I kekawrte chu a sir khatah awm ang maiin a lang em? Hei hi ‘Separated Shoulder’ tih i sawi tum chu a ni em?

I tlu a, i kekawrte chu nasa takin i vawm a, "Aw ka pathian, ka kekawrte chu a dislocated!", tiin i ngaihtuah ngai em? I ngaihtuah angin ‘dislocation’ a ni lo mai thei a, ‘separated shoulder’ a ni zawk . Chu chu thawnthu dang a ni. Vawiin hian kekawr inthen chu eng nge a nih, engvangin nge a lo awm tih, a natna lan chhuah dan te, a enkawl dan tur te, a lo awm leh tawh loh nan eng nge i tih theih tih te kan sawi dawn a ni.

‘Separated shoulder’ tih hi eng nge ni?

A awlsam zawngin, separated shoulder chu i shoulder-a acromioclavicular joint-a awm thin a ni. He joint hi i collarbone, clavicle , leh i shoulder blade chunglam, acromion . Bridge ang maiin han ngaihtuah teh.

A pawimawh ber chu, hei hi i kekawr bul-a ball-and-socket joint bulpui hliam a ni lo. Chutah chuan harsatna a awm lo. Heta thil thleng hi chu clavicle leh acromion inkar ligament – ​​joint inzawmkhawmna bands te chu an inzawm khawm emaw, an inzawm khawm emaw a ni Chutiang a nih chuan collarbone leh shoulder blade inzawmna chu a lo chhuak a, an pahnih chu an inthen tan a, a nih loh leh an inthen tan ta a ni. Chuvang chuan shoulder separation an ti a ni. Mi thenkhat chuan AC joint separation an ti bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

I ngaihtuah aiin a tam zawk. Zirna thenkhatah chuan ke ruh hliam zawng zawng zinga 40% vel chu acromioclavicular joint hliam vang a ni tih an sawi! Hei hi football, lacrosse, leh hockey ang chi collision sports khel thinte zingah a tam hle. Heng infiamnaa hliam zawng zawng zinga 9% chu AC joint separation a ni.

Hei hi eng symptoms nge ni?

Shoulder dislocation symptoms hi mi hrang hrangah a inang lo thei. Hliam nasat danah a innghat. Mi thenkhat chuan natna tenau chauh an nei thei a, thenkhat erawh chuan natna nasa tak leh symptom dang an nei thei thung. Heng zinga pakhat tal i neih leh neih loh en rawh:

• A ke ruh chunglam chiah a na: a ke ruh tawp na hmunah chiah.
• A kekawr chunglam a lump, lump ang mai: Hei hi mi tam zawk tan chuan chhinchhiahna langsar ber a ni. Hei hi ligament te a chhiat chuan a thleng thin a, chu chuan i kut rit hnuaiah chuan shoulder blade a tla thla thin. Tichuan clavicle chunglam chu a bulge chhuak ta a. A lump deuh ang maiin a lang.
• Kawngkhar tha taka che thei lo: Kut chawi sang emaw, herh emaw chu a harsain a lang thei.
• Hrem a nih chuan a hring leh a na: Kut chu a na thei a, a hring thei bawk.
• Bruising: A chang chuan blue a lo ni thei a, bruised angin a lang thei bawk.

Engvangin nge hetiang taka kekawrte inthen hi a awm?

A tam zawkah chuan hei hi kekawr hnunglam atanga direct a tlak vang a ni.Tlu a khauh lutuk chuan ligament te chu a chhe thei a ni. Ngaihtuah teh, i bike a\angin i tlu emaw, step-ah i tlu a, i kekawrte i na emaw, infiamna i khelh laiin mi i vuak a, i kekawrte i ti na emaw.

Entirnan, football player pakhatin ball man tumin a dive a, a kekawr hnunglam a rawn deng a, a slide chuan a kut chu pin down a ni thei a, hetiang hliam hi a thlen thei a ni. Hei hi car accident-ah pawh a thleng thei.

Hei hian eng harsatna nge a thlen theih?

Mi tam zawk chu enkawl hnuah dam vek mah se, a chang chuan lump chu a awm reng thei bawk. Tin, mi ṭhenkhat chuan hliam tenau ang maia lang mah se, natna chhunzawm zel an nei thei bawk. Hei hi ruh inzawmkhawm vang te, arthritis vang te, a nih loh leh shoulder joint-a ruh inkar cushion anga thawk cartilage tihchhiat vang te a ni thei .

Engtin nge doctor hian hei hi a hriat theih?

