavikul: Dis go mek i nכ tכch di sכlda bled.
- Fɔ atak di ligamɛnt dɛn we dɔn rɔtin bak na di ɔndasay na di anklɛ bon: Dɛn kin du dis ɔpreshɔn ivin afta lɔng tɛm frɔm we di pɔsin wund. Bɔt if di injuri dɔn de fɔ lɔng tɛm, dɛn kin nid fɔ mek wan graft tisu fɔ bil di ligamɛnt dɛn bak.
Yu tink se dɛn kin mek di sholda nɔ separet?
No shɔt we nɔ de fɔ mek di sholda nɔ kɔmɔt kpatakpata. Bɔt i kin fayn fɔ no bɔt sɔm tin dɛn we kin mek pɔsin gɛt injury na in sholda. Tin dɛn lɛk dis kin put yu sholda pan denja:
- Ripit muvmɛnt dɛn we yu de yuz di sholda.
- We pɔsin de ol .
- Yuz pasmak ɔ strɛs na di sholda, mɔ pan pipul dɛn we dɔn pas 65 ia .
- Di wok we dɛn de du wit an .
- Fɔ tek pat pan spɔt dɛn we gɛt fɔ du wit fɔ rɔsh wit ɔda pipul dɛn ɔ na grɔn.
- Aksidɛnt ɛn fɔdɔm .
Wetin a go ɛkspɛkt if mi sholda dɔn kɔmɔt?
Yu kin ɛkspɛkt fɔ gɛt pen ɛn swel, mɔ if di injury bad bad wan. Bɔt di gud nyus na dat di prɔgnosis fɔ bɔku pan di akromioklavikul jɔyn injuri dɛn kin jɔs fayn.
Mɔs pan di sholda dislɔkeshɔn dɛn kin trit dɛn we dɛn nɔ de du ɔpreshɔn. Di tɛm we yu go wɛl we yu sɔldɔm smɔl kin kɔmɔt frɔm sɔm dez to less dan siks wik . Dipen pan aw di injuri bad, yu fɔ ebul fɔ go bak to nɔmal tin dɛn insay tri mɔnt.
Bɔt if yu nid ɔpreshɔn fɔ separet yu sholda, di tɛm fɔ mek yu wɛl kin lɔng. Yu nɔ go ebul fɔ yuz yu sholda fɔ siks wiks. I kin tek lɛk siks mɔnt fɔ mek i go bak smɔl smɔl fɔ du tin dɛn we i nɔ bin de du.
Aw a go tek kia ɔf misɛf? Ɛksesaiz dɛn de we a kin du na os?
Yɛs, ɛksesaiz dɛn de we go ɛp yu sholda fɔ wɛl kwik kwik wan. Bɔt mɛmba se bifo yu bigin fɔ du ɛni ɛksesaiz na yu sholda, yu fɔ tɔk to yu ɔtpidik ɔspitul dɔktɔ. Start dɛn lɛk aw i se, ɛn we i se.
Rɛnj-ɔf-mɔshɔn ɛgzampul dɛn
Dɛn ɛgzampul ya go ɛp yu fɔ mek yu jɔyn dɛn kɔntinyu fɔ muv ɛn mek yu sɔldɔm mɔsul ɛn tɛndon dɛn ebul fɔ chenj. Tray fɔ du dɛn ɛgzampul ya wan ɔ tu tɛm insay di de fɔ lɛk fayv minit so.
- Pɛndul strɛch: .
- Rilaks yu sholda mɔsul dɛn.
- We yu sidɔm ɔ tinap, briŋ yu an we wund nia yu bɔdi, stret dɔŋ.
- Wev yu an bak ɛn go bifo, dɔn yu de wev yu an frɔm wan sayd to di ɔda sayd. Dɔn, drɔ smɔl smɔl sɛklɔ dɛn wit yu an.
- Du dis we yu nɔ gɛt wet fɔ di fɔs tri to sɛvin dez. Dɔn smɔl smɔl ad 1-2 paund (0.5-1 kg) wet fɔ wan wik. As tɛm de go, yu kin mek di sɛklɔ in dayamita go ɔp smɔl smɔl.
- We yu de klaym di wɔl:
- Yuz yu gud an ɛn ol yu an we nɔ ebul fɔ waka na di wɔl.
- Naw yuz yu finga dɛn fɔ muv ɔp di wɔl smɔl smɔl (jɔs lɛk aw spayda de muf ɔp di wɔl).
- Yuz yu ɔda an ɛn bɔdi fɔ ɛp dis smɔl.
- Hol am fɔ lɛk 30 sɛkɔn ɛn afta dat, rilaks.
