Shoulder dislocation
The shoulder complex is one of the most complex joints in our body, consisting of several bones (clavicle, scapula, humerus and sternum) which form different articulations (sternoclavicular, acromioclavicular, glenohumeral, scapulothoracic). The shoulder is the most mobile joint in the human body, its stability being ensured by passive stabilizers (e.g. capsule, ligaments, labrum, etc.) and active stabilizers (muscles). Because of its great freedom of movement, the shoulder is the most frequently dislocated joint, both in athletes and in the general population. Depending on the degree of separation of the bones, dislocation (complete separation of the joint with the displaced bones) or subluxation (partial separation with the bones still in contact) may occur.
The shoulder can dislocate in four main directions: superior, inferior, posterior and anterior, the latter accounting for the vast majority of dislocations (over 90-95% of cases). The direction of dislocation and the resulting symptoms generally depend on the mechanism of injury, involving rotations, falls, violent contact in sports or road accidents, among others. Patients with this injury typically present with localized pain around the shoulder that may radiate to other structures, swelling, bruising, potential shoulder deformity and severe impairment of function.
The management of patients with pelvic girdle fractures is highly dependent on the location of the injury, the specifics of the fracture itself, the presence of associated injuries and the characteristics of the patients affected by the fracture (e.g. age). Due to their high-energy injury mechanism, these injuries are usually part of a polytrauma (multiple injuries), with the priority of treatment being to stabilize the patient's overall medical condition through a highly individualized treatment plan. In the case of the pelvis, fractures need to be stabilized, and several procedures can be performed. Rehabilitation can then begin. Some pelvic injuries (e.g. small, stable fractures that do not compromise body function) can be treated conservatively with rehabilitation. Whichever management strategy is implemented (surgical or conservative), rehabilitation is necessary to optimize results and minimize potential complications. At Foxphysio, your rehabilitation process will be structured in different stages and will take place in four different environments: the pool, the gym, the movement analysis and re-education room and the field. In the early stages, the main objectives are to restore homeostasis by reducing pain and swelling.