In his development, man has gradually developed a bipedal gait, thus freeing his upper limb for finer action. The delicate muscles of the hand are responsible for the fine motor skills of the fingers. The elbow joint shortens and lengthens the upper limb, and the shoulder joint is characterised by a large volume of movement, which guarantees us a wide range of action of the hand. To provide this greater volume of movement, the shoulder joint is anatomically characterised by a shallower pit relative to the large humeral head. This largely makes her vulnerable to direct and indirect traumatic injuries and often results in a dislocated shoulder.
The shoulder joint is extremely dependent on the so-called. dynamic stabilizers i.e. the muscles that surround it. It is anatomically connected to the clavicle and the scapula and this makes it a complex biomechanical complex, where in addition to the above relationships, the shoulder must be examined and treated according to individual anatomical features. There are anatomical types of shoulder joint, with type 2 being defined as the most unfavorable.
The shoulder joint is the most commonly dislocated joint. The majority of dislocations / dislocated shoulder occur in young, active athletes aged between 20-30 years. Affection in the stronger sex predominates. At risk of luxation and repetitive microtrauma are people playing swimming, volleyball, basketball and other disciplines associated with greater involvement of the upper extremities. Prerequisite for the occurrence of dislocations is shoulder instability. It is defined as the inability of the head of the humerus to stay centered in the fossa. Luxurious / dislocated shoulder can also occur in traumatic moments related to falls. By their nature, the dislocations are anterior, posterior and inferior, depending on the displacement of the humerus relative to the fossa.
Symptoms and treatment
Pain, swelling, weakness and tingling in the upper limb. It is possible to notice a broken contour, with a pronounced visible deformation. The affected limb is characterised by inability to move. Such a condition requires examination and adjustment of the shoulder, as well as a certain period of relative rest, followed by adequate rehabilitation. The rehabilitation program includes adequate and timely gradual movement until complete recovery of the shoulder joint.
Advice and prevention
Building strong and elastic muscles is key to proper arthrokinetics. This ensures that the head of the humerus is well centered relative to the fossa. Strong muscles also provide passive joint stabilizers, namely the joint capsule and joint ligaments, protecting them from repetitive microtrauma. Here it is very important to note the tendency of young athletes to develop certain muscle groups for aesthetic reasons / chest and biceps /, creating muscle imbalance and preconditions for injuries. So follow these simple rules:
- Train symmetrically front, side and back shoulder.
- Do not neglect the triceps at the expense of the biceps.
- The shoulder blades are important. They need mobility / slipperiness and stability / healthy rhomboid muscles /.
- Maintain the natural curves of the city pillar with exercises for muscle strength of the back muscles.
- With regard to the spine, do not neglect light exercises for sliding and mobility of the vertebrae.
- Train for pelvic stability. The gluteal muscles on the left are connected to the muscles of the shoulder on the right and vice versa.
- Observe the principle of gradual loading.
If you have removed your shoulder, do not hesitate to consult a specialist for movement after adjusting the joint. If you need more information on the subject, the team of Physio Bе Active remains at your disposal.