परिभाषा
A shoulder sprain is a stretching or partial tearing of the ligaments and capsule that support the shoulder, specifically, the glenohumeral joint. Ligaments are strong bands of tissue that connect bones to each other. The glenohumeral joint is where the upper arm bone, humerus, and the cup of the shoulder blade meet.
The major ligaments of the glenohumeral joint are the superior, middle, and inferior glenohumeral ligaments. The ligaments serve to stabilize the highly mobile joint. The capsule of the glenohumeral joint is thinner tissue that encloses and supports the shoulder joints.
An acute mild injury to the glenohumeral ligaments can be considered a shoulder sprain. More severe injury can result in dislocation.
का कारण बनता है
Shoulder sprains involving the glenohumeral joint may be caused by:
- फैली हुई भुजा पर गिरना
- Forced twisting of the arm
- A blow to the shoulder
जोखिम कारक
A risk factor is something that increases your chance of getting a disease, condition, or injury. Risk factors for shoulder sprain include:
- खेल खेलना
- ख़राब समन्वय
- ख़राब संतुलन
- Inadequate flexibility and strength in muscles and ligaments
- Loose joints or connective tissue disorders
लक्षण
Symptoms of shoulder sprain may include:
निदान
The doctor will ask about your symptoms and how you injured your shoulder. The doctor will examine your shoulder to assess the stability of the joint and the severity of the injury.
परीक्षण में शामिल हो सकते हैं:
- X-rays—to make sure that no bones are broken or displaced
- MRI scan—to see the extent of damage to the soft tissue of the shoulder (rarely needed)
- Arthrogram—another type of imaging test
उपचार
उपचार में शामिल हैं:
- Rest—Avoid using your injured arm.
- Ice—Apply ice or a cold pack to the shoulder for 15-20 minutes, four times a day for at least 2-3 days. This helps reduce pain and swelling. Wrap the ice or cold pack in a towel. Do not apply the ice directly to your skin.
- Medication—Consult your doctor if you have any questions about using medicines. Common over-the-counter medicines include: ibuprofen, naproxen, acetaminophen, and aspirin. Also available are topical pain medicines (such as, creams, patches) that are applied to the skin.
- Brace or sling—You may need to wear a sling to immobilize your arm and shoulder. If you play sports, you may need to wear a shoulder brace when you return to play.
- Rehabilitation exercises—Begin exercises to restore flexibility, range of motion, and strength to your shoulder as recommended by your healthcare professional. Sometimes electrical stimulation is used to aid recovery.
- Surgery—Not always needed to repair a mild shoulder sprain without instability or dysfunction; however in athletes earlier surgery may be considered to avoid recurrent injury
रोकथाम
To reduce the risk of spraining your shoulder:
- Do exercises to strengthen arm, back, and chest muscles.
- Learn the proper technique for exercise and sporting activities. This will decrease stress on all your muscles, ligaments, and tendons, including those around your shoulder.