The impact of heavy objects or sudden falls, including suddenly supporting something with the arm, may cause dislocation of the left shoulder and clavicle. This part is the left shoulder and clavicle. Severe symptoms of dislocation may cause shoulder tissue damage to the patient, and more serious cases may cause bone fractures. Although there will be no bleeding, it will cause severe pain. In addition to repositioning, everyone also needs to understand personal preventive care. There is a case of "left clavicle dislocation" and it is treated conservatively for about 3 months. However, "the arm cannot be raised". For the above situation, an imaging examination can be conducted to see the current recovery situation. Therefore, it is recommended that you go to the orthopedic department of a local regular hospital, first describe the course of the illness in detail to the doctor, and then conduct an X-ray examination of the affected area. The purpose is to see the current recovery situation of the dislocation and decide on the next step based on the results of the examination. ① Anterior dislocation. After reduction, a cotton pad was placed in the armpit, the upper arm was adducted and fixed on the side of the chest and arm in internal rotation, and the forearm was flexed 90 degrees and suspended with a triangular bandage for 3 weeks. For patients with combined greater tuberosity fractures, the fixation time should be extended by 1 to 2 weeks. Patients with axillary nerve palsy can be immobilized using an abduction frame. Recovery takes 1 to 8 weeks. ②Posterior dislocation. After reduction, the shoulder spica cast is used to maintain 35 degrees of abduction and slight external rotation of the upper arm, with the elbow slightly behind the trunk plane. (3) Functional exercises: ① During the immobilization period, the activities of fingers and wrists should be strengthened to avoid joint stiffness and disuse muscle atrophy. Frequently do contraction exercises for the upper arm, forearm, and shoulder joint muscles. ② After removing the fixation, the shoulder joint should be actively moved in all directions to restore the shoulder joint function as soon as possible. Be careful not to forcibly pull the shoulder joint. Specific methods include: wall climbing and abduction method (the body is perpendicular to the wall, and the fingers move slowly up along the wall); wall climbing and raising method (facing the wall, and the fingers move slowly up along the wall); bending at the waist and hanging arms and rotating method (bend the waist about 70 degrees, and the affected arm hangs naturally in front of the chest and rotates). |
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