Claim: Treating First Time Shoulder Dislocations with Surgery Can Benefit Young Athletes, Study Shows
Verdict: REFUTES

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title: Dislocated shoulder
text: faster. If a shoulder cannot be relocated in the emergency room, relocation in the operating room may be required. This situation occurs in about 7% of cases. There does not appear to be any difference in outcomes when the arm is immobilized in internal versus external rotation following an anterior shoulder dislocation. A 2008 study of 300 people for almost six years found that conventional shoulder immobilisation in a sling offered no benefit. In young adults engaged in highly demanding activities shoulder surgery may be considered. Arthroscopic surgery techniques may be used to repair the glenoidal labrum, capsular ligaments, biceps

title: Dislocated shoulder
text: rotation, scapular manipulation, and the Stimson technique. After reduction X-rays are recommended for verification. The arm may than be placed in a sling for a few weeks. Surgery may be recommended in those with recurrent dislocations. About 1.7% of people have a shoulder dislocation at one point in time. In the United States this is about 24 per 100,000 people per year. They make up about half of major joint dislocations seen in emergency departments. Males are affected more often than females. A diagnosis of shoulder dislocation is often suspected based on patient history and physical examination. Radiographs are made

title: Shoulder problem
text: to reinjury, especially in young, active individuals. Ligaments are stretched and may tear due to dislocation. Torn ligaments and other problems resulting from dislocation can increase the chance of repeated dislocation. A shoulder that dislocates severely or often, injuring surrounding tissues or nerves, usually requires surgery to repair the damaged parts of the shoulder. Sometimes the doctor performs surgery through a tiny incision into which a small scope (arthroscope) is inserted to observe the inside of the joint. After this procedure, called arthroscopic surgery, the shoulder is generally restrained by a sling for three to six weeks, while full recovery,

title: Shoulder problem
text: sure the reduction did not fracture the surrounding bones. The arm is then immobilized in a sling or a device called a shoulder immobilizer for several days. Usually the doctor recommends resting the shoulder and applying ice three or four times a day. After pain and swelling have been controlled, the patient enters a rehabilitation program that includes exercises to restore the range of motion of the shoulder and strengthen the muscles to prevent future dislocations. These exercises may progress from simple motion to the use of weights. After treatment and recovery, a previously dislocated shoulder may remain more susceptible

title: Ulnar collateral ligament reconstruction
text: to rise in upcoming years. A study of youths who underwent UCLR surgery showed that boys and girls aged 15 to 19 had more surgical procedures than any other age group, with the rate of surgeries performed on 15 to 19 year olds increasing by 9% per year. USA Baseball, Major League Baseball and Little League Baseball have initiated the Pitch Smart program designed to decrease risk of elbow injuries in adolescent pitchers. The main risk factors for elbow injury from overhand throwing include number of pitches per game, innings pitched per season, months pitched per year and poor pitching

title: Joint dislocation
text: physiotherapy. On field reduction is crucial for joint dislocations. As they are extremely common in sports events, managing them correctly at the game at the time of injury, can reduce long term issues. They require prompt evaluation, diagnosis, reduction, and postreduction management before the person can be evaluated at a medical facility. After a dislocation, injured joints are usually held in place by a splint (for straight joints like fingers and toes) or a bandage (for complex joints like shoulders). Additionally, the joint muscles, tendons and ligaments must also be strengthened. This is usually done through a course of physiotherapy,

title: Joint dislocation
text: stabilized, depending on the severity, using arthroscopic surgery. The most common treatment method for a dislocation of the Glenohumeral Joint (GH Joint/Shoulder Joint) is exercise based management. Another method of treatment is to place the injured arm in a sling or in another immobilizing device in order to keep the joint stable. Some joints are more at risk of becoming dislocated again after an initial injury. This is due to the weakening of the muscles and ligaments which hold the joint in place. The shoulder is a prime example of this. Any shoulder dislocation should be followed up with thorough

title: Separated shoulder
text: from the leg. or the use of synthetic sutures or suture anchors Other surgeries have used a Rockwood screw that is inserted initially and then removed after 12 weeks. Physical therapy is always recommended after surgery, and most patients get flexibility back, although possibly somewhat limited. After one does have surgery, a sling should be worn to support and protect the shoulder for a few days. For the first couple physical therapy visits, the treatment will focus on controlling the pain and swelling. Type of treatment can include, ice and electrical stimulation, massage, or other hand on treatment to help

title: Shoulder problem
text: including physical therapy, takes several months. Arthroscopic techniques involving the shoulder are relatively new and many surgeons prefer to repair a recurrent dislocating shoulder by the time-tested open surgery under direct vision. There are usually fewer repeat dislocations and improved movement following open surgery, but it may take a little longer to regain motion. A shoulder separation occurs where the collarbone (clavicle) meets the shoulder blade (scapula). When ligaments that hold the AC (acromioclavicular) joint together are partially or completely torn, the outer end of the clavicle may slip out of place, preventing it from properly meeting the scapula. Most

title: Dislocated shoulder
text: dislocation. Usually, the shoulder is kept in its current position by use of a splint or sling. A pillow between the arm and torso may provide support and increase comfort. Strong analgesics are needed to allay the pain of a dislocation and the distress associated with it. Shoulder reduction may be accomplished with a number of techniques including traction-countertraction, external rotation, scapular manipulation, Stimson technique, Cunningham technique, or Milch technique. Pain can be managed during the procedures either by procedural sedation and analgesia or injected lidocaine into the shoulder joint. Injecting lidocaine into the joint may be less expensive and

