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Shoulder jointconsists of glenohumeral joint and acromioclavicular joint . Glenohumeral joint link humerus and glenoid socket of scapula . Acromioclavicular joint is a link between acromion bone of shoulder blade and clavicle . Shoulder joint fracture include geological fault of proximal ( cheeseparing to shoulder joint ) part of humerus , glenoid bodily cavity , acromion , coracoid process , neck opening of scapula , body of scapula and clavicle os . Glenohumeral joint is the ball and socket synovial junction . Most of the movements of the shoulder joint joint occur at glenohumeral joint . Fracture of the lateral ( outer- near articulatio humeri articulation ) death of clavicle is the most common shoulder joint joint fracture observed in youngster . Fracture of upper end ( proximal ) of humerus is the unwashed cracking in grownup affected role . break of glenoid cavity is observed with dislocation or in previous patient role .
Types Of Shoulder Joint Fracture
Type of Shoulder Joint Fracture involving clavicle , scapulaandhumerusare as follows-
a. Hairline Fracture-
b. Non-Displaced Fracture-
Non - displace fracture is a break in complete thickness of the os without any separation .
c. Displaced Fracture-
Displaced fracture ends up with breakup of two goal of the broken bone create an angle alignment or overlap two ends .
d. Compound Fracture-
Classification Of Shoulder Joint Fracture
1. Clavicle Fracture-
2. Scapular Fracture
3. Humerus Fracture
Proximal ( near shoulder joint ) humerus fracture is classified as follows-
Causes Of Shoulder Joint Fracture
Symptoms and Signs Of Shoulder Joint Fracture
Chronic Pain-
Painful Shoulder Joint Movement-
Shoulder Joint Swelling-
Shoulder joint swelling is due to post - traumatic mild tissue edema and hematoma ( blood coagulum ) . Hematoma is either subcutaneous or intraarticular ( inside and surround the joint ) .
Tenderness Over Shoulder Joint-
nuisance is felt or intensity of pain is increase during examination of the joint . Light touch or palpation can elicit severe pain suggesting juncture is cranky .
Shoulder Joint Deformity-
Protrusion of damp ( fault ) end of the bone through soft tissue causes uneven hard “ bump ” of shoulder joint .
Stiffness of Shoulder Joint-
Patient is unable to move berm joint because of heftiness spasm and disruption of joint liaison .
Skin Abrasion Over Shoulder Joint
Investigations And Diagnostic Tests for Shoulder Joint Fracture
X-Ray
MRI and CAT Scan
All the break of shoulder joint are diagnose with MRI and CAT scan .
Ultrasound Examination
echography interrogatory is performed to diagnose following conditions-
Treatment of Shoulder Joint Fracture
Conservative Treatment of Shoulder Joint Fracture
cautious discussion withNSAIDsis often adequate to treat hairline fracture and non - displaced fracture of the shoulder roast .
Physical Therapy (PT) For Shoulder Joint Fracture
Physical therapyis advised right away following accidental injury and after fracture is healed .
Medications for Shoulder Joint Fracture
Most commonmuscle relaxantsprescribed are as follows-
Interventional Therapy for Shoulder Joint Fracture
Cortisone injectionis performed to treat chronic inflammation and botheration .
Surgery for Shoulder Joint Fracture
Shoulder joint renewal surgery involves renewal of head of humerus and glenoid socket with charge plate or alloy prosthesis .
operating theater involves change of mind of anatomic position of testis and socket . The socket is placed over humerus , and charge card or alloy ball is placed over scapula to replace glenoid cavity .
Bleeding
Profuse hemorrhage may occur during and follow surgery call for follow up surgery to evacuate blood clot .
Infection of Shoulder Joint
Restricted Joint Movement and Continuous Severe Pain-
Avoid Smoking
Smoking interferes with wound healing .
Avoid Driving
Driving is not safe during discourse . scarf bandage and pain will step in with use of hurt arm and steering the car .
Avoid Manual Work
Avoid Sports
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