肩关节是最常发生脱位的关节,约占全身关节脱位的50%,这与肩关节的解剖和生理特点有关,如肩关节盂浅而小,对肱骨头包容少,关节囊松弛,关节活动范围大,周围软组织薄弱,遭受外力的机会多等。
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Shoulder Dislocation
肩关节脱位
Overview(概述)
The shoulder is a ball-and-socket joint. The ball of your upper arm bone fits into a socket in your shoulder blade. If the ball slips out, your shoulder has 'dislocated.'
肩关节是“球臼”关节。上臂骨头的球部与肩胛骨的窝相匹配。如果球滑到外面,就是所谓肩关节脱位。
Causes(原因)
You can dislocate a shoulder if you fall on your arm, or get hit hard. It can happen during a road accident. You can dislocate a shoulder playing football or volleyball. Skiiers and gymnasts also have a higher risk.
当摔倒时上臂着地或肩部受到剧烈撞击,就可能发生肩关节脱位。交通事故、踢足球或打排球时也会发生肩关节脱位。滑雪和体操也有很高的风险。
Symptoms(症状)
A dislocated shoulder causes pain. You may not be able to move your arm. Your shoulder may swell or bruise. And you may see a bump under your skin where the ball has shifted.
肩关节脱位会引起疼痛,不能活动胳膊,肩关节会肿胀及淤青。在球移位处可看到皮下有隆起。
Treatment(治疗)
A doctor resets the joint by moving your arm into different positions to put the ball back in place. Medication and an arm splint or a sling may help the shoulder heal. Physical therapy may help. If you have a severe dislocation, or if it happens a lot, you may need surgery. Your healthcare provider can create a care plan that is right for you.
医生通过将上肢放在不同的位置将球重新放回复位关节。药物、上肢支具或吊带有助于肩关节愈合。物理治疗有帮助。如果脱位严重,或多次发生,可能需要手术。医学专家会制定合适的计划。
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