title: Dislocated shoulder
text: patient. An average interval of 1 year was noted between injury and diagnosis in a series of 40 patients. Inferior dislocation is the least likely, occurring in less than 1%. This condition is also called luxatio erecta because the arm appears to be permanently held upward or behind the head. It is caused by a hyper abduction of the arm that forces the humeral head against the acromion. Such injuries have a high complication rate as many vascular, neurological, tendon, and ligament injuries are likely to occur from this mechanism of injury. Prompt medical treatment should be sought for suspected

title: Shoulder problem
text: Problems seen with a dislocated shoulder are tearing of the ligaments or tendons reinforcing the joint capsule and, less commonly, nerve damage. Doctors usually diagnose a dislocation by a physical examination, but X-rays are taken to confirm the diagnosis and to rule out a related fracture and other complications. X-rays are also taken after relocation to ensure it is in the correct place. Doctors treat a dislocation by putting the head of the humerus back into the joint socket (glenoid fossa) of the scapula—a procedure called manipulation and reduction (M&R). This is usually followed up with an X-ray to make

title: Rotator cuff tear
text: of therapy are subject to debate. Regardless, most surgeons advocate to remain in the sling for at least six weeks. Some authorities advocate early, aggressive rehab. They favor the use of passive motion, which allows a patient to move the shoulder without physical effort. Alternatively, some authorities argue that therapy should be started later and carried out more cautiously. Theoretically, that gives tissues time to heal; though there is conflicting data regarding the benefits of early immobilization. A study of rats suggested that it improved the strength of surgical repairs, while research on rabbits produced contrary evidence. Patients, especially those

title: Shoulder reduction
text: help of a sling. Some avoid this technique because of the possibility of neurovascular complications and proximal humerus fracture. Shoulder reduction Shoulder reduction is the process of returning the shoulder to its normal position following a shoulder dislocation. Normally, closed reduction, in which the relationship of bone and joint is manipulated externally without surgical intervention, is used. A variety of techniques exist, but some are preferred due to fewer complications or easier execution. In cases where closed reduction is not successful, open (surgical) reduction may be needed. X-rays are often used to confirm success and absence of associated fractures. The

title: Shoulder problem
text: Soon after injury, an ice bag may be applied to relieve pain and swelling. After a period of rest, a therapist helps the patient perform exercises that put the shoulder through its range of motion. Most shoulder separations heal within two or three months without further intervention. However, if ligaments are severely torn, surgical repair may be required to hold the clavicle in place. A doctor may wait to see if conservative treatment works before deciding whether surgery is required. While not directly a shoulder problem, this may affect shoulder functionality due to problems with sternoclavicular rotation. A sternoclavicular separation

title: Separated shoulder
text: that anything attained because of surgery is quite limited. It appears that after a while, the body "remodels" the joint, either expanding the distal clavicle or causing it to atrophy. There may also be the potential that surgical repair may be less painful in the long run. Once the pain has eased, range-of-motion exercises can be started followed by a strength training program. The strength training will include strengthening of the rotator cuff, and shoulder blade muscles. With most cases the pain goes away after three weeks. Although full recovery can take up to six weeks for type II and

title: Dislocated shoulder
text: long head anchor or SLAP lesion or to tighten the shoulder capsule. Arthroscopic stabilization surgery has evolved from the Bankart repair, a time-honored surgical treatment for recurrent anterior instability of the shoulder. However, the failure rate following Bankart repair has been shown to increase markedly in patients with significant bone loss from the glenoid (socket). In such cases, improved results have been reported with some form of bone augmentation of the glenoid such as the Latarjet operation. Although posterior dislocation is much less common, instability following it is no less challenging and, again, some form of bone augmentation may be

title: Separated shoulder
text: III injuries surgery is generally only done if symptoms remain following treatment without surgery. A separated shoulder is a common injury among those involved in sports, especially contact sports. It makes up about half of shoulder injuries among those who play hockey, football, and rugby. Those affected are typically 20 to 30 years old. Males are more often affected than females. The injury was initially classified in 1967 with the current classification from 1984. Separated shoulders often occur in people who participate in sports such as football, soccer, horseback riding, hockey, parkour, combat sports, rowing, rugby, snowboarding, skateboarding, crack the

title: Patellar dislocation
text: injuries such as chipped bones or soft tissue tears. Clinicians take into account the person's age, activity level, and time needed to return to work and/or athletics. Doctors generally only recommend surgery when other structures in the knee have sustained severe damage, or specifically when there is: Supplements like glucosamine and NSAIDs can be used to minimize bothersome symptoms. An effective rehabilitation program reduces the chances of re-injury and of other knee-related problems such as patellofemoral pain syndrome and osteoarthritis. Most patella dislocations are initially immobilized for the first 2-3 weeks to allow the stretched structures to heal. Rehabilitation focuses

title: Separated shoulder
text: type VI injuries have paresthesia that resolves after relocation of the clavicle It is extremely rare and generally only involved with motor vehicle collisions. This requires surgery. Treatment of a separated shoulder depends on the severity of the injury. When beginning treatment, the first steps should be to control inflammation, and to rest and ice the joint. Anti-inflammatories such as Advil or Motrin may also relieve pain and inflammation. The joint should be iced every four hours for fifteen minutes at a time. One can wear a sling until the pain subsides; then simple exercises can be started. Type I