Doctor i pan dawnin tuna i natna lan chhuah dan leh hei hi engtin nge a lo awm tih a zawt hmasa ang che. Tichuan taksa enfiahna a nei ang . Doctor chuan i kutah rit tlemte chelh turin a ti mai thei che. Chutianga i tih chuan collarbone chu chunglam hawiin a rawn chhuak tih i hmu thei a, chu chuan hliam chu a nemnghet thei ang.

Chu natna chi hrang hrang a zirin doctor chuan imaging test ṭhenkhat pawh a ti thei bawk . Chung zingah chuan:

• A kekawrte X-ray hmangin
• Ultrasound hmanga enfiah a ni
• MRI (Magnetic Resonance Imaging) hmanga enfiah a ni

Heng test neih chhung hian i kutah rit phur turin an ti thei bawk che a, chutiang chuan hliam chu thlalak-ah chiang takin a lang thei ang.

Heng test i neih zawh hian i doctor chuan orthopaedic surgeon hnenah a refer thei che a ni . He specialist hian i shoulder dislocation nasat dan a hre thei ang. Anni hian AC joint injuries te Rockwood classification an tih classification system an hmang a. Hei hian hliam chu Type I (AC ligament chhiatna tenau, ruh chu a la awm reng) atanga Type VI (ligament tear vek, ruh chu a inthen vek tawhna) thlengin a thliar hrang a ni. He classification hian enkawlna tur, operation a ngai em tih te, eng chen nge enkawlna a daih dawn tih te, leh hun rei tak chhunga nghawng a neih dan tur te a hril dawn a ni.

Shoulder separation grade hrang hrang

Shoulder dislocations hi a tenau atanga na tak thlengin a awm thei. Doctor-te chuan heng ``Acromioclavicular joint`` dislocations te hi hliam nasat dan leh ligament engzat nge a chhiat dan a zirin an thliar hrang thin. A hmaa kan sawi tawh ``Rockwood classification`` hi hman tam ber a ni. A chipchiar deuh deuh thenkhat han en ila:

• Type I chu: 1.1.Chutiang a nih chuan i acromioclavicular (AC) ligaments te chu a inzawm deuh emaw, a chhe deuh emaw a ni thei. Mahse, i clavicle ti nghet tura puitu ligament dang, coracoclavicular (CC) ligament te chu a chhe lo. I hring leh tenderness engemaw zat i nei thei. Hei hi kar tlemte hnuah a mah chauhin a bo tur a ni.
• Type II: Hetah hian i AC ligament te chu a chhe vek a, i CC ligament te chu a inzawm khawm emaw, a chhe deuh emaw a ni. Mild tightness bakah hian swelling nasa tak a awm thei bawk.
• Type III: Hetiang a nih chuan AC ligament leh CC ligament pahnih hi a chhe vek a ni. I AC joint chu lump lian tak angin a lang thei a, a hring nasa hle thei bawk. CC joint pawh press a nih chuan a na hle thei bawk.
• Type IV: Hei hi ligament a inthlakna hmun a ni a, chu chuan i collarbone chu hnunglam a nawr a, acromioclavicular joint hnung lamah a tang a ni. Hei hi hliam na zawk a ni a , operation pawh a ngai mai thei .
• Type V: Ligament chu a chhe a, clavicle tawp (clavicle bone) chu acromioclavicular joint chunglam muscle pakhatah a hruai lut a. Hei pawh hi a pawi hle a, zai a ngai thei bawk.
• Type VI: Ligament chu a chhe a, clavicle chu hnuai lamah a nawr a , i shoulder blade-a tel coracoid hnuaiah a tang a ni. Hei hi a tlem hle a, mahse a na hle. Surgery neih a ngai a ni.

Hei hi engtin nge enkawl a nih?

Thu lawmawm tak chu mi tam zawk chu an kekawrte inthen atanga kar hnih atanga kar sawm leh pahnih chhungin zai ngai lovin an dam thei a ni. Nonsurgical treatment hrang hrangah hian:

• Sling hman dan: Hei hian a dam hma loh chuan kekawrte chu hmun khatah a awmtir thei a ni.
• Ice pack leh natna tidamtu: I doctor chuan natna tihziaawmna atan NSAID (Nonsteroidal anti-inflammatory drugs) , Ibuprofen leh Naproxen , emaw aspirin emaw acetaminophen emaw te a rawt thei ang.
• Physical therapy emaw exercise program emaw: I ke ruh a dam tawh chuan hengte hian i ke ruh chhunga thau leh ruh (ligament) te chu a tichak thei a ni. Mahse, rehabilitation program i tan hmain i orthopaedic specialist hnen atangin phalna i la hmasa tur a ni.
• Hliam a dam hnuah kar 8 atanga kar 12 chhung chu rit phurh loh tur a ni.

