Op. Dr. Osman Lapçın said that recurrent shoulder dislocations are more common in young people compared to the elderly. Orthopedics and Traumatology Specialist Osman Lapçın, emphasizing that they predict that a dislocation that occurs as a result of trauma before the age of 20 will recur at a high rate, said, “This risk decreases gradually in advancing ages. After the age of 45-50, the risk of recurrent dislocation after the first dislocation is lower than if the first dislocation occurred at an early age. he said.
Orthopedics and Traumatology Specialist Osman Lapçın made valuable statements about the problem of recurrent shoulder dislocation. Osman Lapçın stated that the dislocation patients came to their senses in a very painful form and the shoulder was stuck in a situation compared to the side of the dislocation. Kiss. Dr. Osman Lapçın added to his words that in the first developing dislocation, after he had the shoulder placed mostly closed, they followed it for 1 month in the arm sling and treated it.
Emphasizing that they recommend surgical and closed surgery treatment to patients in recurrent shoulder dislocations, Lapçın said, “In traumatic shoulder dislocations before the age of 20, they can be closed closed (maneuvering to fix a dislocation or to bring the slipped fracture ends back together) We start to follow up and state that the risk of recurrence is very high. After the treatment process is completed, we recommend an arthroscopic treatment (using small incisions of one centimeter, imaging and repairing the inside of the joint with a camera) that will repair the tear in this capsule. he said.
Emphasizing the value of age in shoulder dislocation, Osman Lapçın said, “We can predict that a shoulder dislocation caused by trauma before the age of 20 will recur at a high rate. The risk decreases with advancing age. After the age of 45-50, the risk of recurrent dislocation after the first dislocation is lower than if the first dislocation occurred at an early age. However, after a second dislocation develops in a random age group, the probability of dislocation increases, and in these cases, we recommend surgical intervention to patients.” made a statement.
Specifying the most common shoulder dislocation as anterior shoulder dislocation, Op. Dr. Osman Lapçın said, “In this form, dislocation can recur with shoulder strain. Therefore, doing the compulsive movement again after it gets better will increase the risk.” said.
Orthopedics and Traumatology Specialist Osman Lapçın, who states that permanent border damage may occur as a result of injury at the same time during dislocation, “A fracture can develop at the same time as a dislocation of the shoulder. In this case, fracture treatment is also performed together with the dislocation.” he said.
The treatment should be done very sensitively and carefully
Lapçın pointed out that if the treatment of shoulder dislocation is left without detection for a sufficient time, the tear in the capsule that occurs during the dislocation of the shoulder will not heal or it will become loosely beautiful. He mentioned that it may cause recurrent shoulder dislocation.
Lapçın stated that the risk of shoulder dislocation will decrease in individuals who have been operated carefully, who do the exercises and strengthening exercises at the appropriate time, and who are sensitive enough to rehabilitation, and explained the operation process as follows: “It can take about 1 hour depending on the state of the tear and the difficulty level. . We follow the shoulder in the arm sling for a month after it comes out of the operation. At the end of this period, we start shoulder motion exercises
to regain range of motion. In the third month, we move on to strengthening training. At the end of the first month, patients can continue their daily lives after removing the shoulder arm strap and starting shoulder movements.”
It is more common in men than women
Stating that recurrent shoulder dislocations are more common in men than women, Osman Lapçın said, “Sports is a risk factor in this bet. It recurs more frequently in those who do heavy sports activities and contact sports. Likewise, dislocations associated with the fracture can recur more often. In the case of hyperlaxity (in people whose connective tissues are somewhat looser), this risk increases when non-compliance with the treatment of dislocation is shown again. If the rehabilitation program is not followed properly and the rotator cuff cluster around the shoulder is accompanied by tearing of the muscles, the risk is high.” he said.
Mentioning that patients can be discharged the next day after the operation, but that patients can stay in the hospital for 2-3 days more than their pain, Lapçın said, “The patient can be discharged when he can tolerate his pain.” said.
Op. Dr. Osman Lapçın spoke as follows about the rehabilitation process after recurrent shoulder dislocation surgery: “We expect this repaired area of the patient to stick and boil. After a while, exercise is started by first gaining the range of motion of the joint. In the third month, training to strengthen the muscles around the shoulders is started. During this period, the patient should not trigger the mechanism that will repeat the dislocation. Again, he should stay away from activities that will traumatize him.
Sportsmen’s beautification process is faster
, Osman Lapçın stated that in cases of redness, temperature increase or sudden onset of pain in the operation area, patients should apply to the doctors who performed the surgery without delay, and concluded his words as follows: “Sport, a risk-increasing factor in shoulder dislocation. Shoulder dislocations can be encountered more frequently, especially in contact sports. For example, heavy and contact sports such as volleyball, basketball, football and skiing are risk factors. The straightening process is a little faster for the athletes.”
