分离 肩膀
Overview
分离的肩膀, 也称为肩锁关节分离, is a sprain of the ligaments that attach the clavicle (collarbone) to the acromion (highest part of the scapula, 或肩胛骨). 扭伤可能是局部扭伤, 锁骨和肩峰的分离很小, 或完成, 也就是说骨头已经完全分开了. Treatment depends on the amount of displacement seen on X-rays.
分离的肩膀 commonly occurs from a direct blow to the lateral (outside) part of the shoulder or from falling on an outstretched hand or elbow. The injury is common in contact sports and from falls while biking, skiing or snowboarding.
我们接近分离肩
对于不太严重的伤害, 分离的肩膀通常会自愈, 通过简单的治疗来减轻疼痛和肿胀, 比如使用冰袋, 止痛药和吊带. 但对于更严重的分离, 或者在长时间疼痛的情况下, surgery may be appropriate to either repair or reconstruct the damaged ligaments.
如果你需要手术, our team includes orthopedic surgeons who specialize in the shoulder; physical therapists who focus on orthopedic and sports-medicine patients; primary care sports medicine doctors; and athletic trainers, 谁教育病人正确的康复方法. Our experts work together to relieve pain and restore mobility, so patients can return to their normal lives and the activities they enjoy.
奖 & 识别
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是全国顶尖的十大赌博平台排行榜之一
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全国最好的骨科护理之一
迹象 & 症状
Tenderness and swelling at the top of the shoulder are common right after the injury; bruising in the area is usually seen about 48 hours later. With more severe injuries, the end of the collarbone may be prominent. 受伤后不久, 大多数人觉得移动手臂和肩膀很痛, 关节周围的整个区域都发炎了.
诊断
A separated shoulder can often be identified during a physical exam, but your doctor will likely use X-rays to gauge the severity. 其他专业测试, 比如核磁共振或CT, may also help with diagnosis and detecting any associated injuries.
治疗
非手术治疗
Initial treatment of a mild shoulder separation consists of taking pain medication and applying ice to relieve the immediate 症状. A sling is often used for seven to 10 days to provide comfort while the joint begins to heal. X-rays are usually taken to assess the displacement of the collarbone. If there's concern about injury to other parts of the shoulder, an MRI may be ordered. 病人 with only mild damage can return to their normal activities as soon as one to two weeks after the injury, 虽然有时需要更长的时间才能完全愈合.
外科处置
Surgery is the best option for a severe separated shoulder, and it's generally best to have it within three weeks of the injury. Surgery may also be needed for patients who try nonsurgical measures but get unsatisfactory results.
Surgery involves repairing or reconstructing the ligaments that hold the collarbone to the shoulder blade, using either strong sutures or a tendon from the patient's own leg or a cadaver donor. These treatment decisions depend on the injury's severity and how much time has elapsed since it occurred. This surgery is done on an outpatient basis, under general anesthesia. 病人 are usually given a nerve block (an injection for pain in the treated area), 哪种方法能减轻术后不适.
For six weeks after surgery, patients wear a sling to immobilize the area and facilitate healing. After that, a physical therapy program to restore motion and regain strength is initiated. Most patients are able to resume full activities approximately six months after surgery.
常见问题
- 肩膀分离手术后我什么时候可以洗澡?
You'll need to keep the incisions clean and dry until your first post-op visit; at that time, 你可能会被允许洗澡. But you'll need to wait three to four weeks after surgery to submerge the surgical site in a bathtub or swimming pool.
- 手术后我什么时候可以开车?
You will be wearing a sling and unable to drive for six weeks. You can resume driving after that, so long as you have appropriate control to do so safely.
- 我什么时候可以回学校或工作?
Most patients return to school or desk work five to seven days after surgery. If you're able to work from home, your initial recovery may be easier. If you have a physically demanding job that requires overhead lifting or strenuous arm work, you'll need more time for a safe recovery and medical clearance before returning.
- 我什么时候可以恢复平时的娱乐活动?
一般, patients can return to most sports and other physical activities around six months after surgery.
- 我什么时候可以预约复诊?
You'll see your doctor one to two weeks after surgery for an exam, suture removal and X-rays.
加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