Thil na tak tak ṭhenkhatah (Rockwood grade IV, V, leh VI ang chi), emaw, nonsurgical treatment-in duhthusam result a neih loh chuan operation neih a ngai mai thei. I kut zungtang a hrual a, a vawt a, kut ruh a chak lo a, a nih loh leh i ke ruh natna nasa tak i neih chuan hei hian natna khirh zawk a nih thu a tarlang. Surgery hmanga enkawlnaah hian:

• Clavicle tawp lam tan: Hei hian shoulder blade a khawih theih loh phah ang.
• Ankle bone hnuai lama ligament chhe tawhte dah leh: He surgery hi hliam atanga hun rei tak hnuah pawh tih theih a ni. Mahse, hliam hi hun rei tak a awm tawh chuan ligament siam thar leh nan graft tissue a ngai mai thei.

Shoulder separation hi a veng thei ang em?

Shoulder dislocation zawng zawng venna tur kawng chiang tak a awm lo. Mahse, ke ruh hliam theihna tipungtu thil thenkhat hriat chu a \angkai thei hle. Hetiang thil hian i kekawrte chu a ti hlauhawm thei a ni:

• A kekawrte hmanga incheina repetitive .
• Kum upa lam .
• A bik takin kum 65 chunglamte tan chuan kekawrte hman tam lutuk emaw, tihbuai emaw .
• Kut hnathawh .
• Midang nena inhnaih emaw, leia inhnaih emaw infiamnaah tel.
• Accident leh tlak .

Ka shoulder dislocated a nih chuan eng nge ka beisei theih ang?

Natna leh hliam i neih beisei theih a ni a, a bik takin hliam na tak a nih chuan. Mahse thu lawmawm tak chu acromioclavicular joint injury tam zawk prognosis hi a tlangpuiin a tha hle.

Shoulder dislocation tam zawk hi non-surgical hmanga enkawl a ni. I shoulder dislocation tenau atanga i dam leh hun chhung hi ni engemaw zat atanga kar ruk aia rei lo a ni thei . Hliam nasat dan azirin thla thum chhungin hna pangngaiah i kir leh thei tur a ni.

Mahse i kekawrte inthen nan operation i mamawh a nih chuan a dam hun chhung chu a rei zawk mai thei. Kar ruk chhung chu i kekawrte i hmang thei lo mai thei. Zawi zawiin thil tih dan pangngaia kir leh turin thla ruk vel a la ngai thei.

Engtin nge ka in enkawl ang? In lama exercise ka tih theih a awm em?

Ni e, i kekawrte chu a dam thuai theihna tur exercise a awm. Mahse, i shoulder exercise eng pawh i tan hmain i orthopaedic surgeon i biak hmasak phawt a ngai tih hre reng ang che. A sawi angin tan la, a sawi hunah pawh tan rawh.

Range-of-motion exercise te pawh a awm bawk

Heng exercise te hian i ruhkawr (joints)-a mobility awm reng turin a pui ang che a, i shoulder muscles leh tendons te pawh a flexible reng bawk ang. Heng exercise te hi ni khatah vawi khat emaw vawi hnih emaw minute nga vel tih tum ang che.

• Pendulum a inzawm khawm: 1.1.
• I shoulder muscle te chu ti hahdam rawh.
• Thut emaw, ding emaw pawhin i kut hliam chu i taksa hnaih tir la, hnuai lam hawiin rawn hruai rawh.
• I kut chu hma leh hnung lamah vawrh la, chutah chuan a sir lehlamah vawrh rawh. Tichuan, i kut hmangin circle te te siam rawh.
• Hei hi ni thum atanga ni sarih chhung chu weights tel lovin ti thin ang che. Tichuan zawi zawiin kar khatah pound 1-2 (0.5-1 kg) vel a rih tur a dah belh leh ang. Hun a kal zel a, zawi zawiin circle diameter chu i tipung thei a ni.

• Wall chhoh dan:
• I kut tha tak hmang la, i kut rualbanlo chu bang bulah chelh rawh.
• Tunah chuan i kut zungtang hmangin zawi zawiin bang chungah (spider bang chunga a kal ang maiin) chho rawh.
• Hei hi tanpuina tlem pe turin i kut leh taksa dang hmang la.
• Second 30 vel vawn la, chutah chuan chawlh hahdam rawh.
• Hei hi vawi li vel ti la, a vawi khatnaah tlem a sang zawka kal tum ang che.