- Du dis lɛk 4 tɛm so, ɛn tray fɔ go ɔp smɔl ɛvri tɛm.
Ɛksesaiz dɛn we de mek di mɔsul dɛn strɔng
Dɛn ɛgzampul ya go ɛp fɔ mek yu sɔldɔm mɔsul dɛn strɔng ɛn mek yu nɔ wund igen. Bɔku tɛm yu kin bigin dɛn ɛgzampul ya wan ɔ tu wik afta yu dɔn bigin fɔ strɛch di pendul. Wan ɛgzampul fɔ dis na di skapul swɛt. Tray fɔ du dɛn tin ya tu to tri tɛm insay di de.
- Skapul swɛt dɛn:
- Ledɔm na yu bak, yu ni dɛn bɛn, ɛn yu fut dɛn flat na grɔn.
- Hol yu an dεm stret, yu an dεm de fes כp, εn lεk 6-12 inch (15-30 cm) away frכm yu sayd dεm.
- naw prεs yu sכlda bled dεm dכn εn tכgeda (tכwεd di midul pan yu spayna). Na dis tɛm, yu fɔ prɛs yu ɔda pat na yu bak insay di flɔ.
- Hol fɔ fayv sɛkɔn, dɔn rilaks. Du dis 20 tɛm.
- Kip yu nɛk rilaks ɛn nɔ es yu sholda dɛn ɔp. Yu fɔ fil se di mɔsul dɛn bitwin yu sholda blad dɛn tayt.
Ustɛm yu fɔ go to dɔktɔ bɔt aw yu sholda dɔn kɔmɔt?
Afta yu dɔn wund yu sholda, yu fɔ rili go to dɔktɔ if yu gɛt ɛni wan pan dɛn sayn ya:
- I kin fil pen bad bad wan.
- Wiknɛs na yu an ɔ finga dɛn.
- If yu finga dɛn nɔ gɛt bɛtɛ trɛnk ɔ fil kol.
- If i at fɔ muv yu an nɔmal wan.
- If i tan lɛk lump na yu sholda ɛn i tan lɛk se i dɔn chenj.
Mɛmba se: If yu gɛt ɛni wan pan dɛn sayn ya, nɔr de mɛn yusɛf na os. Go to dɔktɔ wantɛm wantɛm.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
If yu sholda dɔn kɔmɔt, i go fayn fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:
- Us kayn ɔ gred we a gɛt fɔ separet mi sholda?
- Us kayn tritmɛnt yu kin advays?
- Wetin a kin du na os fɔ ɛp mi fɔ wɛl?
- Aw lɔng e go tek fɔ wɛl frɔm dis sik?
- Wetin a go du fɔ mek mi sholda nɔ kɔmɔt na di bɔdi igen?
Wetin na di difrɛns bitwin ‘Separated Shoulder’ ɛn ‘Dislocated Shoulder’?
Dis na sɔntin we bɔku pipul dɛn kin kɔnfyus bɔt. Dɛn tu tin ya gud!
- Sכlda we Separet: Dis na ligament injuri to yu akromioklavikul joyn . dis na di say we yu kolabon (klavikul) de mit di tכp pat pan yu sכlda bled (acromion).
- Dislocated Shoulder: Dis kin apin to yu glenohumeral joyn . na de yu כp an bon (humerus) de kכnekt to di sכlda sכkεt. dis na we di pat pan di an bon we lεk bכl kכmכt na di jכint.
fכ simpul wan, insay ‘sכlda we separet’ di kכlabon de kכmכt, we insay ‘dislocated sכlda’ di כl sכlda jכyn de kכmכt.
Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
Sholda dislocation na sholda injury wae kin mek yu fil pen ɛn swel. Pan ɔl we bɔku pan dɛn injury ya nɔ kin smɔl, sɔm kin rili bad ɛn dɛn kin nid ɔpreshɔn. I kin apin to ɛnibɔdi, nɔto jɔs atlet dɛn, we dɔn fɔdɔm ɔ ɔda aksidɛnt na in sholda.
If dis apin to yu, di tin we impɔtant pas ɔl na fɔ rɛst ɛn nɔ strɛs yu sholda. I kin bɛtɛ fɔ insɛf insay sɔm dez. Bɔt, if i nɔ du dat, go mɔs go to dɔktɔ fɔ no di rayt tin we nɔ rayt. If yu gɛt di rayt tritmɛnt kwik, yu go ebul fɔ wɛl kwik ɛn go bak to yu nɔmal tin dɛn!
` Sכlda separeshכn, AC jכint, sכlda injuri, sכlda pen, ligament tear, sכlt injuri, fyzikal tεrapi
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