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Types and Treatment of Shoulder Ligament Injuries (Part 1)

Types and Treatment of Shoulder Ligament Injuries (Part 1)

The shoulder is one of the most movable joints in your body as you reach forward, behind the back, and overhead, and sometimes repeating motion carrying heavy loads. Other times, your shoulders face more force than they actually should when we use them to resist a fall while playing any sports. Such activities can result in shoulder ligament injury.

Ligaments are responsible for holding one bone with another bone and for controlling the range of motion in a joint. This helps prevent excessive movement in directions not proposed for any specific joint. When ligaments become tight, the content of motion decreases. As the shoulder is one of the most movable joints, your ligaments should be loose to allow required motions in every direction. An injury in shoulder ligaments develops joint instability, leading to potential injuries.

Different Types and Treatments for Shoulder Ligament Injuries

Anterior ligament dislocation

This type of shoulder ligament injury happens when you raise your arm overhead or towards the side and apply force, like repossessing any heavy object from a shelf above your head. If the load is hefty, then the ligaments that are present in front of your shoulder become overloaded and thus tear, leading to a sprain. When there are enough ligament tears, it can cause your bone to separate, thus dislocating it.

Treatment includes the application of traction to the joint that will allow your shoulder to return to its normal position and a few days of immobilization to restore ligaments. But ligaments cannot heal to become as tight as before, so your shoulder becomes unstable and prone to dislocation. Therefore, there is a need for conservative treatment after anterior ligament dislocation through strengthening of the rotator cuff, which offers extra stability to your shoulder.

But in case the shoulder continues dislocating, there might be a requirement for surgical treatment. Surgery involves making the shoulder capsule tight through slack, pulling in loosened ligaments, and then stitching to place them back in position. Surgery helps prevent further dislocations, but post surgery, you need a few weeks of immobilization.

Shoulder dislocation

This is one of the common kinds of traumatic shoulder ligament injury that is caused when you fall on an outspread hand. Here, the force of falling on your hand is transferred through to your shoulder, leading to a tear in the ligament that holds your collarbone in place. This results in joint dislocation, where your collarbone meets your shoulder blade at the bony area on top of your shoulder. This injury limits the functioning of your arm, specifically in the overhead range of motion.

If the injury is minor, then the ligaments will heal on their own, but those individuals who are active and face difficulty in using their arm might require surgical treatment. Surgery needs reaping a tendon from another place in the body and then using it as a replacement for the broken ligament. This will efficiently anchor the collarbone back in its place.

Frozen shoulder

Also called adhesive capsulitis, this is a type of condition that results from a shoulder injury that sometimes occurs even without any trauma. It occurs when the shoulder joint capsule that contains shoulder ligaments becomes inflamed. The shoulder becomes painful, and there is a significant loss of motion.

Treatment of frozen shoulder is generally non-surgical as it heals with time. In the acute phase, some anti-inflammatory medicines might be prescribed, and steroid injection is given to the joint capsule that limits inflammation degree. Physical therapies such as low mobility exercises are sometimes recommended, along with stretching and shoulder mobilization.

Conclusion

Shoulder ligament injuries vary in severity, and treatment relies on the kind of injury and its extent. Early diagnosis and proper treatment are required for better outcomes and prevention of chronic issues.

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