Muscle tichaktu exercise te

Heng exercise te hian i shoulder muscle te a tichak ang a, hliam dang i neih loh nan a pui bawk ang. Heng exercise te hi pendulum stretch i tan atanga kar khat emaw kar hnih emaw hnuah i tan thei tlangpui. Hei hi entirnan scapular squeezes hi a ni. Hengte hi ni khatah vawi hnih atanga vawi thum tih tum ang che.

• Scapular squeezes te chu:
• I hnungzang chungah mu la, khup ben la, ke chu leiah flat takin mu rawh.
• I kut chu dinglam hawiin, i kutphah chu chunglam hawiin, i sir atanga inches 6-12 (15-30 cm) vel hlaah vawn rawh.
• Tunah chuan i shoulder blades te chu hnuai lam leh inzawm khawm (i ruhro lai lam hawiin) press rawh. Hetih lai hian i hnungzang hnuai lam chu leiah i press tur a ni.
• Second nga vel chelh la, chutah chuan chawlh hahdam rawh. Hetiang hian vawi 20 vel ti rawh.
• I kawr kha hahdam takin dah la, i kekawrte chu chawi sang suh. I shoulder blade inkar muscle te chu a tight tih i hre tur a ni.

Engtikah nge i shoulder dislocation chungchangah doctor i hmuh ang?

I shoulder injury hnuah hian heng symptoms te hi i neih chuan doctor lam i pan ngei tur a ni:

• Natna nasa tak a nei.
• I kut emaw, i kut zungtang emawa chak lohna.
• I kut zungtang a hrual emaw, a vawt emaw a nih chuan.
• I kut chu pangngai taka chet a harsat chuan.
• I kekawr iptea lump ang maia a lan a, a distort hmel a nih chuan.

Hriat reng tur: Heng symptoms te hi i neih chuan in lamah mahni invenna nei suh. Doctor pan nghal rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

I shoulder dislocated i neih chuan doctor hnenah heng zawhnate hi zawt la a tha ang:

• Eng chi emaw grade emaw nge shoulder separation ka neih?
• Eng ang enkawlna nge i rawt?
• Ka dam leh theih nan in lamah eng nge ka tih theih ang?
• He natna atanga dam leh tur hian eng chen nge a mamawh ang?
• Ka kekawrte a inthlak leh loh nan eng nge ka tih theih ang?

‘Separated Shoulder’ leh ‘Dislocated Shoulder’ hi eng nge an danglamna?

Hei hi mi tam takin an buaipui thin a ni. Heng pahnih hi an tha khawp mai!

• Separated Shoulder: Hei hi i acromioclavicular joint a ligament hliam a ni . Hei hi i collarbone (clavicle) leh i shoulder blade chunglam (acromion) inzawmna hmun a ni.
• Dislocated Shoulder: Hei hi i glenohumeral joint ah a thleng thin . Chutah chuan i kut chunglam ruh (humerus) chu shoulder socket nen a inzawm a ni. Hei hi kut ruh ball ang chi chu ruhkawr atanga a chhuah hian a ni.

A awlsam zawngin ‘separated shoulder’ ah chuan collarbone a rawn chhuak a, ‘dislocated shoulder’ ah chuan shoulder joint zawng zawng a chhuak vek thung.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Shoulder dislocation hi shoulder injury a ni a, a na leh a hring thei a ni. Heng hliam tam zawk hi a tenau a nih laiin, thenkhat chu a na thei hle a, operation pawh a ngai thei bawk. Infiammi chauh ni lovin, ke ruh thlenga tlu emaw, accident dang emaw tawk tawh tu pawhah a thleng thei.

Hei hi i chungah a lo thleng a nih chuan a pawimawh ber chu chawlh hahdam a, i kekawrte kha tihbuai loh hi a ni. Ni engemaw zat hnuah a mah chauhin a ṭha leh mai thei. Mahse, a awm lo a nih chuan eng nge dik lo tih chiang taka hriat tumin doctor hmu ngei ang che. Enkawlna dik tak i hmuh thuai chuan i dam thuai thei ang a, i hnathawh dan pangngaiah i kir leh thei tawh ang!

` Shoulder separation, AC joint, shoulder hliam, shoulder na, ligament tear, sports inhliam, physical therapy